Care Home: Gateholme

What the care home does well The acting manager said that people are encouraged and supported to use ordinary community based leisure and education services. One person said they are a member of a local Gym and that they go swimming on a regular basis. They went on to say that they swim 32 lengths of the swimming pool. Another person said they like going to the local garden centre and to the `pub` for a drink and sometimes for meals. One person said they like going to the college to learn `Lifeskills`, they said that they enjoy learning to wash and iron their clothes. Another person said they like going to the recourse centre as they see all their friends. The minutes of the residents meetings show people living in the home choosing their holidays. One person said they have chosen to go to Blackpool as they like the seaside. The daily records use words to show people making choices about their lives on a day-to-day basis. The manager said there is a new menu chosen by people in the home. The minutes of the residents meetings confirmed this. Everyone spoken to said they like the meals and one person was pleased to show the inspector the new dining room tables and chairs. One person said they really like their bedroom and in particular their new television. The manager said and the staff rotas show that there are now more staff to support people. People living in the home said they like the people looking after them. The staff training records show that people are cared for and supported by staff that are trained. The manager said that people living in the home help to choose new staff and ask questions to see if they like them. Throughout the visit people were observed been treated with dignity and having their wishes respected. People living in the home are protected by the way staff are selected and by the way their medicines and finances are dealt with. What has improved since the last inspection? They way people like to be cared for is written down for staff to follow, now this is looked at more regularly to see if people`s needs have changed. There is now more staff available to make sure people`s care and support needs will be met. People are more involved and have a say in what happens to them for example choosing new support workers, choosing their menu, and signing their care plans and reviews to show they agree with them. The daily records show people are encouraged and supported to make decisions about how they live their lives. One person said they like the new dining room tables and chairs as they are `much better` than before. Records show that other people are more involved in supporting people such as advocates, District Nurses and the Community Learning Disability team, to make sure their needs are fully met. What the care home could do better: Although there is evidence that the way the home is managed is much better the manager is not yet registered. The acting manager says they have put forward an application to be registered. The acting manager said the people living in the home, their relatives and other visitors were not asked their opinion about the quality of the services provided by the home in 2007. They said that they intend to ask people this year what they think and provide a report to show others their views and comments about the quality of care provided. CARE HOME ADULTS 18-65 Gateholme Old Bradford Road Carr Gate Wakefield West Yorks WF2 0QW Lead Inspector Tony Railton Key Unannounced Inspection 11th April 2008 08:30 Gateholme DS0000006181.V362213.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 Gateholme DS0000006181.V362213.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. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gateholme Address Old Bradford Road Carr Gate Wakefield West Yorks WF2 0QW 01924 871137 01924 872705 gateholme@craegmoor.co.uk www.craegmoor.co.uk J C Care Ltd 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) Mrs Fiona Tate Care Home 31 Category(ies) of Learning disability (31) registration, with number of places Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2007 Brief Description of the Service: Gateholme provides accommodation and personal care for 27 adults who have a learning disability. The home consists of three buildings, one large unit and two smaller units. Set back in its own grounds the home is surrounded by very large gardens with a large lawn to the front. There is also a large drive with parking to the front. Each unit operates independently having their own lounges, kitchens, bathrooms and toilets. The home only provides single accommodation. Bedrooms are personalised and homely. Most residents attend care services, however, activities are organised on a regular basis for those who wish to participate. Some residents are very able and can travel independently. The home is close to a main bus route and is only a few minutes journey from the centre of Wakefield and all services and amenities. The home is also close to the M1and M62 motorways. On 11th April 2008 the providers said that the range of fees for living in the home was between £395.00 and £880.00 per week with separate cost for hairdressing (£4.00), chiropody (£5.00) and horse riding (£7.00). The Statement of Purpose containing additional information about the service and the role of the CSCI provided for prospective residents and their relatives is available from the home or from the providers website, www.craegmoor.co.uk Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating which means that people using the service experience good quality outcomes. This visited started at 08.30 and ended at 13.30. During the visit there was the opportunity to speak to most people living in the home, the acting manager and support staff. The records of six people living in the home were seen and included, assessments, plans of care, reviews, medical and daily records. The records of six support workers were also seen and included, application forms, references, police and POVA (Protection of Vulnerable Adults List) checks. Staff training records were seen along with minutes of staff line management supervision and appraisals. Other information considered included that provided by the home before the visit, the service history, and previous inspection visit report. The medication system and financial records and maintenance records were also checked. What the service does well: The acting manager said that people are encouraged and supported to use ordinary community based leisure and education services. One person said they are a member of a local Gym and that they go swimming on a regular basis. They went on to say that they swim 32 lengths of the swimming pool. Another person said they like going to the local garden centre and to the ‘pub’ for a drink and sometimes for meals. One person said they like going to the college to learn ‘Lifeskills’, they said that they enjoy learning to wash and iron their clothes. Another person said they like going to the recourse centre as they see all their friends. The minutes of the residents meetings show people living in the home choosing their holidays. One person said they have chosen to go to Blackpool as they like the seaside. The daily records use words to show people making choices about their lives on a day-to-day basis. The manager said there is a new menu chosen by people in the home. The minutes of the residents meetings confirmed this. Everyone spoken to said they like the meals and one person was pleased to show the inspector the new dining room tables and chairs. One person said they really like their bedroom and in particular their new television. The manager said and the staff rotas show that there are now more staff to support people. People living in the home said they like the people looking after them. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 6 The staff training records show that people are cared for and supported by staff that are trained. The manager said that people living in the home help to choose new staff and ask questions to see if they like them. Throughout the visit people were observed been treated with dignity and having their wishes respected. People living in the home are protected by the way staff are selected and by the way their medicines and finances are dealt with. What has improved since the last inspection? What they could do better: Although there is evidence that the way the home is managed is much better the manager is not yet registered. The acting manager says they have put forward an application to be registered. The acting manager said the people living in the home, their relatives and other visitors were not asked their opinion about the quality of the services provided by the home in 2007. They said that they intend to ask people this year what they think and provide a report to show others their views and comments about the quality of care provided. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Gateholme DS0000006181.V362213.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 Gateholme DS0000006181.V362213.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): 2 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ care and support needs are looked at before coming to live in the home. EVIDENCE: Six peoples records including assessments and Person Centred Plans, show their care and support needs are assessed before they come to live in the home. This is done to make sure the service can meet their personal care and support needs. The signatures in peoples’ records also show that they and their relatives are involved and have a say in how people will be cared for and supported. Records show that most people also have their needs assessed by Social Services or Community Nurses and these are also considered when planning people care and support needs. Gateholme DS0000006181.V362213.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 and 9 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ needs are written down and they have a say in what happens to them, people are encouraged to take risks as part of living an ordinary lifestyle. EVIDENCE: The signatures in a sample of six peoples Person Centred Plans and reviews show that they and their relatives are involved and have a say in how peoples care and support needs will be met. The minutes of the six monthly reviews show that other people such as Social Workers, Advocates and Community Nurses are also involved and have a say about the way peoples’ needs are met. The reviews also show that people, their relatives and others are happy with the services and support provided. Throughout the visit people were observed being treated with dignity and having their wishes respected. The daily records now contain descriptive words to show and reflect peoples’ choices and preferences. They also show that people have a say in how they live their day-to-day lives. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 11 The residents meeting records show that people are also encouraged to make other decisions about what they eat and their holidays. The manager said people are encouraged to take risks as part of living an ordinary lifestyle. The risk assessments in a sample of six peoples’ records confirmed this and show that steps are taken to make sure people are safe. Gateholme DS0000006181.V362213.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): 12,13,15,16 and 17. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People have a say and are supported to take risks live as part of living an ordinary a lifestyle. EVIDENCE: The acting manager said that people have chosen new menus and have a say in what meals they have. The daily records and minutes of the residents meetings show people have a choice of menu. The menus show that people have chosen and are offered a varied and balanced diet. People said they like the meals provided. One person said they like going out to the ‘pub’ for a drink and something to eat. The acting manager said that people are supported and encouraged to use ordinary community based education and leisure services. A sample of six peoples records including person centred plans and daily records show that people are assisted to use services in the local community. One person said they enjoy going to the Gym and in particular swimming and can do thirty-two lengths of the pool. Another said they enjoy the ‘Lifeskills’ course at college that includes learning to wash and iron their clothes. Someone else said they Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 13 enjoy going for walks and shopping. Another person said they have chosen to go to Blackpool for their holidays. The acting manager said that some people have chosen to go abroad this year. One person said they are looking forward to flying as they have never flown before. Throughout the visit people were observed being treated with dignity and having their wishes respected. The reviews show that people living in the home, their relatives and other people are happy with the support and services provided. Gateholme DS0000006181.V362213.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 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ personal and healthcare needs are met and they are protected by the way medicines are dealt with. EVIDENCE: A sample of six staff records show that they are trained in how to give medicines safely. Four peoples medicines were checked and found to be correct. Staff training records show that those giving medicines have been properly trained. The acting manager said new staff do not give medicines until they have been trained in how to do this safely. A sample of six peoples records show that they are assisted to use ordinary community based healthcare services, including GP’s, dentists, opticians and chiropodist. Records also show some people are also supported by the District Nurses, Community Learning Disability Nurses and hospital based consultants. To help people receive the care and support they require some also have the support of Psychologists and independent Advocates. The reviews of six people living in the home show they and their relatives and other healthcare professionals are happy with the services and support Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 15 provided. The daily records contain descriptive words to reflect and show peoples choices on a day-to-day basis. Gateholme DS0000006181.V362213.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 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People feel their views are listened to and acted upon and that they are safe. EVIDENCE: Information sent before the visit show the home has only received one complaint since the previous visit. The records of complaints show that a complaint from a relative about the amount of staff on duty was dealt with properly. The acting manager said that since the complaint three new staff has been employed to make sure peoples’ care and support needs are met. The duty rota confirmed this showing an extra staff on each of the three shifts. One the day of the visit enough staff was observed to be available to meet peoples support needs in a relaxed and unhurried manner. The acting manager said the complaints policy and procedure has been updated and is provided in an appropriate format with the use of pictures, symbols and words. A copy of the complaints policy is displayed in the home. A copy of the complaints policy and procedure is also given to people in the Service User Guide. The service history shows there have been two Safeguarding Referrals and the minutes of these meetings show that they have been properly dealt with. A sample of six staff records show they are trained in dealing with complaints as part of their induction. To make sure people living in the home are protected from abuse, other staff training records show all staff have Safeguarding training that is updated on a regular basis. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 17 One person said they know how to make complaint but they have never had to do this. Discussion with support workers found they have a good understanding of what abuse is and what to do to prevent it from happening. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 18 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 and 30 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well decorated and well maintained home that is comfortable clean and safe. EVIDENCE: Throughout the visit people were observed relaxing in the lounges, dining rooms and lounges, that are well decorated, homely and clean. The deputy manager said the corridors and some bedrooms have been decorated. One person said they like their bedroom and have everything they need. Another said they were going to clean their bedroom today and was pleased to show the inspector their belongings. They said they have chosen the colour of their room and the bedding and curtains. One person said the new dining room tables and chairs are “great” and that they like their new lounge, as it is quieter. The manager said regular health and safety checks are recorded including fire and emergency lighting. The maintenance records confirmed this. To make Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 19 sure people live in a home that is safe, the staff training records show that all staff have health and safety training. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 20 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): 32,34 and 35 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. An effective staff team supports people, and they are protected by the way staff are recruited and selected. EVIDENCE: To make sure people living in the home are protected a sample of six staff records show that police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Records also show that people in the home take part in choosing new staff, interviewing them and asking them questions to see if they like them. The acting manager said to make sure people receive the care and support they require staff are trained. Staff training records confirmed staff have training that includes, Moving and Handling, Health and Safety, First Aid, Food Hygiene, Risk Assessment, and Infection Control. Records also show that other training is provided to make sure people are cared for properly, this includes Learning Disability Awareness, Epilepsy, Managing Aggression, Behaviour Management, Person Centred Planning and report writing. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 21 Throughout the visit enough staff were observed to be available to meet peoples care and support needs in a relaxed and unhurried manner. The acting manager said three new staff have been employed to make sure peoples needs are met. The reviews of six people living in the home show they, their relatives and others are happy with the staff and the support provided. One person said they like the staff saying they are “great”. Another said there is always someone there to help them. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 22 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 and 42 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home that is run in their best interests, however, their views and the views of others on the quality of life in the home are not published. EVIDENCE: The person Centred Plans, reviews and daily records, minutes of residents meetings, and staff selection records show people living in the home have a say in the running of the home what happened to them. A sample of six peoples records show that the care management systems in the home and in the particular reviewing of peoples care has improved, and that people, their relatives and others are happy with the services provided. To make sure peoples support and care needs are met the staff management has improved and there are more trained staff available to meet peoples’ needs. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 23 The home is currently without a registered manager and the law says the manager must be registered. The acting manager said that they have sent in their application to be registered. People are protected by the way their finances are dealt with, as some were checked and found to be correct. The new acting manager said in 2007, satisfaction surveys were not given to people living in the home or their relatives, and there is no report showing their views and comments. They went on to say that people will be asked for their comments in 2008 and a report will be provided showing their comments about the quality of care provided. The maintenance and staff training records show that peoples’ health, safety and welfare is promoted and protected. Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 24 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 CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 3 X Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 8 (1)(a) Requirement The acting manager needs to be registered Outstanding from the previous inspection 26/9/2006/ 01/07/07, The new acting manager says that they have submitted an application to the CSCI to be registered. 2 YA39 24 (1) (2) and (3) The views of people using the 01/10/08 service, their relatives and other stakeholders must be sought and a report published showing their views on the quality of care provided and any action taken by the service as a result of their comments. Timescale for action 01/06/08 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 Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 26 Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Gateholme DS0000006181.V362213.R01.S.doc Version 5.2 Page 28 - 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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