Inspection on 01/03/06 for WCS - Woodside

This inspection was carried out on 1st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

WCS - Woodside 30/06/09

WCS - Woodside 07/07/07

WCS - Woodside 12/09/06

WCS - Woodside 11/07/05

WCS - Woodside 02/03/05

WCS - Woodside 18/06/04

WCS - Woodside 03/03/04

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Maple Lodge

Heathlands

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Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE WCS - Woodside Spinney Hill Warwick Warwickshire CV34 5SP Lead Inspector Unannounced Inspection 1st March 2006 09:30 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 WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service WCS - Woodside Address Spinney Hill Warwick Warwickshire CV34 5SP 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) 01926 492508 01926 498848 Warwickshire Care Services Limited Mrs Patricia Bernadette Ashwell Care Home 38 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (30) of places WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 Brief Description of the Service: Woodside care home is managed by Warwickshire Care Services Ltd who has managed the home since it transferred, along with a number of other homes providing care, from Warwickshire County Council in 1992. Warwickshire Care Services Ltd is a voluntary sector organisation. Woodside is registered as a care home providing personal care to 38 older people; this includes a registration for the care of 8 older people with dementia. The dementia unit is situated on the ground floor. The first and second floors can accommodate 15 and 15 service users respectively. The home can offer one respite place and does regularly look after up to four additional residents for day care above its 38 place registration. Each floor has a lounge and dining area, which have been fitted with kitchenettes. On each floor there is also one bathroom, and a shower room is provided upon both the first and second floors. All bedrooms are single rooms, none have en-suite facilities. A passenger lift to each floor, and ramps leading to outside areas, ensure easy access to all areas of the home. The home is situated on the outskirts of Warwick, within a housing estate. Close by is a small parade of shops, including a post office, newsagent and general store. There is also a local pub. Both Warwick and Leamington Spas main shopping centres are within a 5-10 minute bus journey. The bus stop is directly outside the home. Woodside is a non-smoking home. Service users, representatives and staff are permitted to smoke outside the building. Woodside has a garden area to the rear and a secure garden leading off the dementia care unit. There is limited parking space for staff and visitors to the rear of the home. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection during the past twelve months and this report should be read in conjunction with the inspection report of 11th July 2005. The inspection focussed on key standards not previously inspected or on areas of previous shortfall. The inspector spent a day at the home, talking to residents, staff and relatives. Care plans and other documents relating to the running of the home were inspected. The inspector ate lunch with residents and observed the handover between morning and afternoon shifts. The Manager was present for the majority of the inspection. She has been covering the management of another WCS home for three months, an arrangement coming to an end now. She was called back to the home from other duties by senior staff. The inspection was generally positive and the atmosphere in the home was welcoming and open. Staff were respectful and caring in their approaches to residents. One relative suggested that numbers of staff could be raised. One resident also echoed this. Relatives and residents spoken to had no complaints about the home or the staff and were positive in their comments. The inspector found serious errors in the administration of medication and required the Manager to take immediate action to make matters safe. An action plan has been supplied by the Manager detailing her clear, prompt response. What the service does well: What has improved since the last inspection? New care planning systems are in place There are now inventories for residents’ possessions. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 6 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. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 7 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 WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 8 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): 3 Staff undertake an assessment to satisfy themselves the home is suitable for meeting a resident’s needs. Prospective residents have access to information in order to make an informed choice about choosing to live at the home. EVIDENCE: The care of four residents was tracked through their care plans and daily recording. There was a social services care needs assessment and the home had also carried out its own needs assessment for three of these people. One person did not have an obvious assessment but did have a care plan. The Warwickshire Care Services (WCS) assessment document is used to assess whether a prospective resident is compatible with other people in their unit and whether the home can meet their assessed care needs within the existing staffing levels. Each resident is considered for one of the three separate units in the home; the dementia unit on the ground floor, the middle floor and the top floor. Each unit is separately staffed and organised. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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 and 9 A care planning system is in place. This incorporate reviews and family involvement in planning care. The quality of information in care plans is variable in amount and depth and this means that the system is inconsistent. Medication systems are not safe and this puts residents’ health at risk from missed medication. EVIDENCE: WCS has a very full and fairly complicated system for care planning which is linked to monthly reviews by senior staff to assess dependency levels and match these with staffing levels within the home. Managers audit these on a monthly basis. Some care plans were fully completed and useful and others were inadequately completed. WCS has invested heavily in training and guidance for staff in completing the new formats. The plans do allow for shortterm changes to people’s condition so that illnesses and sudden changes for people can be incorporated into the scheme of care. The Manager reported that the home is caring for at least one very ill person. The family are reported to be very keen that they remain in the home. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 10 The Manager reported that it has been a battle to obtain essential health equipment at times and was urged to make prompt referral to the PCT for assessment and SSD where health needs were increasing to ensure that the home is supported to provide safe care for residents as their health declines. One person admitted recently did not have a care plan. Staff were working from the assessment document, which, whilst full, did not direct the care and did not include full risk assessments. The Manager reported that WCS has a policy of having a care plan in place 6 weeks after admission. Information not immediately available within the care plan file is kept in people’s bedrooms and there is a large Handover File, which contains much important information for each unit. It was clear from talking to staff that family were heavily involved in the care of one resident but this was not detailed in the care plan. The last inspection found serious shortfalls in administration of medication. There continue to be concerns. The inspector found that medication had not been administered to a significant number of residents in different units on a number of days. No reason was noted for the omissions or the records showed that drugs had been administered when they had not. Management monitoring systems had not picked up the errors. An immediate requirement was made and the manager has taken action with: a weekly audit, routine daily double checks of medication, weekly involvement by the care manager in the medication “rounds,” annual refresher courses for those qualified to administer medication and the introduction of a new medication policy to all staff. Morphine had been discontinued for one service user on the GP’s verbal advice. This must be confirmed either by fax or in writing. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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, 16 Service users are enabled to make choices about visitors and daily living routines. Staff work closely with families. The home is continuing to develop a range of meaningful daily activities and offers day care as a specific service. A varied and nutritious choice of foods is offered by the home in consultation with service users. EVIDENCE: One the day of inspection the member of staff usually employed specifically as the Activities co coordinator was working on the care shift due to staff shortages. She usually works five days a week and also takes responsibility for providing personal care to people having day care. Activities planned for the day on the two units were suspended. Bingo had been planned. Information on notice boards in each unit showed a range of activities: Pat a dog, hairdresser, Warwick School boys, Exercise, Video, sing-a-long. Recording in one service user’s social activity record showed “fed lunch” as the most common activity noted. Televisions and radios were switched on. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 12 Staff were busy and did not appear to have much time to engage in any specific leisure activities with residents. Buzzers and bells rang out loudly throughout the day and staff responded to them. The Manager and Care Manager talked about their hopes to improve the activities offered in the dementia unit. In the dementia unit, staff were playing throw and catch games with residents, communicating and making drinks and snacks. Staff expressed preferences for working in this unit but in order to balance the skills mix was working on another unit. Residents were seen to be having breakfast when they chose. There are toast and drink making facilities in each unit and stocks of essential “instants” in the fridge. The kitchen areas have no cooker, but a microwave. The Manager should consider more familiar cooking facilities on each unit that could be used by family or residents independently or as part of an activity. Menus are posted and are on a four-week rolling programme. The menu states that salads and omelettes are always available on request as is cheese and biscuits, fresh fruit or milk pudding. Food was nutritious and there was plenty for seconds for those who wanted. Catering needs/food agreements are part of the care plan review. Catering staff brought a sample of the meat for the day to the manager to sample whether it was soft enough for those who did not require specially prepared food but still needed to be able to chew! This was part of a quality follow up from an issue raised by relatives previously. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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): 18 Staff have an understanding of the prevention of abuse which has the effect of providing a suitable protective environment for residents. EVIDENCE: There have been no reports or allegations of abuse at the home. Staff were clear about what they should and who they should report to in the event of a suspicion of abuse and were also knew about “whistle blowing” procedures. There has been in house and external training in protecting vulnerable adults. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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): 20, 22, 26 The home is clean and comfortable. Generally the premises are well maintained resulting in a suitable living environment for residents. Some further improvements should be made to improve the carpeting and access to the enclosed garden for all. EVIDENCE: Worn carpets are scheduled for replacement. Laundry and housekeeping staff reported good working relationships between all staff. They recognised the need for staff or relatives to label clothing. There was a large rack of unclaimed clothing. Pressure mats are in place for all people living in the dementia unit. A total of 15 are used around the home to alert staff to people moving around at night or at risk of falls in the night. They are activated by someone stepping or falling onto the mat. Each bedroom door is decorated as if it was a front door. This is a good idea to personalise and make familiar people’s bedrooms in this large 1970’s home. The manager would like to develop dementia specific furnishings, activities and presentation of the dementia unit. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 15 Staff noted that other lounges do not have facilities to assist those who have hearing impairments. A recommendation is made. The manager worked through an outbreak of sickness and diarrhoea at Christmas in conjunction with the environmental health office. The infection control plan proved effective in directing action. Bathrooms in the dementia unit were cluttered. Staff reported that things were moved when residents needed bathing here. Clinical waste bins were again not locked and fairly full at the time of inspection. Residents can independently access the garden through the dementia unit or the laundry. The manager should consider a separate access for the thirty other residents of the home. The inspector noted the continual noise from buzzers and bells. This must have an effect on stress levels for staff and also may confuse or disorientate residents. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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): 30 An ongoing programme of training is provided to all staff to ensure residents’ needs are met safely. EVIDENCE: Staffing levels are set at a minimum. There are two staff on each of the three units and a “floater” works during the day five days a week to make drinks and assist. There is a member of staff identified to coordinate activities. There is a team of staff managed by the Housekeeper, domestic, catering staff and a laundress. Observations of staff as they carried out their work showed them to be caring, professional and sympathetic. They were also very busy and focussed on responding to buzzers and alarms. People were seen to be getting the immediate attention they needed. Additional staff would greatly improve the amount of time staff were able to spend on sitting talking to residents and doing activities with them and taking them out. Some Residents commented that staff were good but that there were “not enough of them.” Some staff commented that they might be deployed to work in one unit when their skills and preference was to work in a different unit. On the day of inspection, a skilled staff member whose preference was to work in the dementia unit was needed to provide a senior staff presence in another unit. Whilst in times of staff shortage, it will be necessary to move staff where they are needed, the Manager should ensure that staff working in the dementia unit have the skills and training required. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 17 There is a system for reviewing the numbers of care staff in relation to the needs of the residents. The manager reported that staffing levels had not increased as a result of this. Additional “continuing health funding” was supporting an additional member of staff who has been assigned to one person who regularly attends for day care in the dementia unit. The carer is attached specifically to this person. Staff talked about the training they had been on. The home’s ground floor dining room was being used for company training on the day of inspection. The Manager supplied information about training undertaken. This showed a range of basic training, infection control, health and safety, first aid awareness, food hygiene, manual handling, fire training and POVA. Eight of fifteen staff have an NVQ 2 and five staff are currently undertaking this. There is a good range of additional training including dementia, pressure care, communication, diabetes, nutrition and personal care. Records of which had staff had completed training were not up to date. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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): 33 The manager and her senior team operate each shift with clear leadership and direction so that residents change of needs are identified and action taken to meet those needs are delivered in a consistent manner. The organisation has systems in place to monitor performance and effectiveness. EVIDENCE: The Manager has been sharing her time between this home and another. This arrangement was to cease shortly. The inspector observed a shift handover where each resident was discussed with care and sensitivity, covering mood, diet, visiting health professionals and family visits. All staff attended this meeting and either the care manager or Registered Manager attends each of these meetings, morning and afternoon. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 19 The care manager was noted to have close knowledge of all areas of physical, mental, emotional and housekeeping care. This is good practice and ensures that the day to care welfare of each person living in the home is firmly understood by the management. A senior manager visits the home each month. Reports were not in place in the home to reflect the content of these visits and none has been received at CSCI since August 2004. This was a requirement made at the last inspection. There are systems in place to monitor the quality of the service that are linked to resident assessment and care planning and include canvassing of residents. The Manager prepares a monthly report to facilitate this monitoring. WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 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 X 17 X 18 3 X 3 X 3 X X X 2 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X X WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Timescale for action 01/05/06 2. OP9 3. 4. OP9 OP26 5. 6. OP26 OP33 The Manager must ensure that care plans are satisfactorily completed and that all staff have easy access to current and full information about care needs. This should be done close to admission. Care plans should reflect the support that family provide in the home. 13 The registered manager must ensure that that medication prescribed for residents are safely administered. 13 Changes to medication must be supported by confirmed, documented advice from the GP. 23, 13, 16 The registered manager must ensure that the stained carpets are cleaned/replaced as necessary. 13, 16 Clinical waste bins must be kept locked. 26 The registered person or a representative of the registered provider must visit the home monthly and produce a written report on the conduct of the home. (Old timescale of 30.04.04 not achieved) DS0000004271.V283174.R01.S.doc 01/03/06 01/04/06 01/06/05 01/05/06 01/05/06 WCS - Woodside Version 5.1 Page 22 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. Refer to Standard OP7 Good Practice Recommendations The registered manager should seek a health assessment for residents in declining health from qualified health professionals to ensure that care needs can continue to be met at the home. The inspector recommends that the manager check with the prescribing GP the current medications of short stay/respite residents on admission to the home. The Manager should obtain information and resources for activities that can be freely accessed by all residents, both in the dementia unit and in others. The Manager should consider installing small electric hobs with ovens for those service users who would like to continue to maintain some independence in cooking or for the activity coordinator to use as the focus for an activity or for families when they visit. The registered manager should consider a separate access to the garden so that other residents do not need to go through the dementia unit. The registered manager should consider the need for a “loop” system in the TV lounges for residents with hearing difficulties. The inspector recommends that the manager consider the use of dementia care mapping as a method of monitoring the quality of the care/service in the dementia unit. Consideration should also be given to the method of feedback to residents and relatives of the findings of the monthly quality questions asked of each resident. The registered manager should consider alternative forms of contact to alert staff to incoming phone calls i.e. pocket bleepers or a quieter bell system and generally seek to reduce the sensory overload caused by intrusive noise level. The Manager should ensure that all areas of the home are free from clutter that may prove a hazard or block access to bathing facilities. 2. 3. 4. OP9 OP12 OP15 5. 6. 7. OP20 OP22 OP33 8. *RCN 9. OP38 WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Woodside DS0000004271.V283174.R01.S.doc Version 5.1 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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