Inspection on 19/06/06 for White Lodge

This inspection was carried out on 19th June 2006.

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

White Lodge 01/02/06

White Lodge 01/08/05

White Lodge 09/12/04

White Lodge 18/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE White Lodge South Strand Angmering-On-Sea Littlehampton West Sussex BN16 1PN Lead Inspector Mrs A Peace Unannounced Inspection 19th June 2006 08:30 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 White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 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. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Lodge Address South Strand Angmering-On-Sea Littlehampton West Sussex BN16 1PN 01903 784415 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) South Coast Nursing Homes Limited Mrs Lesley Margaret Trudgett Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 30 persons in the registration category OP over 65 years Date of last inspection 1st February 2006 Brief Description of the Service: White Lodge is a care home able to offer personal care and support for up to 30 residents who are over 65 years of age. The property is a two storey extended detached house, set in its own grounds approximately 200 yards from the sea and village centre. Accommodation is provided in twenty-seven single rooms and two double rooms. All rooms are currently being used for single occupancy. Bedrooms have en-suite facilities and the rooms on the upper floor can be accessed by a passenger lift. Communal areas consist of a lounge, conservatory and dining room on the ground floor with an additional lounge on the upper floor. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 19th June 2006. This is the first inspection for the year 20062007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, information was requested and received from the home in the form of a questionnaire. Records held on file and information received from the home since the last inspection were reviewed. CSCI received sixteen satisfaction survey forms, eight from residents and eight from relatives/friends. Fifteen were very positive about the home and the staff. One survey from a relative said that they were not fully satisfied, but as it was not signed, the inspector was not able to follow up on the concerns raised. Mrs Trudgett the Registered Manager for the home was present for the inspection. During the course of the inspection the Inspector toured the premises and spoke to residents gathered in the communal areas of the home and to some in their rooms. All of the residents said they were happy at the home and were very complimentary about the staff. Some of the comments were: “I find White Lodge an extremely pleasant and friendly home”. “I am very happy, staff in every department are efficient and friendly and I feel truly at home”. “We are grateful for the care shown to my father”. “A very well run quality home”. “A very happy and welcoming atmosphere, my mother is very happy at the home”. “White Lodge is an excellent home for both of my parents. The matron demonstrates standards of care and respect that all staff follow, and all take pride in the overall and personalised care they deliver”. Nine members of staff were spoken to they were all positive about their work at the home and said they felt well supported. The home was very clean and fresh and the atmosphere homely. A case tracking exercise from records of admission to care given was carried out for a number of residents. Staff records and relevant records relating to the administration and management of the home were examined. The majority of records seen were in good order. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Staff recruitment records must comply with Schedules 2 & 4 of the Care Home Regulations 2001 and all staff should have basic training in adult protection procedures during their induction process. The fixed electrical installation in the home should be inspected and tested. Mrs Trudgett has started a quality assurance system within the home and the company should further develop this. Fire doors and bedroom doors must shut properly to prevent the spread of fire and protect residents and staff. All residents must have a care plan compiled to ensure staff can deliver the care to meet identified needs. The entrance to the home is in need of maintenance, however the Inspector was told that it is planned to update the entrance this year. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 7 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. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 8 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 White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 9 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. The quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. People who use this service have good information about the home in order to make an informed decision about whether the home is right for them. The personalised needs assessment mean that people’s diverse needs are identified and planned for to enable staff to give them the care they need. Trial visits are encouraged. EVIDENCE: Fees range between £435-£585 The case tracking exercise confirmed that all of the residents had been pre assessed, assessed and they had contracts. Residents confirmed they had up to date information to help them decide about the home. One lady said that she was only here for respite but that she had been given all of the information she needed. One senior carer talked through the pre admission and admission procedure and how the key carer system operated she said that key workers would White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 10 complete to admission record and any other records needed so that they knew the resident and the resident had continuity of care. Written documentation for this set of standards was good and meets legislation. The statement of purpose was up to date however an issue regarding confidentiality was discussed with Mrs Trudgett. The home does not offer intermediate care. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10,11. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The majority of resident’s needs are reflected in the assessments and care plans. The medication procedure is safe and staff are trained to administer medication. Residents are able with assistance to make choices about their lives and the staff protect their privacy and dignity. Staff treat residents and family with care and sensitivity at the time of death. EVIDENCE: A key worker system is operated on the home to ensure staff are aware of residents needs and for continuity of care. The majority of care plans are well written and contain all the information necessary to look after the residents. The majority are reviewed and updated regularly. One resident did not have a care plan; Mrs Trudgett was aware of this and said it would be attended to immediately. The inspector tracked care records to care given and spoke to the White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 12 residents and could confirm that the staff care for the residents to a good standard. All of the residents spoken to were complimentary about the home and the staff. District nurses visit residents who are in need of short-term nursing care. General practitioners, opticians, dentists and other professionals also visit the home when requested and records are kept of all such visits. Medication was stored safely and records are well kept in regard to the administering and disposing of them. Designated staff are trained to administer medication. A random check of drugs for a number of residents was undertaken and were in order. Through speaking with residents the inspector could confirm that both day and night staff do respect the privacy and dignity of residents at all times. Sixteen satisfaction surveys were returned to CSCI and they were all complimentary about the staff and the care they give. Two members of staff were asked about the residents they were key workers for, they were knowledgeable about their conditions and the care they needed. This knowledge does mean that residents can be confident that they will get support from staff who understand their care needs. One lady said “the staff could not be kinder” and a relative said “we are grateful for the care shown to my father”. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 13 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. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are arranged. Residents said that they are happy with their lifestyle at the home, are able to keep in contact with their family and friends and are able to have choice and control over their daily tasks. A variety of good home cooked food is provided. EVIDENCE: Activities are discussed at the residents meeting held six weekly and the surveys indicated that residents were happy with the present arrangements. The home is arranging a summer fete which is advertised for mid July. The communal areas consisting of one lounge, one lounge/diner, a large conservatory and dining rooms give residents the opportunity to please themselves where they sit. The communal areas are furnished to a very good standard. The conservatory looks over onto the gardens, which has a safe patio area and garden furniture for residents who wish to go outside. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 14 Residents said they did not use the upstairs lounge very often, Mrs Trudgett told the inspector that if residents wanted to have a meal with their family they usually used this room for privacy. A number of the residents go out and about on their own and others confirmed that they go out with family and friends. The home is a short walk away from the beach. Through speaking to residents the Inspector concluded that there is a nice homely atmosphere in the home and the residents do get on well together. Throughout the visit residents were watching television, reading and talking to each other. Others were in their rooms through choice. Two visitors spoke to the Inspector and said they were always welcome at the home and the staff were friendly. Surveys said “I find White Lodge an extremely pleasant and friendly home”. “A very well run quality home”. “A very happy and welcoming atmosphere, my mother is very happy at the home”. Menus are varied and nutritionally well balanced. The dining areas, 2 downstairs and 1 upstairs, are big enough to seat all of the residents although some do have meals in their rooms through choice. The dining areas were inviting and the tables nicely set. All residents spoken to and all surveys reported that the food was good. They confirmed that they could have snacks when they wanted to in the evening. The manager has started an internal quality assurance system from which she hopes to identify any shortfalls so they can be addressed. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 15 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, 17,18. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Complaints are handled in accordance with the home’s procedure and residents stated that their views are listened to and acted on. Residents confirmed that they are able to vote in elections and consider their legal rights to be protected. The induction and training procedure does not protect residents due to the inconsistency of records related to the adult protection training for all staff. EVIDENCE: Evidence showed that the complaints recorded had been dealt with satisfactorily by Mrs Trudgett. Six residents were asked if they knew who to go to if they had a problem. All said that they would speak to Matron and were confident they would be listened to. Staff spoken to did know the procedure for adult protection but five staff records had no evidence of adult protection training and the induction checklist did not record the need for it. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents live in a comfortable, homely, clean and comfortable environment and there are sufficient facilities and equipment to meet their needs. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 17 EVIDENCE: The location and layout of the home is suitable for its stated purpose. It is well maintained internally and meets service users needs in a comfortable and homely way. The entrance to the home from the car park looked tired and needs painting. Mrs Trudgett said that the home was due to have a new frontage this year. The Inspector toured the home and found the service user’s rooms to be fresh, clean and washbasins and toilets were clean and fresh. Residents rooms are personalised by the addition of small items of furniture pictures ornaments and photographs. The communal accommodation is well furnished, homely, comfortable and well decorated. There is a pleasant and safe patio area with garden furniture arranged so residents can sit outside if they wish. Aids and equipment are provided to meet needs and are in good condition. The Inspector noticed that the door to the boiler room did not shut properly, as this is a fire door it was considered a fire safety hazard. This was bought to the attention of the manager during the inspection. Also a number of resident’s room doors did not shut properly and the manager was advised to go around and establish which doors needed attention to safeguard the residents. There were no records available to certify when the fixed electrical installation for the home had last been inspected and tested. The Institution of Electrical Engineers (IEE) recommend that fixed electrical installation should be inspected in care homes at least every five years. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 18 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. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service There are sufficient staff employed to ensure that resident’s needs are met but the home’s recruitment policy must be more robust to protect residents. Staff training is provided and staff are competent to do their jobs, not all staff have had instruction in the adult protection procedures. EVIDENCE: Comments in the satisfaction surveys suggested that residents are getting the personal support they needed. All residents spoken with very complimentary about staff. Staff observed going about their work and they seemed happy and were caring and patient towards residents. Those spoken to said they enjoyed working at the home. Rotas showed sufficient staff on duty over 24 hours and that care staff are supported by an appropriate number of ancillary staff. All staff employed at the home undergo Criminal Records Bureau (CRB) checks to ensure safety for the residents. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 19 Mrs Trudgett said they very rarely use agency staff. The yearly planner records training in food hygiene, infection control, fire training, COSHH, manual handling, legal, medicines, first aid, adult protection and risk assessing. NVQ is encouraged and the pre inspection questionnaire submitted states that 47 of carers have achieved this. The records of six staff were examined, four of these did not meet with the requirements of the legislation and the basic induction checklists do not identify that staff should be instructed in adult protection procedures when commencing work at the home. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 20 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): 31,32,33,34,35,36,37,38. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by Mrs Trudgett who is a well qualified, caring and competent manager and who ensures that the home is run in the best interests of residents. Resident’s financial interests are safeguarded and in the majority of cases the health and safety of residents are promoted and protected. EVIDENCE: Mrs Trudgett is the Registered Manager and has been a manager at the home for 8 years. Mrs Trudgett is in the process of completing the Registered Managers Award. Residents spoken to knew the management structure at the home and one relative said, “White Lodge is an excellent home for both of my parents. The White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 21 matron demonstrates standards of care and respect that all staff follow, and all take pride in the overall and personalised care they deliver”. Mrs Trudgett says she has an open door policy for people to talk to her and the staff and the residents confirmed this. Staff said they were supervised regularly, Mrs Trudgett has started to record sessions but these are not complete, Mrs Trudgett is aware that the standard says they must be recorded. Two visitors were spoken to and also from the surveys it is indicated that all are happy with the reception they get when visiting the home. Staff confirmed that there were clear lines of accountability within the home and said they felt well supported in their roles. On the day of the inspection the Inspector noted there to be an open and friendly atmosphere in the home. There is no full quality assurance and monitoring system in the home, the need for this was discussed during the inspection. Mrs Trudgett did show the inspector a quality assurance survey she has started which covers the overall care and the service in the home. Appropriate policies and procedures were available and it was confirmed that insurance cover is available in the home. Service users are encouraged to manage their own affairs with the help of relatives or advocates if necessary. This was recorded on the pre inspection questionnaire. Mrs Trudgett said that they did not look after the finances of any of the residents. From reviewing records, speaking to residents and staff the inspector concluded that in the majority of cases service users rights and best interests were safeguarded by the home’s record keeping. Staff training records were available to indicate that staff have received training in appropriate health and safety procedures and that further training has been planned throughout the year, although the basic induction checklist does not mention adult protection awareness. The Providers send regular brief Regulation 26 reports to the Commission. A record to certify when the fixed electrical installation for the home was last tested was not available. The Institution of Electrical Engineers (IEE) recommend that fixed electrical installation should be inspected in care homes at least every five years. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 22 A number of bedroom doors did not shut properly including the fire door to the boiler room and a requirement has been made. Mrs Trudgett was advised to check all of the doors in the home to ensure they shut effectively to protect the residents in case of a fire. The Inspector was told that an independent fire safety risk assessment is due to be carried out in September. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 3 18 2 3 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 2 2 2 White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Requirement Timescale for action 31/07/06 2 OP18 13.6 3 OP29 19 The registered person shall after consultation with the resident or their representative prepare a written care plan. CSCI to be informed of action taken by The registered person shall make 31/07/06 arrangements by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm and abuse. CSCI to be informed of action taken by Staff records to be compiled to 31/07/06 comply with the requirements of Care Home Regulations 2001. The previous date for compliance was 31/12/05. CSCI to be informed of action taken by The registered person shall make 31/07/06 adequate arrangements for detecting, containing and extinguishing fires. CSCI to be informed of action taken by 4 OP38 23 White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 25 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 OP38 Good Practice Recommendations The fixed electrical installation in the home should be inspected and tested. The Institution of Electrical Engineers (IEE) recommend that fixed electrical installation should be inspected in care homes at least every five years. White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 White Lodge DS0000014835.V293164.R01.S.doc Version 5.2 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. 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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