Inspection on 27/04/05 for Westwood Avenue, 20

This inspection was carried out on 27th April 2005.

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 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

Westwood Avenue, 20 30/06/08

Westwood Avenue, 20 09/08/07

Westwood Avenue, 20 21/04/06

Westwood Avenue, 20 21/09/05

Westwood Avenue, 20 30/11/04

Westwood Avenue, 20 15/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Monpekson Care Limited 20 Westwood Avenue South Harrow Middlesex HA2 8NS Lead Inspector Judith Brindle Unannounced 27 April 2004 9.50am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Monpekson Care Limited Version 1.10 Page 3 SERVICE INFORMATION Name of service 20 Westwood Avenue Address 20 Westwood Avenue South Harrow Middlesex HA2 8NS 020 8422 4176 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Monpekson Care Limited Post Vacant Care Home 3 Category(ies) of LD 3 registration, with number of places Monpekson Care Limited Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30/11/04 Brief Description of the Service: 20 Westwood Avenue is a registered care home providing personal care and accommodation for up to 3 service users with learning disabilities. Monpekson Care Limited owns the home. The care home was opened in 2000. The home is located in South Harrow. The house is in keeping with the other houses in the area. The home is within a few minutes walk from a variety of shops, pubs, cafes, post office, local bus and train services and other amenities and facilities. The care home is a three bedroom semi-detached house, in a quiet residential street. All the bedrooms are single. One bedroom is on the ground floor, and two bedrooms are located on the first floor. There is accessible street parking and off street parking. The home has an enclosed, accessible garden. Monpekson Care Limited Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours during the day in April 2005. A service user kindly accompanied the inspector on a tour of the premises. Records, which included care records, were inspected. The inspector was pleased to meet and talk with the service users. Two care staff, and an art activity worker were spoken to during the unannounced inspection. Comment/feedback cards were sent by the Commission for Social Care Inspection to service users’ relatives/significant others following the inspection, and two were received by the CSCI following the inspection. The registered manager, and the two proprietors were present for part of the inspection. Most of the requirements following the previous inspection had been met. What the service does well: What has improved since the last inspection? The manager has registered with the Commission for Social Care Inspection since the last inspection, and has gained NVQ level 4 in management and care qualification. Decoration and furnishings continue to improve. The home looks welcoming and homely. Records including care plan formats are in the process of being developed and improved. Monpekson Care Limited Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Monpekson Care Limited Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Monpekson Care Limited Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2 Arrangements are in place for providing (and for developing), appropriate information and documentation in regard to the service, which is accessible to service users. Procedures are in place to ensure that service users receive a comprehensive assessment of their individual needs prior to moving into the service. EVIDENCE: The home has accessible documentation and information in regard to the service provided. A copy of the recently reviewed statement of purpose was supplied to the inspector. This meets requirements. The format of the service user guide was discussed with the registered manager. She reported that she was in the process of developing it into a more accessible format for service users, who have difficulty reading. This should be actioned by the registered person. A service user kindly showed the inspector their personal copy of the ‘residents handbook’. The home has an admission procedure, which ensures that there is proper assessment prior to people moving into the care home. A summary of this procedure is recorded in the statement of purpose. Records informed the inspector that an admission to the care home is accepted on the basis of referral, assessment, visits and a three-month trial. Monpekson Care Limited Version 1.10 Page 9 There have not been new admissions to the care home for several years. The home does not accept emergency admissions. The care plans inspected all recorded evidence of assessment and of review of service users’ care needs. Monpekson Care Limited Version 1.10 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7, and 9 Arrangements are in place to ensure that service users have a recorded plan of care in which their assessed needs are identified, and met. Service users are supported in making decisions about their lives, and risk is generally identified and assessed. Risk assessment including staff guidance documentation needs further development, and regular review to ensure there is minimal risk to service users health and safety, but to also support service users to take risks as part of an independent lifestyle. EVIDENCE: Each service user had a care plan. Service users who spoke with the inspector were aware of their individual care plan. All three care plans were inspected. The care plan records confirmed evidence of having been reviewed, and of service users involvement in this process. Service users attend the review meetings of their care plans. The service user plans included a personal profile of each service user, and documentation in regard to health, welfare, mobility, diet, communication and preferred activities. Service users spoke positively in regard to their key workers. Staff informed the inspector that the care plan format and documentation was in the process of being reviewed. Monpekson Care Limited Version 1.10 Page 11 Records and staff confirmed that two Care Managers from the relevant purchasing authorities had participated in the service users’ care/support needs review meetings. Service users spoke of having the opportunity to make choices. The home has a management of service users financial policy. Two service users are supported in the management of their financial allowances. A previous requirement in regard to service users financial agreements /risk assessment needs to be met. This was discussed with the registered manager. All the service users expenditure and incoming payment records were inspected. These were balanced and recorded correctly. Receipts are numbered, but there were several not in order. The registered person should examine ways of archiving receipts regularly, to ensure clarity and avoid any confusion. The care home has a missing persons policy. Records confirmed that the care plans included photographs of service users and clear profiles of the individual service users. There is an accessible risk policy. There was recorded evidence that some risks had been identified and assessed. Records informed the inspector that some recorded service user risk assessments had not been reviewed for over a year. There needs to be evidence that individual risk assessments are reviewed regularly. A service users’ risk assessment in regard to their identified ‘challenging behaviour’, needs to record clear guidance in regards to staff action to be taken in regard to this identified risk. There was documentation in care plan files in regard to a format of ‘risk management strategies’. This documentation was not completed. The registered manager spoke of further development of risk assessment. It is recommended that this development should include recording this risk management information. Monpekson Care Limited Version 1.10 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13,15,16, and 17 Social activities and meals are both well managed, and provide daily variation and interest for people living in the care home. Service users are supported in maintaining contact with friends and family. EVIDENCE: There is a daily activity programme. Records and service users informed the inspector that they had the opportunity to participate in a variety of activities and entertainments. Activities included walks, shopping, trips out, attendance at clubs and discos and college. Staff and service users reported that they participated in activities everyday. One service user spoke of enjoying weekend trips out. Another service user kindly informed the inspector of his planned holiday abroad. One service user spoke of his wish to participate in a computer course. The service user should be supported in accessing an appropriate preferred computer course. Regular recorded service user/key worker meetings should take place. Service users participated in an art session during the inspection. A service user kindly showed the inspector the artwork that he had completed during the session. Service users spoke of enjoying this art session. Monpekson Care Limited Version 1.10 Page 13 Service users kindly spoke to the inspector of their participation in household duties. A service user was observed putting crockery away, laying the table, and tidying up. A service user kindly made the inspector a cup of tea during the inspection. Records and service users informed the inspector that service users access community facilities and amenities very regularly. Service users spoke of having regular contact with their families and friends. Records, which included the visitors’ record book, informed the inspector that a service user regularly stays with his relative. Feedback from visitors confirmed that they felt ‘welcomed’ when visiting, and that they were kept informed of important matters concerning their relative/friend. Three weeks menus were inspected, and these recorded varied and wholesome meals. A ‘suggested’ example of a menu was recorded. A menu in picture format was accessible. Service users spoke of having choice. There are recorded daily choices of meals. Service users confirmed that they generally had a larger meal in the evening. Service users spoke of sometimes ‘eating out’. Mealtime arrangements are flexible. Service users spoke of enjoying the meals provided. A variety of fresh, frozen, tinned and dried foods were accessible. Monpekson Care Limited Version 1.10 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19, and 20 Arrangements are in place for meeting the health, welfare and personal care needs of service users. Medication storage and administration systems are safe. EVIDENCE: Records, and service users confirmed that service users health needs were assessed, reviewed and met. Records, service users and staff confirmed that healthcare services accessed by service users included chiropody services, dental, and optician services, and a service user confirmed that specialist healthcare services are accessed as required by service users with support from staff. A service user spoke of a recent health appointment that he had attended. Records informed the inspector that service users also attend hospital appointments. A service user spoke of having choice in regard to what time he goes to bed. Personal care support needs are identified and recorded. Staff who spoke with the inspector had an understanding of the service users needs. Mobility assessments are recorded. All the service users are registered with a GP. Medication is stored securely. A care staff member informed the inspector of the medication storage and administration procedures. Medication administration records were up to date, without gaps in recording. Medication received by the care home is recorded. The copy of the medication policy Monpekson Care Limited Version 1.10 Page 15 located in the medication file contained names of service users not living at the care home. This information in regard to confidentiality needs to be removed. Another copy of the medication policy located in the policy file recorded the correct names of the service users. Staff signatures/initials were recorded. The registered manager reported that’s staff were undergoing a ‘managing medication safely’ training course. Monpekson Care Limited Version 1.10 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, and 23 Arrangements are in place for ensuring that complaints are taken seriously and handled objectively. The protection of vulnerable adults procedures ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a detailed complaints procedure. The complaints procedure was accessible to service users and others. A copy of the complaints procedure documentation was displayed in a service users room. Feedback from visitors confirmed that they were aware of the complaints procedure. Records confirmed that this procedure was followed. A service user spoke of who he would talk to if he had a ‘concern’/complaint. A procedure for responding to allegations of abuse was available for inspection. The home also has the Local Authority protection of vulnerable adults policy. There is an accessible whistle blowing policy. Monpekson Care Limited Version 1.10 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26 and 30 Improvements to the décor of the care home have been carried out since the previous inspection. Service users bedrooms are individually personalised. The environment provides the people living in the care home with safe, comfortable surroundings. EVIDENCE: The home is homely, and furnishings and fittings are of quality. Since the last inspection the home has continued with the redecoration programme, and a new carpet has been laid on the stairs and landing. This has contributed positively in regards to the attractiveness of the surroundings. Areas that need attention include: • A broken tile located in the upstairs toilet room needs repair or replacing. • There is an exposed light bulb in the light facility of the upstairs bathroom. There needs to be an appropriate (in regard to health and safety) lampshade in place. • The drawer of a service users’ cabinet needs repair. Two service users kindly showed the inspector their rooms. These were individually personalised, and service users spoke of being satisfied with their bedrooms. Monpekson Care Limited Version 1.10 Page 18 The garden is enclosed and maintained. The home was very clean and was free from offensive odours during the unannounced inspection. The laundry facility is located away from food storage and food preparation areas. COSHH safety information was displayed. Monpekson Care Limited Version 1.10 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33.34,35 and 36 Staff have skills and qualities required to meet service users assessed needs. The procedures for the recruitment of staff are robust and provide safeguards to offer protection to people living in the care home. Arrangements are in place for staff to receive training. Arrangements are in place to ensure that staff receive appropriate supervision. EVIDENCE: The staff rota was inspected. These records informed the inspector that there were two care staff on duty during the day and a ‘sleep in’ care staff member on duty from 20.00hrs. The registered manager is on duty 11am-19.00hrs during weekdays. Job descriptions of care staff and manager were available for inspection. The home has a volunteer policy. Records confirmed that a staff ‘handover’ sheet is completed during each shift, and that this contains comprehensive information in regard to staff roles and daily duties. There is also a staff communication record book, which is frequently used by staff. The registered person should consider the installation of a ‘type phone’ that would assist a staff member in regards to communication by telephone. Monpekson Care Limited Version 1.10 Page 20 The home has a recruitment and selection policy/procedure. Two staff personnel files were inspected. These included required appropriate required documentation, and information. The registered manager informed the inspector that a staff training plan for the service was in the process of being developed. This should be actioned by the registered person. The manager reported that first aid training, and ‘challenging behaviour’ training for staff had taken place recently. Also that two staff had recently completed NVQ level 2 in care. Records confirmed that staff receive supervision. Service users are supported by staff to access specialist services as and when they need to. A service user spoke of accessing a healthcare specialist service, and spoke positively of the care and support received from staff. Staff who spoke to the inspector had knowledge and understanding of the varied assessed needs of the service users. Monpekson Care Limited Version 1.10 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,41, and 42 There has been some development in regards to quality assurance monitoring policy documentation, but there needs to be further development to ensure that the service provided is regularly reviewed, and that service users are included in this process. Appropriate accessible policies and procedures to ensure that a safe satisfactory service is provided. The health and safety and welfare of service users is promoted, and safeguarded. EVIDENCE: Policies and procedures were accessible to staff and available for inspection. Staff had recorded when they had read policies. Plans to develop ‘service user friendly’ formats of policies could be further developed. A quality assurance policy was available for inspection. There needs to be a quality assurance annual development plan available for inspection. This was a previous requirement. Monpekson Care Limited Version 1.10 Page 22 There was a Local Authority food safety inspection that took place on the 6/2/05. Recommendations from this food safety inspection had been carried out. The registered person should examine the reasons as to why the care staff on duty were not aware of the location of the new food thermometer. Records confirmed that electrical portable appliance checks, electrical installation checks, and gas safety checks were up to date. There is a designated staff member responsible for health and safety issues. Risk assessments in regard to health and safety were accessible. Records confirmed that health and safety checks of the environment are carried out. The recorded fire procedure guidance was displayed within the care home. Fire drills are carried out on a monthly basis. This is good practice. Records and service users confirmed that service users, and staff participate in these fire drills. Fire equipment receives required checks. The home has a fire risk assessment, which recorded evidence of having been reviewed. Fridge/freezer temperatures are recorded. Accidents/incidents are recorded appropriately. The kitchen door was wedged open. Doors must not be propped open. Advice from the Local Authority fire service needs to be sought in regard to a safe mechanism being in place to allow the door to be open during the day if needed by the service. The certificate of employers liability insurance expires in January 2006. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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) Monpekson Care Limited Version 1.10 Page 23 “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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x 3 2 x Monpekson Care Limited Version 1.10 Page 24 No Are there any outstanding requirements from the last inspection? 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 7 Regulation 13(6) Requirement Timescale for action 1/8/05 2. 9 13(4) 3. 20 17 4. 24 23 Service users financial agreements need to be recorded and signed by the service users. Timescale 1/4/05 not met There needs to be evidence that 1/9/05 individual risk assessments are reviewed regularly. Also a service users risk assessment in regard to their identified challenging behaviour, needs to record clear guidance in regards to staff action to be taken in regard to this identified risk. The medication policy located in 1/8/05 the medication file needs to have the names of service users not living in the care home removed, in regard to the issue of confidentiality. · A broken tile located in the 1/9/05 upstairs toilet room needs repair or replacing. · There is an exposed light bulb in the light facility of the upstairs bathroom. There needs to be an appropriate (in regard to health and safety) lampshade in place. · The drawer of a service users’ cabinet needs repair. Version 1.10 Monpekson Care Limited Page 25 5. 39 24 (1)(2) 6. 42 23(4) A quality assurance annual 1/10/05 development plan needs to be supplied to the CSCI. It needs to include evidence of feedback/comments from service users and significant others in regard to the service provided. Timescale 1/4/05 not met. Advice from the Local Authority 1/9/05 fire service needs to be sought in regard to a safety mechanism being in place, so a door could be open during the day. 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. 3. 4. Refer to Standard 1 7 9 12 Good Practice Recommendations The service user guide should be developed into a more accessible format for service users who have difficulty reading. The registered person should examine ways of archiving service users expenditure receipts on a regular basis. It is recommended that risk assessment development should include recording risk management strategies. A service user should be supported in accessing a computer course. Regular recorded service user/key worker meetings should take place. The registered person should consider the installation of a ‘type phone’ that would assist a staff member in regards to communication by telephone. A staff training plan should be available for inspection. The registered person should examine the reasons as to why the care staff on duty were not aware of the location of the new food thermometer. 5. 6. 7. 33 35 42 Monpekson Care Limited Version 1.10 Page 26 Commission for Social Care Inspection 4th Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Monpekson Care Limited Version 1.10 Page 27 - 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. 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