Care Home: Boughton Manor Care Home

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Inspecting for better lives Key inspection report Care homes for older people Name: Address: Boughton Manor Care Home Church Road Boughton Newark Nottinghamshire NG22 9JX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andrew Bailey     Date: 1 0 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 26 Information about the care home Name of care home: Address: Boughton Manor Care Home Church Road Boughton Newark Nottinghamshire NG22 9JX 01623860436 01623835968 boughton.manor@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkcare Homes Ltd care home 40 Number of places (if applicable): Under 65 Over 65 40 40 dementia mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 0 0 Boughton Manor is an old convent, which has been converted and extended. The care home is registered for 40 persons age 65 years and over, under the categories of mental disorder or dementia. The home is situated in the village of Boughton, on the outskirts of the village of Ollerton where there is a range of community facilities. The home is on a bus route to the towns of Mansfield and Worksop. The two-storey home has two large lounges, which also incorporate dining areas. The care home is set within its own extensive grounds and has a car parking area. Fees are based on individual assessments. As at 10 March 2009 the current range of fees was from 385GBP to 680GBP per week. Care Homes for Older People Page 4 of 26 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 last inspection of this service was on 9 August 2006. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service. The process considers the homes capacity to meet regulatory requirements and minimum standards of practice. The inspection visit was unannounced and took place over a 7 hour period. There were twenty-seven people living at the home on the day of the inspection. Four relatives, staff, the area manager and the acting manager were spoken with during the Care Homes for Older People Page 5 of 26 visit. We looked at information that we have received since the last inspection. The information included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. The service has also told us about things that have happened at the home and these are called Notifications. Records were examined during the inspection, including the care records of three of the people who live at the home. This was part of the process called case-tracking that we use to follow the experiences of individuals. We were able to speak with relatives of three of the people that we case-tracked during the inspection visit and their views have been incorporated into this report. What the care home does well: What has improved since the last inspection? What they could do better: 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get Care Homes for Older People Page 7 of 26 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 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 26 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 have the opportunity to visit the home before choosing to live there and receive information to help them decide whether the service can meet their needs. Evidence: Before the inspection at Boughton Manor we received the homes Annual Quality Assurance Assessment (AQAA), which is a self-assessment telling us about the service. The service confirmed that it has a Statement of Purpose and a Service User Guide. The service said that both documents are included in the homes information pack. They told us that trial visits are welcome for prospective service users. They said that they undertake their own pre-admission assessments prior to admissions, in addition to any external assessments. The service said that there is normally a six-week assessment period to ensure that placements are progressing satisfactorily. At inspection we found that the Statement of Purpose and the Service User Guide had Care Homes for Older People Page 10 of 26 Evidence: been recently updated. The Statement of Purpose reflected recent management changes at the home. The Service User Guide had been produced in easy read and large print format. Two of the four relatives that we spoke with at inspection recalled that they had been given written information about the home when they had made initial enquiries about prospective placements for their relatives. Three of the relatives told us that the home had been recommended to them and two confirmed that there had been a trial period. In all the cases a relative had initially visited the home to look around before the person had been admitted to Boughton Manor. The home is registered to admit older people, including those under the category of dementia. The acting manager told us that the staff training programme includes training in dementia, indicating that staff are suitably equipped to help them meet the needs of the people using the service. The area manager told us that further dementia training was planned to take place during March 2009, with the aim of all staff having undertaken basic one-day training in dementia, including staff not involved in delivering direct care. The area manager explained that since all staff interact with people using the service, the aim was to ensure that all staff received the training. We case-tracked three of the people using the service. Staff had undertaken preadmission assessments in the cases that we examined. Where appropriate, social service assessments had also been received before people had been admitted to the care home. This suggests that there is a suitable process in place to examine whether needs can be met for people considering living at the home. Care Homes for Older People Page 11 of 26 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. The health and personal needs of people using the service are recorded in their care plans, ensuring that staff have guidance to follow in caring for people. Evidence: The AQAA self-assessment information received prior to the inspection informed us that people using the service are encouraged to be involved in the person-centred care planning, but that it was hoped to encourage more family input with this in the future. The service told us about planned improvements to the room signs at the home, for example signs for bathrooms and toilets, in order to make them clearer for the people living at the home. The service told us about the health checks that take place for people living at the home, including two-weekly visits by a consultant psychiatrist. The care records of three people who use the service were examined as part of the case tracking process. The area manager told us that a lot of work had been done to improve the care plan recording system. The person-centred records that we examined had been developed from the pre-admission assessment information and those that Care Homes for Older People Page 12 of 26 Evidence: we looked at had evidence of relevant risk assessments, including the risk of falls, mal-nutrition risk and the risk of developing pressure ulcers. Care records had been reviewed monthly and staff had signed and dated the review entries in the records. The area manager told us that the service was aiming for three-monthly formal reviews of care (in addition to the monthly reviews), with all staff signing to acknowledge that they have read and understood any changes. Few of the care plan records had been signed by the relatives of people living at the home (In general the residents did not have the mental capacity to sign the records in person). When we spoke with relatives, the majority said that they had not been invited to sign to acknowledge the content of care records as part of a collaborative approach to care planning. The area manager said that the service intends to seek further involvement of relatives in this process. There was some evidence within care plans of acknowledgement of people having decreased ability to make decisions for themselves, and the area manager and acting manager have identified that more specific recording of competency will be required, in line with the principles of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards. We looked at the medication administration records relating to the people that we case-tracked and these were satisfactory. Staff receive medication training, and a nurse that we spoke with was able to confirm that medication training had taken place. Relevant written information about medicines is available for staff to refer to. A pharmacy inspection in February 2009, undertaken by the community pharmacist, identified a number of improvements that the service needed to address. Areas identified included temperature monitoring of the medications refrigerator and temperature of the general medication storage area, and the report recommended the purchase of a more appropriate medication cabinet. The service has produced an action plan with timescales and good progress was being made to comply with the findings of the community pharmacy inspection. Relatives of the people who use the service who we spoke with during the visit were able to confirm that they felt that the care needs of people were being met at the home. Relatives felt that staff treated people with respect and had regard to their privacy and dignity, for example, knocking on bedroom doors before entering the room. Care Homes for Older People Page 13 of 26 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. The standard of food is good and an activity programme is provided. The range of activities could be further developed to meet the needs of all of the people living at the home. Evidence: In their self-assessment the service stated that the menus had been improved and that there is three-monthly review of the menus. They told us that they had improved the range of activities on offer to people living at the home and that they were looking to further develop the programme, for example by introducing more walking activities outside of the home. We spoke with the activities coordinator during the visit. The coordinator gave examples of the types of activities that were available for people to participate in. These included: gardening (in the summer), painting, books/reading, flower arranging, games and model-making. She told us that a local member of the clergy visits monthly and leads a sing-a-long. Raffles are held and an Easter Bonnet event is planned. There are also periodic outings from the home. The coordinator felt that the budget allocated for activities tended to limit the range of activities that could be provided. We were Care Homes for Older People Page 14 of 26 Evidence: informed that the fee for an outside entertainer could take up half of the monthly allowance allocated to cover activities for all of the residents for that period. We discussed the activity programme with the relatives that we spoke with during the visit. All the relatives were aware of the types of activities on offer, but most of them said their own relative did not take part. One person said that they wished that there could be more walks outside for their relative, as this was what they liked to do before they were admitted to the home. We discussed the range of activities with the area manager and as had been stated in the AQAA, she confirmed that the service is continually looking at how the programme can be improved to cater for the varying needs and abilities of the people living there. The people that we case-tracked had regular contact with their relatives. We discussed advocacy arrangements with the area manager and acting manager, particularly in respect of people who might not have regular contact with family or friends. There was no external advocacy provision in place for any of the people using the service (other than the formal periodic review procedures arranged through health and social services). The area manager agreed to seek external advocacy services, to include provision for people who did not have regular contact with family or friends. We observed staff interaction with people living at the home during part of the midday mealtime and it was clear that staff were on hand to assist people who needed help with feeding. The mealtime was unhurried and people appeared to enjoy their meals. One of the relatives that we spoke with told us that they personally eat at the home once a week and find that the food quality is good. Comments that we received from relatives about the catering included: Meals appear very good and The food always seems to be of a good standard. Care Homes for Older People Page 15 of 26 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. The home responds appropriately to concerns and complaints and aims to protect people from harm. Evidence: The AQAA self-assessment that we received before the inspection told us that staff have received training in the protection of adults (safeguarding training). The service told us that they have an open-door policy for visitors and staff, and that they log all complaints and responses to complaints. They told us that they are aiming to provide customer service training for staff to improve communication with relatives, with a view to further reducing complaints. At inspection the area manager told us that there had not been any complaints since the submission of the AQAA in December 2008. In the year preceding this there had been three formal complaints made about the service. One involved the restraint by staff of a person using the service, and two concerned the care or safety of two of the people living at the home. Each case had been processed through the multidisciplinary safeguarding adults procedures, which means that there was independent investigation of the concerns, with particular input from social services. Management had acted to address any shortfalls identified through the complaint investigations. There had not been any complaints relating to the three people that we case-tracked Care Homes for Older People Page 16 of 26 Evidence: at this inspection. We spoke with four relatives, three of whom were relatives of the three case-tracked people whose care we were following. Relatives told us that they felt that they could talk to staff and could raise issues if they needed to. They also felt that staff listened to them and took action. One relative told us: I have had no complaints at all. Staff have always dealt quickly with any minor concerns I have had. We spoke with two staff during the inspection and they confirmed that they had received training about how to recognise and report abuse (safeguarding training). The area manager told us that only four of the thirty-eight staff remained to have safeguarding training and that this had been organised to take place during March 2009. She also told us about the primary prevention training that takes place, which includes content about de-escalation techniques and diversion, to assist in dealing with challenging behaviour from people living at the home. Care Homes for Older People Page 17 of 26 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. Improvements are taking place to improve the environment. Boughton Manor provides a comfortable place for the people living at the home. Evidence: The AQAA self assessment told us that new furniture was on order and that it was planned to renew the floor coverings in the corridors and communal areas. It also stated that the sensory garden area had been improved. The service told us that service users and relatives choose the decor for the bedrooms and that there is an ongoing redecoration plan. They told us that there was further work to do to ensure that any worn furniture was replaced and that they intended to improve all bathrooms and toilet areas, with a wet room planned as part of the refurbishments. At the inspection the area manager told us that some new furniture had arrived and that they were awaiting the new dining room tables and chairs that were on order. The communal areas and corridors had new floor coverings and the service was waiting for internal approval to develop a wet room shower facility, along with the planned refurbishment of the bathroom and toilet areas. The area manager also informed us that there were plans to improve the surface of the car parking area, which tended to become muddy/waterlogged (as it was on the day of the inspection). One of the relatives that we spoke with during the visit commented that the sensory garden area Care Homes for Older People Page 18 of 26 Evidence: had poor access arrangements, with no ramp in place and a step to negotiate in order to enter this enclosed area. The area manager agreed that this should be improved and undertook to look into how this could be addressed. We undertook a partial tour of the building as part of case tracking and it was evident that some areas of the home had been redecorated, and radiator covers had also been provided recently to reduce health and safety risks to the people living at the home. The premises appeared secure and the external doors are alarmed to alert staff if anyone leaves the building. The acting manager confirmed that the home has infection control procedures and that the staff training programme includes infection control practice and safeguards. On the day of the inspection we found the home to be clean and tidy. When we spoke to relatives of people living at the home they commented that they usually found the home to be clean and tidy. One relative had previously had concerns about a floor covering in a bedroom, but they told us that the staff acted promptly to have the floor covering replaced. Care Homes for Older People Page 19 of 26 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. Staff training and robust recruitment practices promote the safety of people living at the home. Evidence: The AQAA self-assessment told us that the service had increased the number of staff employed to ensure the safety of people living at the home. They said that they would like staff undertaking induction training to complete their basic mandatory training before they commenced hands-on care duties in the home. They informed us that staff have annual appraisals and receive supervision from experienced staff. During the visit the area manager told us that over half of the staff are trained to National Vocational Qualification (NVQ) Level 2 or above, which indicates that people living at the home are cared for by staff that have the suitable experience to support them. The area manager said that the service is aiming to have seventy-five percent of staff with recognised qualifications. We examined a sample of the staff recruitment files and we found that satisfactory checks had been carried out before staff had commenced employment at the home. This included Criminal Records Bureau clearance checks and two written references. When we spoke with staff they told us that they receive regular training including Care Homes for Older People Page 20 of 26 Evidence: safeguarding adults, fire safety, first aid, and moving and handling. We spoke with staff during the inspection and they were knowledgeable about the people that they were supporting. Relatives that we spoke with considered the staff to be skilled, and one person commented: There are enough staff and they are friendly and competent. Another relative said: The staff are helpful. One person said: Very good staff, but feel that not enough of them, whilst another said Staff very good - No complaints at all. Care Homes for Older People Page 21 of 26 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 health, safety and welfare of the people is protected by the management systems in place at the home. Evidence: The service told us in their AQAA that they hold Your Voice meetings with service users and relatives and that a three-monthly newsletter is produced. They said that biannual relatives questionnaires are sent out and that there is an open-door policy for visitors and staff to approach the management. The service told us about the quality assurance and quality monitoring systems that they have in place, including the statutory registered provider visits. The information provided in the AQAA dataset indicates that equipment and services at the home are suitably maintained. The home is currently managed by an acting manager because the registered manager left the service recently. The manager post has been advertised and the area manager told us that they intend to appoint a manager during March 2009. Care Homes for Older People Page 22 of 26 Evidence: The recording system for the management of personal monies held by the home on behalf of people living at the home was examined as part of the case-tracking process and appeared to be satisfactory. Interest is accrued on individual amounts held on behalf of people using the service. The acting manager confirmed that there is an annual internal audit of the financial records held at the home. We looked at the quality assurance systems in place at the home. We were able to confirm at inspection that the mandatory monthly visits and reports by the registered provider are taking place. These regulatory visits are part of the quality monitoring processes, which act in the interests of people who use the service. The acting manager completes a range of audits of the service. These include audits of training, accidents, and other health and safety related information. The acting manager told us about the safe working practices training that takes place for staff and the records that we examined provided evidence that staff had received suitable training. We spoke with some of the staff and they also confirmed that they had received training, for example, training in fire safety, and moving and handling training. The training indicates that the safety and welfare of people using the service is promoted by the training programme in place at the home. The area manager told us that the Your Voice meetings had lapsed recently (due to the recent change in management arrangements), but that there was an intention to resume these. The area manager also told us that there had not been any recent satisfaction surveys carried out. The AQAA told us that these are carried out biannually, whilst the Statement of Purpose states that resident satisfaction surveys take place annually. There were no recently published summary reports of satisfaction surveys available at inspection. There are questionnaires in the reception area that invite visitors to routinely comment on aspects of the service, and these can be returned anonymously to the provider. When we spoke with relatives who were visiting at the time of the inspection one person told us: I can approach staff with any concerns. Care Homes for Older People Page 23 of 26 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 26 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 22 23 Regulation 23(2)(n) Ramp access must be provided to the sensory garden area. This is to enable service users to safely access the sensory garden. 30/06/2009 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 12 The range of activities should be reviewed to examine if there is scope to further develop the programme to meet the varying needs and capabilities of the people living at the home. Service users should have access to external advocates who will act in their best interests. The surface of the car parking area should be improved to ensure that it remains safe for people in all weathers. The results of service user surveys should be summarised, published and made available to current and prospective users of the service. 2 3 4 14 19 33 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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