Care Home: Beverley Park Nursing Home

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What the care home does well People receive good information when they enquire about the services provided by the home and the robust system for assessing each person`s needs means that people can make informed decisions about whether the home will be the right place for them to live. People are fully involved in developing their care plans and this enables their care and support to be provided in a person-centred manner. Staff encourage relatives to become involved in needs assessments and care planning and this has positive outcomes for maintaining relationships that are important to people. Staff pay careful attention to nutrition to ensure that people accommodated in the home eat healthy diets and people using the service are actively involved in menu planning. The views of people using this service are respected and suggestions for improvement are used to make improvements to the way the service is managed. The high level of consultation with people living in the home and their representatives demonstrates that the service is being managed in their best interests. Systems are in place to safeguard people from harm and staff know what they must do if they suspect a person is at risk of harm. Staff have access to regular training opportunities and their performance is regularly monitored to ensure that the quality of service people receive is maintained. What has improved since the last inspection? There were two requirements outstanding from the last inspection in October 2007, relating to medication and recruitment. It was pleasing to see that action had been taken to make the required improvements by implementing regular audits of medication records and in relation to recruitment, by ensuring that the required preemployment checks were obtained before confirming staff in post. There was evidence to show that these improvements had been consistently maintained since our last visit. What the care home could do better: We did not make any requirements for improvement during this visit. We made four good practice recommendations in the following areas. The home`s welcome pack described two senior members of staff as `Registered Managers` when it should have said that they had achieved the Registered Manager`s Award. The wording should be changed to avoid confusion over who is the registered manager for this service. Single prescription medicines received into the home, such as antibiotics, had been recorded by attaching sticky printed labels from the pharmacist. We were concerned that this may not provide a permanent record if the labels became detached. We recommended that staff write these details in the records and that a second member of staff checks and signs to state that the medicine details have been recorded accurately. We observed a visiting health care professional taking a blood sample from a person sitting in a communal area during the midday mealtime. We recommend that staff advise health care professionals that such procedures should be conducted in a private and dignified manner. People living in the home had access to regular activities that provided interest and stimulation. This can be improved by developing structured social care plans that detail how each person`s needs in this area will be met. Key inspection report Care homes for older people Name: Address: Beverley Park Nursing Home 22 Sandy Lane Stretford Manchester Lancs M32 9DA     The quality rating for this care home is:   three star excellent 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: Val Bell     Date: 2 7 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 25 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 25 Information about the care home Name of care home: Address: Beverley Park Nursing Home 22 Sandy Lane Stretford Manchester Lancs M32 9DA . Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Beverley Park Nursing Home Ltd Name of registered manager (if applicable) Mrs Jean Helen Adams Type of registration: Number of places registered: care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories Old age not falling within any other category - Code OP. The maximum number of service users who can be accommodated is 18. Date of last inspection Brief description of the care home Beverley Park Nursing Home is a care home providing 24 hour nursing care and accommodation for up to 18 older people. The home was registered as a limited company in June 2009. The home is a large detached house consisting of accommodation on three floors. Two of the bedrooms are single and eight of the bedrooms are shared rooms, none of which Care Homes for Older People Page 4 of 25 Over 65 18 0 Brief description of the care home have en-suite facilities. Each bedroom is fitted with hand basins. Toilet and bathing facilities are available on the ground floor and second floor and a toilet is available on the first floor. There is a lounge/dining room with a conservatory attached on the ground floor. Adaptations and aids are provided, including a passenger lift and hoists. The grounds include a large garden area with two patio areas. There is a short drive that leads to an area for car parking to the rear of the building. Stretford shopping precinct is within walking distance and the area is served by a bus and metro network into the city and surrounding areas. Fees for care and accommodation in the home can be obtained by contacting the registered manager. Additional charges are made for hairdressing and personal toiletries. Care Homes for Older People Page 5 of 25 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: three star excellent 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: This was a key inspection, which included a site visit to the home. The visit was unannounced which means the manager was not informed beforehand that we were coming to inspect. Since our last visit in October 2007 the service has been registered as a limited company. This is the homes first inspection under this registration. During the visit we spent time talking to people living in the home, a visiting relative, the cook, three members of staff on duty, the manager and deputy manager. An Annual Quality Assurance Assessment (AQAA), which is a self-assessment document, had been completed and returned to the Commission prior to our visit. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: We did not make any requirements for improvement during this visit. We made four good practice recommendations in the following areas. The homes welcome pack described two senior members of staff as Registered Managers when it should have said that they had achieved the Registered Managers Award. The wording should be changed to avoid confusion over who is the registered manager for this service. Single prescription medicines received into the home, such as antibiotics, had been recorded by attaching sticky printed labels from the pharmacist. We were concerned that this may not provide a permanent record if the labels became detached. We recommended that staff write these details in the records and that a second member of staff checks and signs to state that the medicine details have been recorded accurately. Care Homes for Older People Page 7 of 25 We observed a visiting health care professional taking a blood sample from a person sitting in a communal area during the midday mealtime. We recommend that staff advise health care professionals that such procedures should be conducted in a private and dignified manner. People living in the home had access to regular activities that provided interest and stimulation. This can be improved by developing structured social care plans that detail how each persons needs in this area will be met. 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 8 of 25 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 9 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust assessments of need and providing good information makes sure that peoples needs and personal aspirations are assessed and responded to appropriately. Evidence: We were given a copy of the welcome pack that is issued to people enquiring about using this service. The documents provided people with good information on which to decide if the home would be a good place for them to live. We particularly liked the section that encouraged relatives to complete a life history for the person being admitted. This meant that staff had a good understanding of the persons preferred lifestyle and personal achievements. This provided evidence of best practice in treating people as individuals and providing support that would meet their personal and lifestyle preferences. Information in the welcome pack, on staff qualifications, described two senior members of staff as Registered Managers. The manager for the service explained Care Homes for Older People Page 10 of 25 Evidence: that this was because they had achieved a National Vocational Qualification at level 4 in care and the Registered Managers Award. The registered manager for this service is Jean Adams. Describing other staff as such had the potential to mislead people enquiring about the service. We recommend that the wording is changed to more accurately reflect the status of the two senior mmebers of staff. We looked at the care records belonging to three people living in the home to find out if their needs had been appropriately assessed before they moved into the home. We also looked at all other aspects of life in the home for these three people. We call this case-tracking. Copies of pre-admission nursing assessments and inter-agency care plans had been obtained for the three people. A senior member of staff had visited each person prior to their admission to undertake a thorough assessment of their needs and any risks associated with the safe delivery of care and support. The records showed that each person and their relatives had been fully involved in this process. This robust system of needs assessment enables the manager to decide if the service will be able to meet the persons needs and it gives the individual enough information to decide if they will receive the right kind of support. Beverley Park Nursing Home does not offer an intermediate care service. Care Homes for Older People Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are involved with the development of their care plans. This means that they receive the care and support they need in the way they prefer. Evidence: The three care plans that we examined contained detailed information on what staff would do to make sure each persons personal and health care needs would be met. Risks to the safe delivery of care and support had been assessed and were being managed well. Staff had worked hard to encourage relatives to become involved in the care of people living in the home. This had been achieved through holding regular meetings with relatives and encouraging them to actively participate in reviewing care plans each time they visited the home. This provided evidence of best practice in partnership working in the best interests of the people using the service. It also demonstrated that the people accommodated were treated as individuals and that their preferred lifestyles and relationships were respected and maintained as far as possible. We were concerned to observe a visiting phlebotomist taking a blood sample from a Care Homes for Older People Page 12 of 25 Evidence: person sitting in a communal area during the midday mealtime. We recommend that staff challenge this practice, as it does not respect the persons right to have their privacy and dignity maintained. We looked at the medication system in place for the three people we were casetracking to determine if they had received their medicines safely. The deputy manager had overall responsibility for monitoring the medication system in place. It was pleasing to see that nurses were checking the accuracy of the medications records each day to ensure that people were receiving their medication exactly as prescribed by their doctors. Records for the administration of medicines were accurate and up to date. Nurses administering the medicines were following good practice guidelines and stocks of medicines were securely stored. We found one minor shortfall. Medication, such as antibiotics, that had been obtained during the monthly medication cycle had been recorded on the medication sheets by attaching sticky labels from the pharmacy. We were concerned that this might not provide a permanent record if the sticky labels became detached. We recommend that all medicines obtained mid-cycle be handwritten in permanent ink on the medication records and that the entries are checked and signed by a second member of staff to ensure they are accurate. Three people living in the home told us that staff always respect their privacy and dignity. We also asked a relative the same question. He said, Staff are kind, caring and respectful. he added, Staff have worked hard to help and support dad to do so well. It is marvellous to see him walking again. Care Homes for Older People Page 13 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed and provide daily variation and interest for people living in the home. Evidence: People living in the home have regular opportunities to participate in structured activities that provide stimulation and interest. Minutes of meetings provided evidence that people using the service make suggestions about the activities they would like and these views are listened to and acted upon by staff. In addition to in-house activities, regular trips are arranged to such places as Southport, the Trafford Centre and Humphrey Park. We noted a minor shortfall in that none of the care records we looked at had specific care plans for meeting the social care needs of the individual. We recommend that care plans be further developed to identify the support each person will receive to meet their individual social care needs. We saw visitors coming and going throughout the time we spent in the home. We asked one of the visitors their views on the service provided. He said, All members of my family are made welcome when they visit. Staff are friendly and helpful and they let us know if they have concerns about dad. Dad is happy here and staff have worked hard to get him back on his feet. He tells me that he enjoys the meals. We Care Homes for Older People Page 14 of 25 Evidence: particularly liked the way staff encourage relatives to become actively involved in what goes on in the home. This has resulted in positive outcomes for the people accommodated in maintaining relationships with their families. We looked at menus and these told us that people living in the home receive healthy and nutritious diets. A recent food safety inspection by the local authority environmental health department found that food safety in the home was good. Prior to admission each person had an assessment of their nutrition needs and care plans clearly identified their likes and dislikes in relation to food. Two care records that we looked at identified the people as being at risk of weight loss. It was pleasing to see that these people had gained weight since moving into the home. The care staff take in this area has resulted in positive outcomes for peoples health and welfare. Care Homes for Older People Page 15 of 25 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. There are good procedures in place for people to express their concerns and be listened to, their rights are protected and they are safeguarded from harm. Evidence: We saw evidence that the home had an appropriate policy and procedures for dealing with complaints. The complaints procedure had been communicated to people using the service when they received the welcome pack during their admission to the home. A relative we spoke to said that he and the rest of his family knew who to speak to if they had any concerns. Three people living in the home said they were confident that if they raised a concern with staff it would be dealt with promptly. The selfassessment document completed by the manager told us that no complaints had been received by the home during the previous twelve months. The manager has given her home telephone number to service users and their relatives so that they can contact her at any time if they have any concerns. She feels that relatives meetings are a valuable resource for discussion and is confident this prevents small problems from escalating into formal complaints. This positive action demonstrates that the views of people and their representatives are important to the service and that management and staff act in their best interests. Staff told us that they had been trained in how to recognise the signs and symptoms of abuse. When asked what they would do if they suspected a person was being abused staff were able to describe the action they would take. Their responses were in Care Homes for Older People Page 16 of 25 Evidence: line with the correct safeguarding procedures. No referrals had needed to be made for safeguarding issues within the home in the previous year. Care Homes for Older People Page 17 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Beverley Park Nursing Home provides a safe and comfortable living environment that is well maintained and decorated and furnished to a good standard. Evidence: We looked round the home and found the environment to be safe, clean, free from odours and well maintained. New chairs had been provided for the comfort of the people accommodated and to reduce the risk of falls. The specialist equipment available was suitable for meeting the mobility needs of the people accommodated. It was evident that there was a rolling programme of development and refurbishment in place and plans were in place to make further improvements to the environment over the coming twelve months. The three people we spoke to thought that the living environment was comfortable and suited to their needs. The self-assessment document completed by the manager told us that all nursing and care staff working in the home had been trained in infection control. We asked a member of the housekeeping team about the availability of protective equipment, such as aprons and gloves. She said there was always a plentiful supply and that infection control is taken seriously by the staff. The laundry was located in the basement of the home, away from food preparation areas. Equipment in the laundry had recently been replaced and this complied with Care Homes for Older People Page 18 of 25 Evidence: water regulations. The washing machine has an appropriate sluice cycle and the laundry assistant was knowledgeable about good practice in infection control. Care Homes for Older People Page 19 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements, recruitment and training ensure that people are cared for and supported safely. Evidence: This home was sufficiently staffed on the day we visited and rotas provided evidence that this level of staffing had been consistently maintained. Staff working in the home have access to regular training opportunities to ensure that they continue to have the knowledge and skills required to meet the needs of people using the service. Care assistants had achieved either a level 2 or 3 National Vocational Qualification in care and housekeeping staff were working towards this qualification in their area of expertise. Staff received supervision every two months and an annual appraisal to review their performance. We looked at the personnel records belonging to a member of staff recruited in the previous twelve months. The required pre-employment checks had been obtained to ensure that the person was suitable to work with older people. Care Homes for Older People Page 20 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Beverley Park Nursing Home is managed in the best interests of the people who live there. Evidence: The registered manager of this home is also the registered provider. She is suitably qualified and has considerable experience of managing a care home. The people we spoke to during our visit praised the way the home is managed and staff confirmed that the manager is supportive and treats them fairly. Management and staff pay particular attention to listening to and responding to the views of the people accommodated. People can express their views at regular meetings or in private discussion with a member of staff. Records provided good evidence of how peoples suggestions for improvement are taken on board. This was particularly evident in the areas of activities and menu planning. Staff also engage well with peoples relatives and their views are taken into account at meetings that are held on a regular basis. Quality assurance in the home is further strengthened by the Care Homes for Older People Page 21 of 25 Evidence: consistent auditing procedures in place. This robust system of monitoring and reviewing the quality of service provision ensures that peoples needs continue to be met according to their personal preferences. The personal finances of people accommodated in the home are managed either by their relatives or the local authority client affairs department. We examined a sample of health and safety records including fire and gas maintenance. These records were accurate and up to date. Gas equipment used in the home had been serviced in January 2009, although the contractor had not issued a Landlords Gas Safety Certificate. We recommended that the manager ask the contractor about this. Care Homes for Older People Page 22 of 25 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 23 of 25 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 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 Written information about the qualifications of two senior staff working in the home should be amended to more accurately describe their status. This will ensure that people enquiring about the home can accurately identify the person responsible for managing the home. We recommend that medicines obtained mid-cycle be handwritten in ink on the medication sheets in order to provide a permanent record of the medicine that people have received. Staff should ensure that people using the service are enabled to consult with and receive treatment from visiting health care professionals in private. Care plans should be further developed to identify the support each person will receive to meet their individual social care needs. This will provide evidence that the service is meeting the specific needs of each person. 2 9 3 10 4 12 Care Homes for Older People Page 24 of 25 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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