Care Home: Oldfield House

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What the care home does well Oldfield House has a warm and homely atmosphere and relatives said they were always made to feel welcome. The district nurse confirmed that staff always follow instructions about treatment, and they are very good at contacting nursing services if they need advice or to ask for early intervention if concerns are raised. People said they loved it at the home, they liked the food and the activities provided. They said staff were always friendly and caring. Surveys confirmed that staff always listen to them and act on what they say, they said staff always respect their dignity and encourage them to make decisions about how they spend their time. They said they liked their bedroom and said the home was always clean and fresh. People told us they were aware of the complaints procedures and would speak to the manager if they had a problem. They said they feel safe at the home and the staff were caring and friendly. What has improved since the last inspection? The care plans have improved so that they have details of the current needs of people and risk assessments tell staff what they must do to minimise risks while helping people to maintain their independence. The daily notes could be improved to ensure they are more detailed. The manager told us that a new care plan format will be introduced which will ensure the plans are more user friendly and concise. They have improved the medication procedures to ensure staff signed the medication administration record once they have administered the medication. This means people receive their medication safely. They have introduced a sheet which describes the up to date medication for individuals and they have also added a brief overview of the types of side effects that the medication may have. The manager undertakes regular competency checks on staff that administer medication to ensure they have the required skills to administer medication safely. They have introduced a 72 hour monitoring form which staff complete following any falls at the home. The means staff continue to closely monitor the effects of falls. What the care home could do better: The home could improve how people can access activities, by allocating dedicated hours for activities, as the current identified person fits in activities along with her caring roles and responsibilities. Staff should be advised of their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty safeguards so that they understand the action they need to take when acting in the best interests of people who use the service. Key inspection report Care homes for older people Name: Address: Oldfield House Oldfield Lane Stainforth Doncaster DN7 5ND     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Valerie Hoyle     Date: 0 8 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Oldfield House Oldfield Lane Stainforth Doncaster DN7 5ND 01302351410 01302849078 NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Doncaster Metropolitan Borough Council care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Independent wheelchair users must be accommodated in bedrooms of 12sqm or above To allow one named service user under the age of 65 to remain at the home. Date of last inspection Brief description of the care home The home is situated in Stainforth, and is convenient for local amenities within walking distance of local shops, the library and Post Office. Oldfield House is a purpose built home built by the Local Authority and was extensively refurbished in 1992. Personal and social care is provided for up to twelve older people with dementia on a separate unit within the home and twenty-one older people. Two of the registered beds are used to provide respite care to people. Accommodation is provided in single bedrooms that are not en suite but do have hand wash basins. Communal toilets are situated on every corridor, within easy reach of peoples bedrooms. The home has a large communal dining room, three lounges and a Care Homes for Older People Page 4 of 26 Over 65 12 21 0 0 0 8 1 2 2 0 0 8 Brief description of the care home seating area in reception in the residential unit. The dementia unit has a small lounge and a combined lounge/dining room. There is easy access to garden/outdoor areas that people can use when the weather permits. The fees were from £359.67 to £490 per week. Hairdressing, personal toiletries and chiropody were charged extra. The manager provided this information during the site visit on 8th December 2009. Information about services provided by the home is available in the Service User Guide. Copies are given to people when they enquire about the home and people living in the home had copies in their bedrooms. The homes statement of Purpose is displayed in the entrance. A copy of the last published inspection report dated 8th December 2008 is available on request. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This unannounced inspection took place over 6.5 hours starting at 09:30 finishing at 16.00. The visit included a partial inspection of the home. Six people who use the service, the registered manager and deputy manager, four staff and two relatives were spoken to during this inspection, their views are included within this report. 25 Surveys (10 for service users, 10 staff, 5 Health Professionals) were sent to the service. 6 surveys were returned from staff 3 surveys were returned from health care professionals and 6 service user surveys were returned. We spoke the district nurse and reviewing officer from social services for their views on the service. Their comments can be found in the health and personal care section of this report. Care Homes for Older People Page 6 of 26 Occupancy at the home on the day of this inspection was 31 which included 1 person receiving respite care. Three peoples care plans were looked at. Policies relating to medication, complaints, protection and handling of peoples money were looked at. Three recruitment and training records were looked at to assess how people were protected from harm. Procedures and risk assessments relating to health and safety were looked at and discussed with the manager. The Annual Quality Assurance Assessment (AQAA) was sent to the home and returned to us in a timely manner, it was comprehensive and told us about how the service has progressed since the last inspection. An AQAA is a self-assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their services. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 26 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff are able to demonstrate they can meet the needs of people who use the service by carrying out comprehensive assessments. Evidence: All new people receive a full comprehensive need assessment before admission into the home. This is carried out by unit manager or the deputy manager. Staff undertaking the assessments have the required skills and competencies to ensure they can meet the persons needs. The service was highly efficient in obtaining a summary of any assessments undertaken by social services. Staff confirmed the information contained in the assessment was essential to understand what they needed to understand about a person to meet their needs. The assessments looked at were focused on acheiving positive outcomes for people and they covered all essential areas of need. Before admission discussions take place to consider the best interests of people, this would normally include the persons Care Homes for Older People Page 11 of 26 Evidence: family. The procedures include trials at the home and people could visit before moving into the home. People said they were very happy that they chose the home as previous experiences of residential care had not been very positive. Relatives said they had looked around a number of homes before choosing Oldfield House. They confirmed they were involved in the admission process and staff were warm, friendly and helpful. Surveys returned from people who use the service confirmed they were given enough information so that they could make decisions about the home. They all confirmed they had received confirmation of the terms and condititions of their stay. Surveys received from healthcare professionals confirmed the service have appropriate care assessments so that the right care package can be delivered. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide staff with sufficient information to meet the needs of people who use the service. Medication procedures were well managed ensuring people receive their medication as prescribed. Evidence: A number of care plans were looked at, they contained sufficient information to enable staff to deliver the care people need. Staff interviewed had a good understanding of how to meet the needs of people and they have keyworker responsibilities for a small number of people. The manager was aware that improvements were needed to streamline the care plan and make it more user friendly. The manager told us that new care plans have been developed but not yet introduced. Risk assessments were in place and included action to reduce risk while helping people to maintain their independence. Surveys confirmed people always receive the care and support they need and staff are always available when they are needed. Medication procedures were followed and they have improved the system to ensure staff sign for the medication after it had been administered. They have improved the Care Homes for Older People Page 13 of 26 Evidence: procedure by listing medication and giving information about their side effects which is good practice. The medication administration records were checked and they were an accurate reflection of the medication administered. The store was tidy and controlled drugs were recorded accurately, although the book used should have details of the up to date page in use, so that medication can be audited quickly. The medication fridge was checked each day and recorded to ensure medication was stored at the correct temperature. The manager undertakes weekly audits and he also has responsibility for ordering medication. Care Homes Advisory Team also supports the home by giving advise and undertaking audits. The manager carries out competency checks on staff to ensure medication is administered safely. Health and medical records confirm people receive the support they need to maintain their health and wellbeing. The home had good records to demonstrate they use assessment tools to help maintain healthy skin and meet peoples nutritional needs. Surveys received confirmed that people always receive the medical support they need. A visiting district nurse said staff were very good at contacting nursing services for advice and support. Surveys from healthcare professionals confirmed peoples social and healthcare needs were properly monitored, and reviewed. Throughout the visit staff were seen interacting with people in a kind manner, they spent time talking to people and were observed knocking on peoples bedroom doors before entering. People were referred to by their first name and this was agreed in the care plans looked at. Surveys confirmed people were treated with respect and people said staff always maintain my privacy when attending to their personal care needs. They said they had made choices about the time they get up and go to bed and also how many times they want staff to check them during the night. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to socialise with family and friends and mealtimes were well managed so that it encouraged people to make choices. Evidence: There was a warm and friendly atmosphere on entering the home and people appeared comfortable sitting in the various lounges and bedrooms. The home has identified a staff member who takes the lead in arranging activities although they undertake the role as well as carrying out their care duties. They have attended training from Age concern to give them new ideas about activities for the elderly. There was evidence that people can access activities and posters around the home told people about forthcoming events, which included Christmas festivities. People enjoyed making Christmas cards and the focus for most people was around the chickens, which had been raised from eggs (Living egg project). People said they really enjoyed the whole experience of watching the chicks hatch from their eggs and some people were involved in feeding the hens and looking after the quadrangle where they were housed. They have also obtained a rabbit and guinea pig and people were encouraged to stroke and feed the pets. Surveys received from people told us they enjoyed the activities provided at the home, although some said they would like to get out more. Care Homes for Older People Page 15 of 26 Evidence: People are able to have visitors at any time and visitors to the home told us they were always made to feel welcome and enjoyed joining in to raise funds for the home. A recent bingo evening was very well attended and people said they had enjoyed the evening very much. Staff were seen interacting with people and visitors throughout the inspection and everyone joined in conversations about activities meals and the chickens. People were encouraged to make choices throughout the day ranging from choices relating to meals and beverages, to where they spent their time and times to get up and go to bed. People told us they liked to have a lay in and get up in time for breakfast and some said they liked to stay up and watch television. Mealtimes were well managed and staff were seen asking people what they preferred for their lunch. The menus were clearly displayed and people said the food was always good and their was plenty of choice. The meals were served from a heated trolley on one of the units while the other meals were served directly from the kitchen. Staff were available to offer discreet assistance and people said they enjoyed their meal. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and safeguarding procedures were followed which ensures people feel safe and protected. Evidence: The home has a complaints procedure that is available to people and visitors to the home. The procedure is also referred to in the information given to new people, identifying the steps to follow, including the timescales for responding to complaints. The AQAA told us that there has been one complaint received in the last twelve months. The complaint record was looked and discussed with the manager who confirmed the outcome of the complaint. Surveys told us they know who to contact if they had a problem and they were confident that their concerns would be listened to and would be acted on. The home has a robust safeguarding adults procedure which would be followed if any incidents of abuse was raised. The AQAA confirmed that there have not been any incidents of abuse. The manager holds regular discussion with staff to ensure they are alert to the signs of abuse and the action they must take if they suspect an incident has occurred. The manager is aware of his responsibilities with regard to the Mental Capacity Act 2005 and the Deprivation of Liberty safeguards and he has held discussions with staff although formal training is still to be arranged. Surveys returned from staff confirmed they know what to do if they have concerns and staff interviewed were able to confirm the action they would take. People said they feel safe at the Care Homes for Older People Page 17 of 26 Evidence: home and would tell the manager if they were worried about anything. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a safe, comfortable environment for people who use the service. Evidence: The home was clean and fresh and people told us the home was always tidy and their bedroom was clean and tidy. Communal areas were bright and cheerful and had been decorated for Christmas. Bedrooms had been personalised to reflect peoples taste and people told us they were encouraged to bring in personal items to help them feel at home. People told us they were able to lock their bedroom door and treat the room as their own home. The home has a refurbishment programme and the home is maintained to a good standard. One of the units (Harrison suite) has been refurbished with new carpets, furnishings and decoration. The manager told us that they have created a sensory lounge which is quite calming for people who live on the unit. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have the skills and competencies to meet the needs of people who use the service, and recruitment procedures are robust which helps to keep people safe from harm. Evidence: The home has robust recruitment and selection procedures that ensures people who use the service are safe and protected. A number of staff recruitment files were looked at and they included all the required employment checks including two references, application form, and Criminal Record Bureau (CRB) check. The files were organised and could be easily audited. The manager said he contacts referees if there are any issues raised in the information provided. The recruitment files included interview questions and responses and the manager checks any gaps of employment with the candidate at interview. Staff rotas and observation during this inspection confirmed there was sufficient numbers of staff to meet the needs of people who use the service. The manager was responsible for completing rotas and staff tend to work on each of the two units, to ensure they know the needs of all people who live at the home. There is a stable staff group and most staff have worked at the home for a number of years. There is a comprehensive induction programme which meets the Skills for Care standards. Staff are only confirmed in post when they have completed their induction. Care Homes for Older People Page 20 of 26 Evidence: Staff have the required skills and competencies to meet the needs of people, and they have sufficient numbers of staff (18 of the 28 staff employed) that have been awarded a National Vocational Qualification (NVQ) to Level 2 standard. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were protected by sound management practices. and their views are actively sought to improve the service. Their financial interests were safeguarded and there is good health and safety procedures which ensure people are protected from harm. Evidence: The registered manager has a wealth of experience and skills to manage the home to a good standard. He has achieved the required management and care qualifications and also attends training as required by the organisation. He operates an open door policy to ensure he was accessible to staff and people that use the service. Relatives and staff spoke highly of the manager. Surveys returned from staff said the manager is very supportive and we can go to him if we have any concerns. He is supported in his role by a deputy manager and a team of senior staff, who have specific roles within the home. Staff and group meetings ensure that staff were informed about training opportunities and the day to day running of the home. The manager undertakes supervision of staff and checks their competencies. Care Homes for Older People Page 22 of 26 Evidence: People who use the service were able to make decisions about how they want to manage their personal money, although some choose to let the home manage their money due to their limited capacity. Records were looked at and they were a true reflection of the money kept in their savings. The organisation has developed good quality audits which the manager and his team have to complete. They also actively seek the views of people and other stakeholders, and surveys are sent out to people yearly. A selection of the outcomes from the last surveys were looked at, and they showed good satisfaction levels in all areas. The manager has responsibility for addressing areas requiring improvement. The outcomes of the most recent audit is displayed on a notice board outside the office. Accident and incident reports were analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records were looked at in the AQAA returned to us they were up to date and current to the service provided. The manager has the required health and safety policies and procedures and displays the relevant notices. Fire safety procedures were in place and service records were looked at in the AQAA and were up to date. Staff have received training in all areas relating to health and safety to ensure they can keep themselves and people who use the service safe from harm. Surveys returned confirmed staff receive training which is up to date, and enables them to understand and meet the needs of people who use the service. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 12 Consideration should be given to allocate dedicated hours to activities, to improve the oportunities for people to join in meaningful activities. Staff should receive training in the Mental Capacity Act 2005 and Deprivation of Liberty safeguards to ensure they are aware of their responsibilities while caring for people with limited capacity. 2 18 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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