Care Home: Qu`Appelle

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What the care home does well People living in this home told us they were well cared for by a committed and competent care team. They were very satisfied with the care, approach of staff and the overall service provided by the home. The acting manager takes care to ensure that each persons needs are assessed before entering the home. There is a weekly activity programme available that people can choose to join in with and that they said they enjoy. People said they enjoy their meals, which are varied, well presented and nutritious using fresh ingredients. There was a comprehensive programme of education and training provided for staff, which ensured that staff knew how to care and support the people who live at the home. What has improved since the last inspection? Since the last inspection the acting manager has taken action to redecorate 9 bedrooms, 2 lounges, and to re-carpet 7 bedrooms, 2 lounges. The acting manager has also provided new bedroom furniture in 2 bedrooms and has provided chairs of different designs to provide more comfortable seating. The outside of the home has also been painted. The home-owners have had a full safety check from an outside consultant and implemented the findings. They have provided new fire alarms, extra fire escapes, new internal fire doors and emergency lighting. They have provided a new large flat screen TV and a new rose garden and garden of remembrance in the back garden. They have continued to provide training for their staff to ensure they had the skills and knowledge to care and support the people in the home. As a result 97% have a formal care qualification (National Vocational Qualification). They have improved the way care is recorded to ensure that staff know how to care for and support the people in the home. What the care home could do better: There were no requirements or recommendations from this inspection. The acting manager is aware of the need to send an application into us to be the registered manager. She was unaware that if her assessment showed they could meet the needs of people coming into the home then written confirmation should be sent. She agreed to address this. She also agreed to ensure that the complaints procedure contains our Cambridge address. The acting manager acknowledges that the office and records need to be better organised. CARE HOMES FOR OLDER PEOPLE Qu`Appelle 32 West Street Bourne Lincs PE10 9NE Lead Inspector Tobias Payne Unannounced Inspection 3rd June 2008 08:00 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 Qu`Appelle DS0000052676.V365651.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. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Qu`Appelle Address 32 West Street Bourne Lincs PE10 9NE 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) 01778 422932 Qu’Appelle Residential Care Home Ltd. Manager post vacant but the acting manager is applying to us to be registered. Care Home 19 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (15) of places Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: QuAppelle is a two storey period house with an adjoining cottage. It is situated within a block of other period houses and is within 500 metres of the centre of the town of Bourne, with its shops and local amenities. The home is registered to provide personal care for up to nineteen people of both sexes over the age of 65 years, four of whom have a diagnosis of dementia. There are eleven single and four double bedrooms, none of which is en-suite. Communally, there are two lounges, a sun lounge and a dining room on the ground floor. Access to the first floor is via a stair lift. There are three communal bathrooms and seven toilets on the two floors. A garden is available to residents at the rear of the property. Limited car parking is available on the road outside the home and on roads near to the home. The fees charged by the home for care and support on the 3/6/2008 ranged from £351 to £470 each week. Extra charges are made for hairdressing, which ranged from £7 to £22, chiropody £10 and aromatherapy £7. Extra charges were for personal newspapers and magazines and personal toiletries. Information about the home including the statement of purpose, service user’s guide and copy of the last inspection report can be obtained from the manager. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This key inspection was unannounced and started at 8.00 a.m. It was done using a review of all the information available to us about Qu’Appelle Care Home. The inspection visit took place over 6½ hours. We also spoke with 8 people living in the home, a visiting community nurse and the hairdresser who was in the home during our visit. We spoke with 5 staff members and the acting manager. The main method of inspection used on our visit was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, care staff and observation of their care. We also examined the annual quality assurance assessment (AQAA) that was sent to us by the manager before this key inspection. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the home. It was very clear and detailed. Before making our visit we asked the people who live there and the staff to send us comments about the support they receive and what it was like to work in the home. We received 9 comment cards. All comments were very positive. During our visit we also looked at records, spoke to staff, people who live in the home and walked around the home. What the service does well: People living in this home told us they were well cared for by a committed and competent care team. They were very satisfied with the care, approach of staff and the overall service provided by the home. The acting manager takes care to ensure that each persons needs are assessed before entering the home. There is a weekly activity programme available that people can choose to join in with and that they said they enjoy. People said they enjoy their meals, which are varied, well presented and nutritious using fresh ingredients. There was a comprehensive programme of education and training provided for staff, which ensured that staff knew how to care and support the people who live at the home. Qu`Appelle DS0000052676.V365651.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. Qu`Appelle DS0000052676.V365651.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 Qu`Appelle DS0000052676.V365651.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): Standards 1, 2, 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information to enable people to make a decision about whether or not to come into the home. People coming into the home receive an assessment and know their needs can be met. They are also involved in this process. EVIDENCE: There was statement of purpose and service user’s guide. A copy of the service user’s guide was given to each person. The home has also a new brochure, which explained all about the home. Information about the home as well as copy of the most recent inspection report was at the entrance to the home. We did advise that our address needed to be changed and the acting manager agreed to do this. No new person had been admitted to the home since our last inspection visit. The acting manager met and assessed each person before they came to the home. She was unaware that if her assessment showed they could meet their Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 9 needs then written confirmation should be sent. She agreed to address this. She was using a new detailed assessment tool, which was the basis of the care plan. Each person also received a detailed terms and conditions. Comments we received confirmed this took place. One person told us, “not only did we receive information about the home, the manager visited in hospital and talked about the home to reassure her. We were shown around the home and everything was explained thoroughly”. The home does not provide intermediate care. Qu`Appelle DS0000052676.V365651.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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being fully involved in identifying their own needs and choices. Clear care plans, made from assessments of need help to ensure that people’s health and welfare needs are fully met. People feel that staff respect their privacy and dignity and can exercise choice. Medication is safely given by staff who know what they are doing. EVIDENCE: New care records have been introduced since the last inspection. The record system was very comprehensive and was being introduced for each person. Care records included a photo, preferred name, room number, daily living and needs assessment form. This was very detailed and comprehensive covering personal care, physical, well being, communication, mobility and dexterity, safety and risk assessment, medical history, medication, mental health, diet and weight, food and meal times, dentist and foot care, religion, daily living and social activities and personal profile. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 11 The care plan contained information about the service to be provided and objectives for each aspect of care and support. There was a daily living action sheet, written care plan agreement, care plan review and manual handling risk assessment. All entries were signed and dated. All of the people who live at the home needed some support to take their medicines safely. The medicine records had clear directions and had no gaps. All the 12 staff who give medicines had received training in 2007 and had a future update in 2008. Each person received training, did an exam and had over a period of 3 weeks supervised practice by the manager. The acting manager worked closely with local GPs, community nurses and community psychiatric nurses as well as a visit to the home by a consultant psychiatrist every 6 weeks. We spoke to a visiting community nurse who was complimentary about the professional approach of staff, felt staff knew about the people and carried out the nurses instructions. Family carers and people who use the service told us, “The manager and staff are very quick to act on any medical problem”, “They do not hesitate to contact the doctor or ambulance” and “Staff have accompanied mother to hospital in Lincoln and have been most conscientious”. Qu`Appelle DS0000052676.V365651.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): Standards 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are encouraged and supported to make choices to take part in a variety of social activities, which ensures that individual, social and cultural needs are met at the home. People choose from and enjoy a wellbalanced nutritious diet. EVIDENCE: The manager told us all about the activities programme in place at the home. This was not on display for people to check but the acting manager told us she would make it more available so that people knew what was on offer. Activities included Monday – quiz, Tuesday – craft, Wednesday – games, Thursday – extend music to movement gentle exercise and Friday – craft. On Thursdays there was one to one support provided by staff members to promote independence and choice and they would try to arrange activities and trips outside the home. There was also a 3 weekly church service and contacts with other churches. Comments we received included “We believe the visitors and families enjoy the activities as much as the residents. They are Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 13 encouraged to join in but it is the musical events which seem to have the most impact”. The menu was displayed and meals were served in the dining room at tables laid with flower arrangements and clean tablecloths. Food was served from a trolley by the manager who was able to monitor the nutrition of the people in the home. We saw that meal times were social occasions with staff talking and joking with the people. Everyone we spoke with was complimentary about the food and how it was served. The menus had been reviewed after discussions with people. There was a set 4 weekly menus with an alternative and special diets served. There was also a bowl of fresh fruit and fruit salad was being prepared for sweet at lunch. We saw staff attending to those people who needed assistance sitting and talking with them and doing this in a friendly and patient manner. Comments we received included, “Mother’s food preferences have been catered for and the tables are nicely laid with table cloths and residents and staff socialise during meal times” and “A great deal of time and thought has gone into planning the meals. Not only are they varied and nutritious but fruit is also readily available throughout the day. The menu is displayed for all to see”. The home had just had an inspection on the 2/6/2008 by South Kesteven District Council’s Environmental Health officer. The report of their visit was not available but the home was previously awarded 3 stars “good.” Qu`Appelle DS0000052676.V365651.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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to make a complaint and feel that staff will listen to their views. The care team know how to respond to a complaint and how to act in order to protect people from abuse. People are protected from abuse by the correct recruitment procedures. EVIDENCE: The complaints procedure was displayed at the entrance to the home and in the statement of purpose and service user’s guide, a copy of which was given to each person. It was also in the terms and conditions for the service. We advised that our contact address had recently changed as all information had our Lincoln address included. The acting manager agreed to make sure information was up to date. All staff received adult abuse training during their induction and further training was to be provided during 2008. The acting manager had a copy of Lincolnshire’s adult protection policy and was aware of the procedure that needed to be carried out if abuse was suspected. We spoke with staff who knew what abuse was and what they should do if abuse was suspected. During our visit no one had a complaint about the home. Comments we received included, “We never had any reason to complain” and “I have never had any problems discussing any concerns or worries and staff have always acted positively. Whatever time of day we visit staff are always on hand for the resident’s needs” and “I have never had any problems discussing Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 15 any concerns or worries and staff have always acted positively. Whatever time of day we visit staff are always on hand for the resident’s needs”. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 16 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): Standards 19, 20, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in well-maintained, comfortable, clean and safe accommodation. EVIDENCE: The home was relaxed, comfortable and odour free throughout. No one we spoke with had any complaints about the accommodation. There had been a large programme of redecoration since the last inspection. This had included redecoration of 9 bedrooms, 2 lounges and new carpets for 7 bedrooms and 2 lounges. They had provided new bedroom furniture in 2 bedrooms. They had bought chairs of different designs to provide more comfortable seating. They had painted the outside of the home. They had provided new carpets to the first floor landing and refloored the first floor bathroom. They had a full safety check from an outside consultant and implemented the findings. They have provided new fire alarms, extra fire escapes, new internal Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 17 fire doors and emergency lighting. They have provided a new large flat screen TV, a new rose garden and garden of remembrance in the back garden. People told us they liked their bedrooms and chose the colours for their rooms and the communal areas of the home. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a safely recruited, well-trained staff team available who have the skills to meet the needs of the people living in the home. EVIDENCE: Since the last inspection no new members of staff have been recruited to the home. During our inspection no residents or staff had any concerns about the level of staff. They were complimentary about the staff throughout our visit. Comments included, “Staff have responded to her as an individual. Staff levels are high and the manager is always available to have a meeting or phone discussion and Staff are always pleasant and have time for the residents”. All new staff were correctly recruited with a check by the Criminal Records Bureau and detailed supported induction programme. There was high level of training available, which had included food hygiene, dementia, safe handling of medicines, infection control, first aid, health and safety and fire prevention. Formal training in care to National Vocational Qualification level was provided and 97 of staff had obtained at least level 2 and 4 staff had achieved level 3. The kitchen and cleaning staff were also studying for an NVQ. The home was awarded Investors in People award in 2005 for its commitment to the education of staff. The manager had received training about the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards and further Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 19 training is to be provided on this subject. Staff commented, “since the new manager took over she has had me trained up to level 2 with ongoing training in every aspect of care”, ”we provide a good comfortable, well run home” and “I always learn something new in the training provided. We understand the diverse needs of the residents. The manager is very fair and always listens if you have any problems. She is very open and is very supportive. We are always having our training updated and if we are unsure we can approach the manager who answers our questions and guides us. We have time to listen to both service users and relatives. We work as one big family and many staff have worked at the home for many years”. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 20 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): Standards 31, 32, 33, 35, 36 and 37 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People and staff benefit from the positive leadership of the acting manager. Management record systems show that residents’ health, welfare, safety and choices are promoted. The management team ensures that that residents and relatives have the opportunity to voice their views and opinions. The management uses feedback from questionnaires to make improvements. EVIDENCE: We had spoken to the acting manager and advised that she needs to send an application to us so that she could be registered by us as manager. She told us that she would do this in the near future. Throughout our inspection visit everyone we spoke with was complimentary about the home and its Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 21 management. Comments we received included, “Qu’Appelle gives people peace of mind. We could not ask for more”. The acting manager showed how she had started to introduce 6 weekly supervision for each member of staff and kept clear records, however she did acknowledge that all staff were not yet receiving full formal supervision. She was keen to address this. The acting manager also showed that she had regular meetings with the people living in the home and staff. There were comprehensive policies and procedures. Records were up to date, well maintained and available. New personnel policies and procedures including a staff handbook had been introduced. In addition, new health and safety policies and risk assessments, food safety policies and fire safety risk assessments had been introduced. The owner visits the home once a week and internal quality audits covering medication, care plans had been introduced by the acting manager. Quality assurance surveys take place every year. The last one in April 2008 had 20 sent out and 14 returned which was a very good response. All comments were very complimentary. One comment summed up the peoples views of the home “Since moving to the home mother has been happy and content. I would recommend Qu’Appelle for the highest level of care and quality. They have worked a miracle with mum”. Any money kept on behalf of the people living in the home was well maintained with receipts and clear records of all transactions. A fire risk assessment was carried out on the 25/7/2007 with an emergency evacuation plan on the 25/9/2007. Weekly tests of fire precautions and fire drills were well recorded. Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 3 3 3 Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Qu`Appelle DS0000052676.V365651.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Qu`Appelle DS0000052676.V365651.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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