Care Home: Bell Lodge

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What the care home does well Discussion with the registered owner and manager demonstrated a good knowledge of people`s individual preferences. The registered owner explained that because the home is small staff are familiar with people`s needs and preferences and good at noticing small changes in their well-being. The registered owner told us about the progress made by one person in terms of her health and well being since moving to Bell Lodge. This was reinforced by the review of her care conducted by her care manager. A relative told us that she was "really happy with standard of care in the home" and feels confident her relative will be well cared for. Staff told us that a couple of the people who live in the home attend a luncheon club in the village. One person told us that the "Staff are very nice" another said that the "staff help get me up, they are very kind." One person commented about the registered manager saying "if I am feeling anxious I can talk to her and she makes me see things differently" What has improved since the last inspection? No requirements or recommendations were made following the last key inspection. The orchard within the home`s grounds, has been made accessible to people living in the home. The home has recruited relief staff to ensure consistent cover if any of the regular staff are unable to work. The front of the house has been painted. What the care home could do better: The Statement of Purpose and Service User guide need to be updated to ensure that they reflect the current information about the home including the home`s complaints procedure and the contact details for the Care Quality Commission. Records did not consistently detail people`s progress or level of well being. The storage of medication needs to be reviewed to ensure that the home is able to store any controlled drugs safely and to ensure compliance with the latest requirements of the Misuse of Drugs Act Amendment 2007. Where people are using bed rails records should demonstrate that these have been assessed to ensure that they are being used appropriately and safely. Half of the satisfaction surveys returned to the Care Quality Commission by people living in the home indicated that they would like there to be more activities within the home that they could take part in. One bedroom was noted to have a damp-like smell and to have a lot of condensation on the window, there was also some mould on the window frame. Key inspection report Care homes for older people Name: Address: Bell Lodge 25 Bell Lane Byfield Daventry Northants NN11 6US     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Catherine Perrins     Date: 2 6 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Bell Lodge 25 Bell Lane Byfield Daventry Northants NN11 6US 01327262483 01327262483 bell_lodge@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Graham Henry Edwin Holden,Ms Jane Piengjai Thongsook care home 15 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: To include within the total of 15, a maximum of 5 service users in need of personal care by reason of Dementia over the age of 65 years. Date of last inspection Brief description of the care home Bell Lodge is situated in the village of Byfield within Northamptonshire and is registered to provide personal care, without nursing, for older people. The home is situated in a quiet residential street, close to the village centre and its local amenities. Bedrooms are situated on the ground and first floors. A stair lift is provided. There are eleven single and two double bedrooms. En-suite facilities are not provided. Communal space on the ground floor includes two lounge areas and a dining room. People who live at the home have access to a large well-maintained walled garden and Care Homes for Older People Page 4 of 27 Over 65 5 15 0 0 Brief description of the care home an orchard to the rear of the property. The registered owner and registered manager live on the second floor of the property. Fees range from 350 - 485 pounds per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection which means that we focused on the key national standards. The key standards are those considered by the Commission to have the most impact on outcomes for people using the service. As part of the preparation for this inspection a period of four hours was spent reviewing the information that CQC has about this service. We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. Care Homes for Older People Page 6 of 27 The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. The inspection visit lasted twelve hours during the morning and afternoon of two weekdays. During the inspection three people were case tracked. This involves looking in detail at all aspects of their care and experiences at Bell Lodge, including looking as their individual plans of care and other records, talking to them and talking to their care staff. Because people with dementia are not always able to tell us about their experiences we also used observations of peoples state of well being and how they interacted with staff members and others. A sample of staff files were also viewed as part of the inspection. Neither the registered manager or the registered owner was present on the first day of the inspection. Both were present on the second day. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The Statement of Purpose and Service User guide need to be updated to ensure that they reflect the current information about the home including the homes complaints procedure and the contact details for the Care Quality Commission. Records did not consistently detail peoples progress or level of well being. The storage of medication needs to be reviewed to ensure that the home is able to store any controlled drugs safely and to ensure compliance with the latest requirements of the Misuse of Drugs Act Amendment 2007. Where people are using bed rails records should demonstrate that these have been assessed to ensure that they are being used appropriately and safely. Half of the satisfaction surveys returned to the Care Quality Commission by people Care Homes for Older People Page 8 of 27 living in the home indicated that they would like there to be more activities within the home that they could take part in. One bedroom was noted to have a damp-like smell and to have a lot of condensation on the window, there was also some mould on the window frame. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given good information and their needs are assessed before they move to Bell Lodge to ensure that the home is right for them. Evidence: The home has a statement of purpose and service user guide to give people who live in the home, and anyone who may be considering moving to the home, information about Bell Lodge and the services offered. Both are available in large print to make them easier to read if required. The registered owner explained that he was in the process of updating the statement of purpose and service user guide. The statement of purpose does not currently contain details of the homes complaints procedure. Individual plans of care did not record the dates that people moved to the home. This information was available in an Admissions book which contained details of when and why people moved to the home. Records show that peoples needs are assessed before they move to Bell Lodge to make sure that the home is right for them. Care Homes for Older People Page 11 of 27 Evidence: People told us that they were able to visit the home before they moved in to help them decide if it is the right move for them. If they are not able to visit, their relatives or friends can do so on their behalf. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by staff who understand their needs and deliver care in a respectful manner. Evidence: Each person who lives at the home has an individual plan of care. This contains their care plans and other information that staff need to care for people in the right way. Care plans seen covered areas such as communication, eating and drinking, personal care, mobility, culture and religion, health and continence. They contained some detail about peoples preferences such as what time they liked to get up and go to bed. There was some evidence of people being helped to make choices such as what clothes they wanted to wear. Discussion with the registered owner and manager demonstrated a good knowledge of peoples individual preferences. The registered owner explained that because the home is small staff are familiar with peoples needs and preferences and good at noticing small changes in their well-being. Records did not, however, consistently Care Homes for Older People Page 13 of 27 Evidence: detail peoples progress or level of well being with no entry being made in peoples daily records often for several days in succession. Records show that people had been assessed to find out if they are at risk of developing pressure sores. Where it was identified that there was a risk measures were put in place to reduce the risk such as provision of specialist equipment. Records show that people are assessed for the risk of falls, moving and handling and malnutrition. One person was observed to be using bed rails on her bed. An entry in her daily records indicated that her general practitioner and district nurse had been involved in assessment and procurement of the bed and bed rails to ensure that they were the right type for her, however there was no risk assessment on her file to show how staff make sure that the bed rails are used safely and appropriately. The registered owner told us about the progress made by one person in terms of her health and well being since moving to Bell Lodge. This was reinforced by the review of her care conducted by her care manager. A relative told us that she was really happy with standard of care in the home and feels confident her relative will be well cared for. The administration of medication is generally well managed with all entries on the medication record being signed to show that people are receiving their medication as prescribed. The storage of medication needs to be reviewed to ensure that the home is able to store any controlled drugs safely and to ensure compliance with the latest requirements of the Misuse of Drugs Act Amendment 2007. This specifies how care homes should store controlled drugs. Controlled drugs are prescribed medicines which some people abuse them by taking them when they have not been prescribed, there are laws and regulations about how these drugs should be stored and administered. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People generally enjoy a good lifestyle at Bell Lodge with some activities being available within the home and local community. Evidence: Peoples individual plans of care did contain some information about their interests and hobbies. Activities sheets were seen which contained a record of the activities that people had taken part in such as listening to music, going for a walk and having a chat. Half of the satisfaction surveys returned to the Care Quality Commission by people living in the home indicated that they would like there to be more activities within the home that they could take part in. The registered owner also highlighted this an area where the home could improve when he completed the AQAA self assessment. Staff told us that a couple of the people who live in the home attend a luncheon club in the village. One person was observed reading a newspaper and another person reading a book. The registered owner explained that the home has approximately one hundred large print books that people can read if they wish to. Care Homes for Older People Page 15 of 27 Evidence: People told us that their visitors were able to come whenever they wished. One relative told us that coming to Bell Lodge is Like visiting my mother in her own home. Lunch was observed during the inspection. Staff were seen assisting people in sensitive manner, talking to them and explaining what the food was. People told us that food is very good. The cook told us that she is aware of peoples individual food preferences and that she keeps a list in the kitchen of peoples likes and dislikes and any dietary requirements that they may have. It was noted that salt, pepper and sauces were available for people at mealtime. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the procedures in place for handling complaints. Evidence: The home has a complaints procedure which outlines what people should do if they wish to raise a concern about the home and the response that they can expect. The address of the Care Quality Commission was not recorded in the complaints procedure. The registered owner explained that the complaints procedure is given out to people with their contract. Satisfaction surveys returned to the Care Quality Commission indicated that the people living in the home and their relatives were aware of how to raise any concerns that they may have. The registered owner said that the home has received one complaint since the last inspection. Records show that this was dealt with following the homes procedure to the satisfaction of all. Further concerns were expressed to the Care Quality Commission regarding the standard of care in the home during our pre inspection consultations. Where issues of concern were observed during the inspection these were raised with the registered owner and manager and where necessary recommendations or requirements have been made to ensure that areas of concern are addressed. The home has not made any alerts to the Local Authority under the locally agreed safeguarding adults procedure. Staff spoken to knew how to raise any concerns that Care Homes for Older People Page 17 of 27 Evidence: they may have and understood their responsibilities to safeguard people from harm. People are able to move around the home as they wish and we did not observe anything that could constitute a deprivation or restriction on anybodys liberty. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a homely living environment but some areas of the property are in need of maintenance. Evidence: Bell Lodge is a detached former Inn with bedrooms on the ground and first floors. The registered owner and manager live on the second floor. Communal areas consist of two lounges and a dining room. Both lounge areas had been made homely with plants, flowers, pictures and ornaments. There was also a television in each lounge. One relative explained that her mother had been able to bring her arm chair in from home to have in the lounge to help her feel more at home. The first floor of the home is accessed by stairs with a stair lift for people with limited mobility. One of the bedrooms seen had been made personal with ornaments, pictures and other personal effects. The other two rooms seen were more sparse. One bedroom was noted to have a damp-like smell and to have a lot of condensation on the window, there was also some mould on the window frame. This was discussed with the registered provider who said that he would look at ensuring the room is adequately ventilated. Care Homes for Older People Page 19 of 27 Evidence: The majority of bedrooms in the home are single with two being double rooms. One of those is currently being used as a single room and the other has privacy curtains to ensure peoples privacy and dignity. The registered owner told us that he was looking at plans to convert the double rooms into single rooms in the future. The registered owner explained that the front of the property has been re-painted. Internally the property was observed to be showing some signs of wear and tear in places, for example stains on the carpet and chips to the paint work. Covers were noted to have been fitted to some of the radiators in the home to ensure that people did not burn themselves on the hot surfaces. Outside the property there is a rear garden with a patio area. People told us that they were able to sit outside in the warmer weather. The home also has an orchard where people are able to go for a walk if they wish to. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a staff team who are familiar with their needs and preferences. Evidence: One person told us that the Staff are very nice another said that the staff help get me up, they are very kind. The recruitment of staff is well managed with all of the necessary pre recruitment checks being carried out to ensure that staff are suitable to work with older people. Staff told us that they had an induction when they first started working at the home which included working alongside an experienced colleague to make sure that they had all of the information that they need to do their job in the right way. Staff explained that they attend training courses such as food hygiene, safeguarding of adults, dementia care, infection control, fire safety and moving and handling. The registered owner told us that the staff team was fairly static with most of the staff having worked at the home for a few years. This helps to ensure that the staff are familiar with peoples needs and preferences. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the best interests of the people who live there. Evidence: Discussions with the registered owner and the registered manager demonstrated a good knowledge of the needs of people living in the home. One person commented about the registered manager saying if I am feeling anxious I can talk to her and she makes me see things differently she went on to describe her as a kind person. Another person who has little verbal communication was seen responding positively to the registered manager. Records show that the necessary safety checks such as fire checks, checks on the water system and portable appliance testing have all been carried out recently. Hoists and lifting equipment has been serviced as per manufacturers recommendations. The results of a recent satisfaction survey conducted by the home during November 2009 were viewed. Results showed a good level of satisfaction amongst the eight Care Homes for Older People Page 22 of 27 Evidence: people living in the home and / or their relatives who returned questionnaires. Comments included, Gives a sense of belonging and community to all its residents. It treats residents with dignity, compassion and love. and part of a family is the way I like to think of Bell Lodge It was noted that correction fluid had been used on some peoples records, this was brought to the attention of the registered manager who said that she will ensure that it is not used again. The home has an admissions book which is used to record the date and details of peoples admission to the home. Information in this book is recorded for more than one person on the same page which means that it would be difficult for someone to access the information written about them, should they wish to, without compromising the confidentiality of others. The home does not have a formal system for auditing peoples care records or the medication systems. Informally this is done by the registered manager being involved in updating care plans and dispensing medication. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 13 The storage of medication 05/02/2010 needs to be reviewed to ensure that the home is able to store any controlled drugs safely and to ensure compliance with the latest requirements of the Misuse of Drugs Act Amendment 2007. To ensure that all medication is stored safely. 2 8 13 Where people use bed rails 17/12/2009 records should demonstrate that these have been assessed to ensure that they are being used appropriately and safely. To ensure the health and safety of all. 3 19 23 The home must be well maintained and hygienic. To provide people with a pleasant living environment which meets their needs. 05/02/2010 Care Homes for Older People Page 25 of 27 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The Statement of Purpose and Service User guide should be updated to ensure that they reflect the current information about the home including the homes complaints procedure and the contact details for the Care Quality Commission. To ensure that people have all of the information they may require about the home and the service it offers. Records should detail peoples health and well being and note any changes, progress or deterioration. Activities offered to people living in the home should reflect their interests and expectations and provide meaningful stimulation. The home should further develop its systems for self monitoring and audit. To ensure that the service being provided is meeting peoples needs and expectations. Records should be well maintained and accessible in line with data protection and freedom of information principles and legislation. 2 3 8 12 4 33 5 37 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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