Inspection on 12/07/05 for Wamil Court

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wamil Court 30/05/07

Wamil Court 21/02/06

Wamil Court 03/02/05

Wamil Court 03/01/04

Wamil Court 12/11/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wamil Court Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JO Lead Inspector Mary Jeffries Announced Inspection 12th July 2005 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wamil Court Address Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JO 01638 714751 01638 712664 maraa.hyland@socserv.suffolkcc.gov.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Suffolk County Council Mr Sanmoogum Coopoosamy Care Home 33 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (18) of places Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 Brief Description of the Service: Wamil Court is a purpose built home for older people, situated in a quiet road not far from the centre of Mildenhall in Suffolk. It is a single storey building laid out around a central courtyard and has been completely refurbished and adapted to provide care for up to 33 service users. All service users who live at the home have their own bedroom with facilities. The home was divided into four ‘houses’. Forest and Bracken cater for frail older persons. Wamil Court is owned and managed by Suffolk County Council. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on one day in July 2005, and lasted 7.5 hours. It was facilitated by Marcia Hyland, who had been appointed manager on June 2nd 2005, and Liz Bruce, acting team leader. A number of care staff and a member of kitchen staff participated in the inspection. All places were full at the time of the inspection, however, two service users were in hospital. Time was spent with service users on one of the dementia units, Aspen. There was some discussion with service users but mainly observation: one service user on this unit was spoken with individually in more depth. A discussion took place with a group of four service users on a frail elderly unit, Forrest. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Service users can expect to receive a pre-admission assessment to ensure that the home can meet their needs. EVIDENCE: Whist very useful service users guides were available for each of the different houses due to the fact that different care needs were catered for, the home’s Service Users Guide did not contain the complaints procedure, or an index showing the appendices that service users should expect to receive, i.e. a complaints procedure and a recent inspection report. Details of individual and communal accommodation were not included. The group of service users were asked if they visited the home before coming to live there. One said, “I didn’t need to, my daughter said mum, you will love this place and she was right.” Another added, “My family said it was the best.” The acting manager advised that service users are welcome to visit, but few choose to. They stressed that there is a trial period, and the acting team leader said that often it is the families that come to see the home. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 8 Service users files seen contained single assessments and STARS assessments; this was the case for permanent residents and also for a service user receiving short-term care. The acting manager advised that when a vacancy is to be filled by a person coming out of hospital that they visit the person in hospital, and that short term care service users are seen in their home. Service users files contained contracts which detailed room number occupied. The home does not provide intermediate care. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Service users can expect to have a detailed care plan that addresses all of their needs, and which is regularly reviewed. EVIDENCE: Three care plans seen were well documented and fully evidenced the care needs of the service users. They included appropriate risk assessments, including skin tissue assessments, manual handling assessments and continence assessments. Weights were recorded. Care plans were seen to have been regularly reviewed, at monthly intervals. Service users who used wheelchairs had risk assessments in place for lap belts to be used when they were moving. One service user explained, “ it was me who started it”, having spent two days in hospital following a fall from her chair. A relative’s comment received before the inspection was, “ we only have praise for Wamil Court and its marvellous staff, we feel mum couldn’t get better care anywhere.” A service user who on the dementia unit who was agitated was seen to be appropriately reassured by a carer. One service user commented, Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 10 “They are all very good, they are gentle when they help you, very respectful. Even if you have a man, they are trained for it, they are very good.” Service users were seen to be well dressed. One service user described how fresh clothing which matched, was put out for them the evening before. They said they had “all new clothes put out and a wash down”, and added, “ I think that’s lovely.” Service users files contained details of appropriate medical contacts, including GP, chiropodist and district nurse visits. One service user confirmed that the district nurses came in to her every other day to do a dressing, as was stated in their care record. Team leaders and acting team leaders administer medication, and records are audited on a monthly basis by one of them. The administration of medicines on Forrest was observed at lunchtime, and administration records for the last month inspected. All records had photographs and were complete. There was returned medication for two service users and this tallied with records. Permission had been obtained from the GP to administer a necessary medication at lunchtime rather than in the morning to a service user who routinely rises late. One service user self medicates. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users can expect to enjoy a very good quality of daily life, whereby they can exercise choice about daily living routines. EVIDENCE: One service user had indicated on the pre inspection questionnaire that they did not think there were enough activities. The acting manager advised that the homes three carers with responsibility for activities are now in post, and that the home was trying to get an activities programme going, having had a meeting with service users to devise this. A carer described the programme, which had an activity every day, including quizzes, coffee mornings, foot and hand massage, bingo, a film show, arts and crafts. During the day, a group of 15 service users were participating in an activities session, based on a video and recall questions. Activities folders were seen for two of the units, and notes of activities undertaken by service users were entered. Although the day was hot, the room was cool and airy and three service users were seen to be enjoying a pint of beer. A member of care staff advised that the bar is open every Sunday, but if service users want a drink at other times they can have it. A pre- inspection comment received form a relative stated, “ We visited the home for the first time (recently) with (a group of family members). We were Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 12 delighted to see… so happy and well, the home and staff were a credit, it was so welcoming and friendly.” Menus inspected showed a varied and wholesome diet with choices. Service users were asked about the freedom and choice they have around drinks and food. One said, “I got up this morning and came and made myself a nice cup of coffee. I get up at 11 o’clock every morning and ask for toast and coffee then”. The main meal on the day of the inspection was fish in sauce. A service user said, “The food is very good here, the fish was very nice, nicely cooked.” Another said, “We normally have a nice portion of tea, cold meat, sandwiches. I like something warm, we can have bubble and squeak.” A member of the kitchen staff advised that they do liquidised meals for some service users, and that one service user was diabetic. They described how they go and ask service users what they would like for tea on their birthdays, and was aware whose birthday was approaching. They said that one service user had chosen a fish and chip supper. A service user on willow who was spoken with individually said “They are lovely here, what is nice is that you can come up to your own room when you want to.” Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Service users can expect to feel comfortable raising any concerns, and to have access to a good formal complaints procedure. EVIDENCE: The home had an appropriate complaints policy, Social Care Services Complaints policy, which was well advertised within the home. The complaints log, was seen to be complete including from the outcome of a complaint received in November. A service user commented, “You would have no problem complaining, they all listen.” The home has a very open atmosphere, one service user said, “They are open to anything, any questions. We have our say…. ..(a carer), is our spokesperson, the one that helps us. She really goes to town if we have anything to say”. The acting manager and acting team leader advised that they had received Protection of Vulnerable Adults training in house, but no update since the procedure had changed. A disciplinary hearing had been held since the last inspection, concerning alleged verbal abuse of a service user by a member of staff. This had been successfully appealed against, but the staff member had since left. The acting manager was not sure if this had been reported to the PoVA list, but advised that her manager would know. Appropriate Criminal Records checks were seen to be in place for staff and visiting professionals. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,25,26 Service users can expect to live in a very pleasant well maintained home. EVIDENCE: The home is all on one level with wide corridors and easy access. The communal areas are attractively decorated, and furnished, and are homely. All of the 33 rooms are single and have en-suite toilet and shower facilities. It was clean and homely. Quote from service user: “This place is a palace.” The acting manager advised that the conservatory could not be used, being too hot in the summer and too cold in the winter. The home was hoping to achieve an accreditation award which provides £5000 for amenities to make this good. Service users said that they could still smoke in the conservatory, but that at this time of year they go outside. “Its nice outside now we’ve got a shade, a new umbrella.” The acting manager confirmed that new outdoor furniture had been purchased at service users’ request. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 15 The home provides plenty of communal space, previous records show that the lounges on each of the units in total provide 155 square meters, and for 33 service users the standard requires 140 square meters. In addition to the lounges and the veranda there is a function room and a lounge bar. The home was seen to be in a good state of repair and decoration. The garden area was checked and found to be attractive and well maintained. The home had an extensive and appropriate control of infection policy. The home was clean and free from odour on the day of the inspection. A service user said that “the standard of cleanliness doesn’t fall down.” The home had a contract for controlled waste transfer. A group of three service users were happy with the homes laundry. One commented “Usually we get the right ones back, they know us and they’ve got our names on them. It is quick, it’s fantastic.” The home was scheduled to have fire doors automatically linked to the fire alarm system. One service user had a risk assessment in place which stated that their individual room door was not to be closed, and the carer advised that they were aware of other service user who also had these, and the acting manager confirmed that there were four. The risk assessment seen focused on the service users’ need. Bath temperatures records showed that for a period of six months the highest temperature was 39 degrees Celsius, the lowest 36 degrees Celsius, which is rather cool. It was established that these temperatures were after cold water had been added, and that the average water flow temperature was 41 degrees Celsius according to the handy mans records. The inappropriate notice warning of hot water in a bathroom with a Parker bath, identified at a previous inspection, had been removed. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Service users can expect to be cared for by a well trained and motivated staff group. EVIDENCE: The staffing rota was inspected. During the daytime and evenings, the home provides one carer on each unit plus a floating care between the two dementia units. The home also had three activity workers, two of whom support care staff between 9 am and 10 am Mondays to Fridays. The home has two night carers and a team leader on duty. Staffing rotas had been rearranged so that staff were unit based. One service user said, “I think it’s better, you get to know their (the carers) ways, we just have our regular ones now, more or less.” Another said, “ The staff are very good, you can talk to them and tell them your little problems and they see to you.” One service users aid that they could have a bath any time they wanted if the staff were free. “If they are seeing to someone else we don’t mind waiting.” One service users said that staff always come when they ring their buzzer – (call alarm), but that “you might have to wait.” A member of staff spoken with said that three service users on the two dementia units need two staff to provide personal care. and two others who need assistance want to be up before 8.30 am. “It is bedlam. If we are really pushed we can ask for assistance, but you don’t know if they are all pushed.” A carer on a different unit said, “The mornings are pressurised”. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 17 Three staff files were inspected. One staff file inspected did not contain a photograph, another had a copy of the driving licence but the photograph was not clear. All other required documentation was in place, demonstrating proper recruitment practices had been followed. A requirement was made at the previous inspection that the outcome of a verbal discussion regarding a reference should be included in the staff file. This was seen to have been followed up again and recorded. The home had a training plan for 2005/6, which included 5 additional NVQs, which had been completed. A manual handling update had also been completed in April 2005, and refresher training for food hygiene had been arranged. In house training for person centred dementia care had been organised to take place. A schedule of other training, yet to be arranged had been made. Records showed that 16 staff had attended a two day Uni-Safe training course in April. In addition to fire safety advice at induction, five staff were recorded as having fire safety training in January 2005, it had previously been conducted in May 2004. Records showed that one night team leader had missed this. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,38 The acting manager had achieved a significant improvement in the atmosphere within the home which service users appreciated. EVIDENCE: Marcia Highland was acting manager. She holds an NVQ3 in care, and had commenced an NVQ4, which is due to be completed in November 2005. The CSCI had been advised, prior to the inspection, that an application for Marcia Highland to be Registered Manager would be submitted, but this had not been received at the time of the inspection. Marcia Highland advised that Mr Sammy Coopersammy had now retired, although CSCI had not been formally notified of this. The acting manager had dealt with a number of staff problems in a very effective way and had achieved a significant improvement in the atmosphere at the home. The home had recently conducted some disciplinary procedures. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 19 The acting manager advised that this had a positive outcome with one member of staff, and the carer’s attitude was indeed found to be very positive on the day of the inspection. Another member of staff advised that the atmosphere in the home was completely different, having changed for the better. Yet another said, “ the atmosphere is good now, it’s a joy to come to work.” A service user spoken with said, “Marcia is fantastic, a nice personality, she passes the time of day with us. She’s running a happy ship now. Now and again she will ask us questions, we don’t have bad thing to say about the place. My friend comes in, she visits a lot of places, she says how good it is.” A copy of the home’s newsletter was provided. This contained details of new staff, service users birthdays, and forthcoming events. The home had conducted it’s own service user survey as a Quality Assurance exercise, but had only received 10 responses so far. These were seen to be generally good, but four had commented that they did not have a say in the running of the home. The acting manager advised that the home was addressing this through the development of the activities programme and also through consultation on the summer menu. Dementia mapping also takes place. The home had received a Health and Safety audit carried out by the County Council in February 2005. This had made a number of requirements, which were all seen to have been responded to, including the need for a more extensive control of infection policy. The acting manager advised that three persons provide supervision, the acting manager, the acting team leader and the cook. Supervision agreements were seen on the staff files of two established members of staff, and records of regular supervision were in separate supervision files. The acting team leader confirmed that they received this regularly from the acting manager. The Pre-inspection questionnaire indicated that maintenance checks had been carried out. Records of fire alarm tests and emergency lighting were seen to be in place. Fire doors were being tested on the day of the inspection. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X 3 X 2 Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 Requirement A comprehensive and developed Service User Guide must be given to service users and a copy sent to CSCI. It must be established whether the subject of a recent disciplinary action had been, or should have been, reported through PoVA procedures. PoVA update training is required for senior staff/management. Fire doors not on automatic closure must be kept closed unless there is a risk assessment detailing the specific risks in terms of the position of the door in relation to fire exit routes and the measures to taken to reduce risks. Regular fire training must take place for all staff. The home should consult with the fire officer to establish a suitable frequency for day staff and night staff. Staff files must contain photographs. All notifications required under Regulation must be made to the DS0000037380.V269540.R01.S.doc Timescale for action 31/12/05 2 OP18 Public Int. Disc.Act 15/12/05 3 4 OP18OP30 OP19OP38 18(1)(a) 23(4)(a) 31/12/05 12/07/05 5 OP38 23(4)(d) 12/07/05 6 7 OP29 OP31 19(1)(a) Sch2 37 15/12/05 05/12/05 Wamil Court Version 5.0 Page 22 CSCI in writing, including the previous manager’s retirement, which has not been received RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP21 OP27 Good Practice Recommendations Hot water should be at maintained at approximately 43 degrees Celsius. Management must continue to monitor dependency levels and ensure that there are additional staffing hours available if these rise. Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wamil Court DS0000037380.V269540.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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