Care Home: Broad Horizons & Marmalade House

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What the care home does well People thinking about moving to Broad Horizons or Marmalade House are provided with lots of information to help them choose and they can visit the home first if they want to. The people living at Broad Horizons and Marmalade House are involved in decisions about their lives and have the opportunity to be actively involved in planning the care and support they receive. People who live at Broad Horizons and Marmalade House are able to make choices about their lifestyle and are supported to take part in various activities. The health and personal care that people receive, at Broad Horizons and Marmalade House, is based on each person as an individual and is very `person centred`. The people living at Broad Horizons and Marmalade House feel their views are listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. Broad Horizons and Marmalade House provide a homely, comfortable and safe environment for people to live in. The people living at Broad Horizons and Marmalade House are supported by an experienced and qualified staff team. The service also has very good recruitment policies and practices, which helps to ensure people are protected. The manager is a competent and professional person who runs the home with the best interests of the people who live there at heart. What has improved since the last inspection? Support plans are reviewed on a regular basis and most of the files are now far more organised, with an index. Medication administration records are signed on each occasion. Staff training records also show the date that training has taken place. What the care home could do better: Everything required by law was deemed met following this inspection and no suggestions for improvement have been made as a result. CARE HOME ADULTS 18-65 Broad Horizons & Marmalade House 5 Kittens Lane Loddon Norwich Norfolk NR14 6SU Lead Inspector Debra Allen Unannounced Inspection 6th February 2008 10:00 Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broad Horizons & Marmalade House Address 5 Kittens Lane Loddon Norwich Norfolk NR14 6SU 01508 528163 01508 520604 kittenslane@orwell-housing.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Orwell Housing Association Limited Mr Jason Davies Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home Only – Code PC To service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability – Code LD 2. The maximum number of service users who can be accommodated is: 10 Date of last inspection: 8th November 2006 Brief Description of the Service: Broad Horizons and Marmalade House offer care and support for up to ten adults with learning difficulties. The resource comprises of two bungalows with all accommodation and communal areas located on the ground floor. Each bungalow is built on a small domestic scale to create a domestic home environment. Marmalade House aims to offer supportive care with people being encouraged to achieve greater independence in meeting their personal and social care needs. Broad Horizons and Marmalade House are located in the village of Loddon to the south east of Norwich. They are situated in their own grounds with pleasant enclosed garden areas. The fees currently range from between £716 and £1,515 and are based on each person’s individually assessed needs. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This inspection was carried out over a period of six and a half hours, during which time discussions were held with the manager and some of the care staff. A tour of the premises was also carried out, during which some of the people who use the service were met and chatted with. Care plans, staff files, health and safety information and other records required for regulation were also examined as part of the inspection process. Prior to the inspection a comprehensive Annual Quality Assurance Audit (AQAA) document was completed by the manager and submitted to the Commission. Completed surveys/questionnaires were returned, to the Commission prior to the inspection, by three of the people who live at Broad Horizons and Marmalade House, three relatives and eight staff. The relatives’ surveys contained very positive comments such as: “They look after [name] very well.” “We are in close contact with all the staff and see our relative regularly.” “Excellent communication.” “Outstanding – not only in their skills and experience but, more important, in their attitude.” “They do everything well, all the staff are very caring and treat each person as an individual.” “The house is always clean and tidy.” “The staff take into consideration the clients’ individual needs and respect their privacy and freedom of choice at all times.” The staff questionnaires were also, generally, of a very positive nature, although there was a definite element of unease, with regard to working in both bungalows, and the majority of staff were noted to have made the same comments in the questionnaires, which should be given serious consideration, such as: Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 6 “Staff were originally allotted to a specific bungalow within the project but, over the past six months, we have been working in both, which has been quite difficult for maintaining the continuity of care.” Other comments included: “Training is consistent and helpful.” “We have supervision each month to discuss any problems, which is very good.” “Orwell’s complaints procedure works very well.” “We could do with more staff to help with cover for outings and holidays etc.” What the service does well: People thinking about moving to Broad Horizons or Marmalade House are provided with lots of information to help them choose and they can visit the home first if they want to. The people living at Broad Horizons and Marmalade House are involved in decisions about their lives and have the opportunity to be actively involved in planning the care and support they receive. People who live at Broad Horizons and Marmalade House are able to make choices about their lifestyle and are supported to take part in various activities. The health and personal care that people receive, at Broad Horizons and Marmalade House, is based on each person as an individual and is very ‘person centred’. The people living at Broad Horizons and Marmalade House feel their views are listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. Broad Horizons and Marmalade House provide a homely, comfortable and safe environment for people to live in. The people living at Broad Horizons and Marmalade House are supported by an experienced and qualified staff team. The service also has very good recruitment policies and practices, which helps to ensure people are protected. The manager is a competent and professional person who runs the home with the best interests of the people who live there at heart. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. People thinking about moving to Broad Horizons or Marmalade House are provided with lots of information to help them choose and they can visit the home first if they want to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions since the last inspection but the care plans that were examined contained evidence that full needs assessments have been carried out prior to people moving in. These assessments are reviewed and updated, as necessary, to help ensure people’s ongoing and changing needs continue to be met. It was confirmed, through discussions with staff and the manager, that prospective service users are able to, and do, visit the home before they actually move in. Each person has a copy of the service user guide and service contract, which include alternative formats such as pictures, to help people to understand the information. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is good. The people living at Broad Horizons and Marmalade House are involved in decisions about their lives and have the opportunity to be actively involved in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were looked at in detail and each of these contained very clear but comprehensive information with regard to how people wanted and needed to be supported in their daily lives. Some of the information such as daily diary & daily notes are kept on hand in the kitchen area, to enable constant updates, although confidentiality was still seen to be maintained. Other, more detailed records, were seen to be kept securely in the office. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 11 In compliance with a previous requirement, support plans have been reviewed on a regular basis. Additionally, most of the files are more organised and have an index with information under a number of headings such as: personal profile, money, doctors’ appointments & medical information, eating care plan & weight, benefits, risk assessments, reviews, tenancy agreement, monthly reports and family addresses and birthdays. Risk assessments were very clear, covered all aspects of daily life and were very ‘person specific’. All were seen to have been compiled with a very enabling attitude – i.e. supporting someone to do as much for themselves as possible, rather than doing things for them. Some individual examples seen were, eating, drinking, travelling, personal hygiene, self-medication, household tasks and personal hobbies/activities. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is Good People who live at Broad Horizons and Marmalade House are able to make choices about their lifestyle and are supported to participate in various activities, which suit their individual needs, choices and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was very evident, from the records looked at, discussions with staff and observations on the day of inspection, that people are very much supported and encouraged to develop personally. Information provided to the Commission last year confirmed that one of the people living at Broad Horizons had terminated their contract, which was regarded as positive news and was the result of several years work, leading to the person feeling able and confident to progress from registered care to a shared property where they would enjoy their own tenancy. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 13 A great deal of evidence was found to be available during the inspection, which showed that people are able to access and undertake a wide range of activities and hobbies. Daily diaries were looked at, together with information in people’s care plans. All written records were seen to be dignified and respectful and, once again of an empowering and enabling nature. Some of the in-house activities noted included sorting wardrobe & cleaning own room, reading, taking pictures for ‘life-book/scrap-book’, making drinks, visiting friends, listening to CDs, pub visit, walk and feeding the ducks, helping prepare lunch, art-work, music sessions, helping with shopping and helping with other household tasks. Some of the people living at Broad Horizons and Marmalade House also access external resources, such as day services, on a regular basis. Recent outings noted included circus, drive out and lunch, local garden centres, shopping in Norwich, seaside trips and lunch at MacDonalds. Two people were joined by the inspector at lunchtime, which was noted to be a relaxed and comfortable occasion. Individual dietary requirements were seen to be catered for exceptionally well, once again promoting a person centred approach and individuality. The menus were seen to be very varied, offering a healthy and balanced diet for everyone living at the home. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. The health and personal care that people receive, at Broad Horizons and Marmalade House, is based on their individual needs and the principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans looked at were found to contain very detailed information about each person as an individual with regard to how they needed and wanted to be supported and a lot of time and effort has been spent compiling the care plans to ensure a consistent approach is maintained, with regard to supporting each person. The records seen contained very clear guidelines for support staff in areas such as people’s seizures, behaviour, personal hygiene, bathing or showering and dressing. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 15 There was also evidence on file of input from external healthcare professionals such as GP, community nurses, dietician, speech & language therapist, chiropodist, physiotherapist, dentist and optician. One of the people living at Broad Horizons was noted to have a risk assessment, and guidelines were in place, to assist them to self-medicate and the service was seen to have robust policies and procedures with regard to handling and administering medication. Records and discussions confirmed that the staff are well trained in areas relating to medication. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. The people living at Broad Horizons and Marmalade House feel their views are listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No formal complaints have been received since the last inspection and the home’s complaints procedure and record keeping was seen to be robust. Copies of the procedure were also seen to be available in pictorial format, audio-tape and posters, which were on display in both Broad Horizons and Marmalade House. Observations during the inspection supported the fact that the people living at Broad Horizons and Marmalade House feel safe and discussions with staff and training records confirmed that all staff have received training in, and understand, abuse and the protection of vulnerable adults. Any incidents were noted to be well documented, bruise charts were completed where applicable and a policy on the management of abuse was also seen. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28, 29 & 30 Quality in this outcome area is good. Broad Horizons and Marmalade House provide a homely, comfortable and safe environment for people to live in, which is clean and hygienic and people are provided with the specialist equipment they need to maximise their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was carried out as part of the inspection process and both bungalows were found to be clean, hygienic and pleasantly decorated throughout, with no unwanted odours. Both also had very comfortable and homely atmospheres. Broad Horizons has a very well equipped multi-sensory room and personal aids/specialist equipment was noted to be available for people if and when they required. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 18 All of the people living at Broad Horizons and Marmalade House are able to personalise their rooms and all of the rooms seen, reflected each person’s individuality. All areas seen on the day were free from health and safety hazards, thus also providing a safe environment for people to live in. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. The people living at Broad Horizons and Marmalade House are supported by competent and qualified staff. The service also has robust recruitment policies and practices, which helps to ensure people are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions were held with some of the staff members on duty at the time of the inspection, and all said they felt the team worked very well together. They also spoke very highly with regard to the support and training provided by the organisation as a whole. Training records were looked at and evidence was seen of courses attended such as first aid, fire safety, health & safety, COSHH, food hygiene, infection control, adult abuse & POVA (including ‘train the trainer’ for the manager and a member of staff), moving & handling, medication, risk assessments, professional boundaries, keyworking, epilepsy, dementia, Unisafe (challenging behaviour) and learning difficulties. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 20 The personnel files that were looked at contained all the relevant records such as application form, references, contract, confirmation of identification and clear, enhanced Criminal Records Bureau (CRB) disclosures, therefore confirming that the home/organisation has robust recruitment procedures. Evidence was also seen to show that staff received one-to-one support and supervision, on a regular basis and most of the staff questionnaires that were returned included comments such as: “We have supervision every month, and we can discuss any problems, which is very good.” Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 & 42 Quality in this outcome area is good. The manager is a competent and professional person who runs the home with the best interests of the people who live there at heart. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The atmosphere observed during the inspection was cheerful and relaxed and observations confirmed that the service users were genuinely in their own homes with their best interests, health and happiness being absolute priority. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 22 Discussion with the manager confirmed that he completed his Registered Manager’s Award in August 2007. The policies and procedures were looked at and found to be comprehensive and generally in good order. Full reviews are currently underway and ongoing. Orwell Housing carry out monthly visits (regulation 26) and copies of their reports and findings are submitted to the Commission. In addition to this, they also complete an annual audit of the service. The regulated checks for fire, environmental health, water and electric were found to be satisfactory and cleaning materials/hazardous chemicals were seen to be stored appropriately. Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 24 CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 3 3 4 X Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broad Horizons & Marmalade House DS0000027485.V359833.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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