Care Home: Ingham Old Hall Residential Care Home

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What the care home does well People have good information to help them make an informed decision to live at the home. People have their needs assessed before they move into the home so that they can be sure the home can meet those needs. People said they can make choices about their daily living. Staff do their best to make sure their choices are respected. People said they enjoyed living at the home and felt well cared for. People said staff were kind, friendly and helpful. The service employs enough staff during the day and night so that people have their needs met and there is time for socialising. What has improved since the last inspection? The needs assessment and care plans have improved although there is still some work to do. All the necessary care plan elements are in place, but staff must make sure they complete all the forms and records as needed so that the health professionals have all the information they need. The home has an on-going programme of refurbishment and redecoration. Efforts were being made to ensure the redecoration of the main stairs did not affect residents and visitors too much. What the care home could do better: As stated above, staff must make sure that all elements and records within the care plans are completed so that there is a clear understanding of the individual, their needs and how they should be met. Staff use door wedges in all parts of the home and this is unsafe practice. Mrs Galliver is aware that alternative arrangements need to be in place so that doors can be held open safely without compromising fire safety. A safe or other secure cupboard needs to be provided so that people`s money and valuables can be looked after properly. The current arrangement is not adequate and would be improved by being moved to a more discreet area with limited access for unauthorised people. Some chemicals are kept and used at the home but the sheets giving details about safe use and what to do in the event of spillage could not be found. Mrs Galliver said she would obtain these sheets without delay. CARE HOMES FOR OLDER PEOPLE Ingham Old Hall Residential Care Home Sea Palling Road Ingham Norwich Norfolk NR12 0TW Lead Inspector Mrs Geraldine Allen Unannounced Inspection 7th January 2008 09:10 X10015.doc Version 1.40 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 Ingham Old Hall Residential Care Home DS0000063055.V357385.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 Older People. 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. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ingham Old Hall Residential Care Home Address Sea Palling Road Ingham Norwich Norfolk NR12 0TW 01692 580257 01692 580297 inghamoldhall@aol.com 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) Ingham Healthcare Ltd Miss Karon Leonard Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24th January 2007 Brief Description of the Service: Ingham Old Hall is a residential care home providing personal care and accommodation for up to twenty-five older people. It is a detached, two storey, period house that has retained many of its original features and in parts dates back to the fourteenth century. There is a passenger lift to the first floor and residents have communal use of a lounge, entrance hall sitting area, conservatory and dining room. The home has twenty-four bedrooms, one of which is a double bedroom and all have en-suite or designated washing and toilet facilities. There is a communal toilet and bathroom on each floor with a shower facility on the first floor and an additional toilet on the ground floor. The home is sited in it’s own, large, well kept grounds with parking adjacent to the building. The home lies within the boundary of the village of Ingham which itself lies approximately 1.5 miles from the small town of Stalham which offers shopping and health care amenities. Mrs Galliver provided information about the fee range and additional charges. People need to apply to the home for up to date information about this. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the day of Monday 7th January 2007. Information was obtained from a variety of sources and used to help make judgements about the service. The service completed and sent in an Annual Quality Assurance Assessment. This document provided information about the day-to-day operation of the home. On the day of inspection, records were looked at and residents and staff were talked to in private. A tour of the building took place and lunch was eaten with residents in the dining room. A new manager, Mrs Paulene Galliver, has recently started working at the home and time was spent talking with her about her plans. Overall residents said they enjoyed living at this home and said staff were ‘lovely and always kind’. They said they had enjoyed ‘a wonderful Christmas and the food had been lovely’. Another resident said ‘staff are friendly’ and also that they were ’very happy’ at the home. One requirement has been made about fire safety arrangements and four recommendations about best practice have been set. What the service does well: People have good information to help them make an informed decision to live at the home. People have their needs assessed before they move into the home so that they can be sure the home can meet those needs. People said they can make choices about their daily living. Staff do their best to make sure their choices are respected. People said they enjoyed living at the home and felt well cared for. People said staff were kind, friendly and helpful. The service employs enough staff during the day and night so that people have their needs met and there is time for socialising. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 6 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. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information to help them make an informed decision to live at the home. People have a full assessment of their needs before they move into the home. This service does not provide intermediate care. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 9 EVIDENCE: Residents have a copy of the service user guide and statement of purpose in their room. These give people good information about the home. The service also has a website where information can be obtained. The home uses a good needs assessment tool and Mrs Galliver confirmed that all residents have a full needs assessment completed before a decision is made for them to live at the home. This ensures that the service can meet each person’s needs properly. These assessments were seen in the care plans and provided evidence that the information was gathered from the resident, relatives and other health professionals. A requirement made at the last inspection has been met. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have an individual care plan that sets out what their needs are and how they should be met. People have access to health professionals whenever they need it. The home has medicines policies in place that staff follow. People are treated with respect and their privacy and dignity protected. EVIDENCE: Three care plans were looked at in detail and the opportunity was taken to speak with two of these people to see how well the care plans reflected the care they needed. There had been improvement to the way people’s needs were assessed and the way care plans were kept. The documents tell staff what help and support the resident needs and how it should be given. Residents and/or their relatives were fully involved in deciding what care they needed and staff ensure they regularly review the care plans so that the care given is Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 11 appropriate. The records showed that people living at the home have access to the health support they need. However, staff need to make sure they complete the daily care charts so that people can be sure each resident receives the care they need. Staff also need to make sure they complete records requested by health professionals so that physical and mental health needs of the person can be assessed accurately. A requirement made at the last inspection has been met. The staff handover meting was observed at 14:00. The care issues for each resident was referred to and these issues discussed so that everyone knew what was required of them. The medication records were looked at. The records were fully completed and there were no gaps. The dispensing of medicines was observed. Two trolleys are used and these were kept locked shut when not in use. Good dispensing practice was seen. Mrs Galliver said she has observed all staff currently trained to dispense medicines to ensure they remain competent and their practice was safe. The interaction between staff and residents was observed throughout the day. Residents were spoken to respectfully, and staff were friendly and open, giving residents time to respond. Personal care was provided in private and their dignity was protected. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to make choices about their lives and know that staff will respect their choices where possible. The service provides activities that people can join in with if they wish. Visitors are welcome at any time and relatives and friends are encouraged to be involved with home life. People receive a choice of food at mealtimes. Food is well prepared and attractively served. EVIDENCE: Three residents were spoken to at length. One resident said he was very happy. He said the staff were friendly and he liked his room, that was laid out as he preferred. He said he is still getting to know the new manager. He said the food was good but a bit repetitious. Lunch was eaten in the dining room with most of the residents. A table was shared with two of the residents and they talked about the home and their life there. Both said Christmas had been wonderful and the food lovely. They agreed that staff were lovely and always kind. They talked about how they Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 13 spend their day. They also said they could have visitors whenever they wanted. Both residents said they enjoyed their lunch and they both ate at their own pace without the need for any assistance. Residents said activities take place and they could join in when they wished. During the day, new activity equipment was delivered and shown to residents at lunchtime, causing a lot of laughter and chat. People were looking forward to using the new equipment. Mrs Galliver said she had a relatives meeting at the home shortly after her arrival and it had been well attended. Another is planned for Easter and she intends to hold these events every twelve weeks. Mrs Galliver also said she intends to use resident celebrations as an opportunity for social gatherings that will include relatives and friends. Lunch was eaten in the dining room with most residents present. Those who preferred not to sit in the dining room were able to eat elsewhere (lounge or own room). Lunch was served from a Bain Marie and heated trolley individually for each person. Residents were heard commenting on how nice and hot their meal was. Residents had chosen their meal during the morning. Cold drinks were served throughout the meal and tea and coffee provided at the end of the meal. The meal was a sociable event, with plenty of chatter taking place. People were unhurried and encouraged to eat independently. Staff were available to provide discreet assistance if needed, for example cutting the meat. The tables were attractively laid. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure that is known to people using the service. The service has a positive approach to dealing with expressions of dissatisfaction. The service has policies in place about the safeguarding of adults and these are well known by staff. EVIDENCE: All residents have a copy of the home’s complaints procedure within the service user guide. The service has a complaints book and Mrs Galliver said she has not received any complaints to date. She described an open door policy, whereby she intends to deal with any concerns before they become complaints. The Commission has not received any complaints or concerns about this service since the last inspection. The service has safeguarding adults and whistle blowing policies in place. Staff were aware of safeguarding issues. Mrs Galliver was aware that further training was needed and she was provided with safeguarding training events taking place currently. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and kept in a good state of decoration. Continuous improvement is taking place with the environment. All areas are kept clean and free of unpleasant odours. EVIDENCE: A tour of the premises was conducted with Mrs Galliver. The main stairs and corridors were being painted and Mr Patel confirmed that new carpets would be fitted once the decoration was complete There are changes of level throughout the building. Some are evened out with gentle gradient ramps and there are some places where steps are in place. There is also a moveable ramp located at the stairs by the main entrance. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 16 Where there are steps leading to resident’s bedrooms, mobility is inhibited but staff are aware and try to ensure residents are not left isolated. All bedrooms have en-suite facilities, some with baths. All the bedrooms were different and some had period features such as fireplaces or wood panelling. There were varying degrees of personalisation seen. All areas of the home were clean and there were no lingering unpleasant odours. Efforts are made to keep all corridors and fire escape routes clear of clutter, hoists and wheelchairs. The home was pleasantly warm and well lit. The laundry was well equipped, with washers and dryers that had the relevant programmes. A door wedge was removed from the laundry door and the use of wedges was seen throughout the home. The service must consult with Fire Safety Officers to ensure a safe method of holding open doors can be installed. This will help ensure fire safety within the home. The two requirements made at the last inspection have been met. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 18, 19 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service employs staff in sufficient numbers to meet the needs of people. Staff receive training that reflects the needs of the residents. The service follows good recruitment practices. EVIDENCE: A copy of the staff rota was provided and this showed that sufficient care staff are employed. Two waking night staff are also employed. In addition, catering, domestic, maintenance and gardening staff are also employed in good numbers. The training records showed that the service has a commitment to National Vocational Qualifications (NVQ). Nine care staff either have or are currently working towards NVQ2. One member of staff is working towards NVQ3 and two towards NVQ4. Two staff files were looked at and these contained all the information required. Mrs Galliver is checking through all staff files and reorganising them so that information is easier to retrieve. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 18 The recruitment process was discussed with Mrs Galliver. She described the process she intends to follow. This will include all interviews being conducted by two people and interview notes being kept. The training record showed that there are some gaps in training attended by staff. Mrs Galliver said she has already identified further training requirements that include infection control and safeguarding adults. Two staff were spoken to in private. One had only recently been recruited and she described the recruitment and induction process. The carer was very knowledgeable about safeguarding people and she was clear about when and how she would blow the whistle and said she would not hesitate to do so if necessary. The carer was able to give good examples of how she establishes and respects choices made by residents around their daily living. The other carer demonstrated a very sound knowledge of the residents and their needs and gave good examples of her high level of competence. Both carers said they enjoy going to work and said the staff group was friendly. They said they feel well supported and would be able to speak with Mrs Galliver if they had any concerns. The requirement made at the last inspection has been met. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is not yet registered but is experienced and competent to carry out the manager’s role. The service seeks the views of people who use and visit the service and takes into account their views when drawing up an improvement plan. Improvement is needed to the way records are kept about money looked after for residents so that they are protected from financial abuse. Staff are well supported and receive regular supervision. The health and safety of the service is maintained by good practice. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 20 EVIDENCE: Mrs Galliver is not yet registered as manager. She has previously been a registered manager since 1988 and has significant qualifications and experience. Mrs Galliver took up her post on 01/11/07. She spoke about the issues already identified and said she was still at the stage where she is assessing practice at the home before developing her own improvement plan. Mrs Galliver was not sure exactly how many people have their personal allowances looked after by the service. However, all are kept together in a locked cupboard in the entrance hall. The service needs to have a safe to ensure all monies and valuables are kept securely. The allowances held for two residents were looked at. The money held corresponded to the record. However, two signatures were not being obtained for all transactions and Mrs Galliver is aware this is needed. The supervision record was provided and showed that all staff had received formal supervision in the last two months. Various health and safety records were looked at. The accident records were fully completed. Mrs Galliver is doing a monthly audit of accidents, breaking down the incidents to person, time and place so that any patterns are quickly identified. This is good practice. Mrs Galliver was unable to locate the data sheets in respect of chemicals used at the home. She intends to improve storage arrangements and will ensure the data sheets are requested so that she is confident up to date information is kept in the home. The fire records are best described as chaotic. There was evidence that the fire alarms were properly tested each week until October 2007, at which point the records stop. Mrs Galliver was asked to review the fire records to ensure safe practice and this was done immediately after the inspection and before the inspection report was completed. Good records are now in place but need to be completed in accordance with best practice. It was noted that there is a culture of using door wedges. Mrs Galliver was advised to assess the places where doors need to be kept open and to arrange safe practice to hold these doors open. Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 3 X 2 Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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 OP19 Regulation 23(4)(a) Requirement There were door wedges in use in all areas of the home and these need to be removed and replaced with approved devices. This will ensure fire safety is improved. Timescale for action 29/02/08 Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP8 OP18 Good Practice Recommendations Staff need to make sure they complete the daily care charts. This will mean that there is a record of the care given to each person. Staff must complete all records when requested by health professionals so that the physical and mental health needs can be assessed accurately. Training about safeguarding people needs to be provided for all staff. This will ensure that staff understand what is abuse and what they should do if they suspect a person is being abused. Resident’s money and other valuables should be kept in a locked facility, preferably a safe, in a location that has restricted access. This will ensure that people’s money and valuables are better safeguarded. 4 OP35 Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 24 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 Ingham Old Hall Residential Care Home DS0000063055.V357385.R01.S.doc Version 5.2 Page 25 - 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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