Care Home: Royal Bay Nursing Home

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What the care home does well Royal Bay Nursing Home provides a comfortable, clean and homely environment for the people who live there. In order to ensure that individual and diverse needs are met, good preadmission assessments are carried out and each person living in the home has a comprehensive plan of care in place. People have access to good medical support and the home provides equipment suitable for supporting personal safety and healthcare needs. There is a programme of activities and entertainment in place and people speak very highly indeed of the quality of food on offer. People can be assured that their complaints and concerns will be recorded and acted upon and that they will be protected by the home`s robust staff recruitment process. Service users, their families and other professionals involved with the home are very complimentary about the standard of care provided by the management of the home and the staff team. A service user commented, " I have lived here for eight years and this is a lovely, lovely home. The staff are always very nice and we are treated very well. There is good communication between the staff and if you tell one person about any help you need, the others also always know about it. I can have visitors whenever I like, I enjoy the activities and have never had to complain about anything". What has improved since the last inspection? A programme of refurbishment and redecoration has been carried out, new chairs have been purchased for the conservatory areas, some carpets have been replaced and some rooms redecorated. New equipment has been purchased including six overhead track hoists and specialist training, including palliative care training has been accessed for the staff team. An activities co-ordinator has been employed and the deputy manager has become an NVQ assessor. What the care home could do better: To ensure the safety of service users, topical creams should only be used for the person for whom they are prescribed and risk assessments and agreements completed when bed sides are in use. The home should continue to improve on the good service it currently provides for the people living there and the current programme of refurbishment and redecoration should be continued. CARE HOMES FOR OLDER PEOPLE Royal Bay Nursing Home 86 Barrack Lane Aldwick Bognor Regis West Sussex PO21 4DG Lead Inspector Annie Taggart Unannounced Inspection 19th November 2007 09:30 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 Royal Bay Nursing Home DS0000024205.V354571.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. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royal Bay Nursing Home Address 86 Barrack Lane Aldwick Bognor Regis West Sussex PO21 4DG 01243 267755 01243 266123 info.royalbay@btopenworld.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) Royal Bay Care Homes Ltd Mrs Angela Ward Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (10), Physical disability of places over 65 years of age (6) Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 16 service users in the PD & PD (E) category may be accommodated. Only service users over the age of 40 years of age in the physical disability (PD) category may be admitted. A total of 35 service users may be accommodated. Date of last inspection 7th November 2006 Brief Description of the Service: The Royal Bay Nursing Home is a care home, which can provide nursing care. It is a three-storey building located in a residential area of Bognor Regis, West Sussex. Accommodation is provided in thirty single rooms and three double rooms. There is a lift between the ground and 1st floor. All areas of the home are accessible to wheelchair users. There is a large modern conservatory overlooking the gardens, which are well maintained and surround the premises. The home has private parking to the front of the building. There is also a smaller conservatory and a dining room. Current fees are £529 to £791.25 per week. Chiropody, hairdressing and newspapers/magazines are an additional charge. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In preparation for the visit an Annual Quality Assurance Assessment (AQAA) was sent to the manager of the home for completion. This is a document where the manager gives us current information about the home. The AQAA was returned to CSCI within the given timescales and it contained comprehensive information. Survey forms were sent to service users, families and professionals involved in the home. Six service user, four family, three staff and two professionals surveys were returned, all were positive about the standards of care in the home and some of the comments from these surveys have been used in the report. We read the last two inspection reports and any other relevant documentation and correspondence relating to the home. The visit was carried out at 9.30am and lasted for 5 hours. We spent time talking with service users both in their private bedrooms and in communal areas and we also spoke with two healthcare professionals and a care manager, who are regular visitors the home. We also spent time talking with the staff on duty. Four care plans with all supporting documentation were tracked and any issues that we needed to know more about were discussed with the service user or the staff team on duty. Four staff files were seen and all contained the required documentation including a current Criminal Bureau Check (CRB) We saw the main meal of the day being prepared and served, looked at food records and spoke to service users about their satisfaction with the choice of meals being provided. Records for the running of the business were seen including fire check and staff fire training, the complaints book, accidents and incidents reports and health and safety records. The manager of the home was not present during the visit but the deputy manager assisted with information and records and received feedback. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? A programme of refurbishment and redecoration has been carried out, new chairs have been purchased for the conservatory areas, some carpets have been replaced and some rooms redecorated. New equipment has been purchased including six overhead track hoists and specialist training, including palliative care training has been accessed for the staff team. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 7 An activities co-ordinator has been employed and the deputy manager has become an NVQ assessor. 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. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 8 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 Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 9 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 5 and 6 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident that they will be given good information about the home, that their individual needs and wishes will be assessed and recorded and they will be given a contract of terms and conditions of residency. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place and in the AQAA, the manager told us that the documents could be produced in different languages or large print. There was also a plan in place to provide information to prospective service users in Braille if required. In order to ensure that the home can meet the individual and diverse needs of service users, comprehensive pre-admission assessments are carried out in conjunction with service users, families and other professionals involved with the person’s care. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 10 People confirmed that they or their representatives had made visits to the home prior to them moving in. Contracts of terms and conditions of residency are agreed and samples seen at the home had been signed either by service users or their representative. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 11 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 and 10 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. The people living in the home have their individual needs and wishes detailed in a plan of care, people have access to good emotional and healthcare support and their medication is generally well managed. EVIDENCE: For each person living in the home there is a comprehensive plan of care in place, which gives detailed information to guide the staff team to the needs and wishes of the people they are supporting. The plans contain a life history, details of preferences regarding personal care and nursing needs and also contain risk assessments, nutritional assessments and pressure area care. The plans are regularly reviewed and updated and had been signed by service users or their representatives. There is evidence that the home works well with other healthcare professionals including a local G.P. who visits every two weeks, physiotherapists and community teams and also gains advice and support around end of life care from the local Hospice. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 12 People have the equipment they need in order to aid their safety and independence and in the last year, six new overhead-fixed tracking hoists have been provided and staff have received training on their use. Many of the people living in the home are being nursed in bed and bedsides were in use. Care plans did not include a risk assessment or agreement for the use of bedsides. This was pointed out to the deputy manager who began to address this immediately. Two healthcare professionals who are regularly in the home made very positive comments about the level of care being provided and a care manager who was visiting a service user commented, “ I think the home provides a high level of care and is pro-active in its approach. The person I visit has improved considerably since living here and I think the manager and staff team undervalue the skills they display and the commitment they have to people”. A local doctor who also visits the home regularly said, “ The home has an excellent nursing team and G.P. visits are appropriately requested. There is a good medical team to work with the matron who is excellent at supplying the appropriate care and is aware of the best medical options for individual patients”. Medication policies and procedures are in place and only trained nurses administer medication to service users. There is a locked treatment room in which the controlled drugs cabinet is located and records showed that controlled medication is well managed. Three controlled medications were checked and found to be correct. Medication was generally well managed and recording was in good order but while visiting service users in their rooms, it was found that some people had topical creams prescribed for another person in use. To ensure that service users are protected from errors occurring a Requirment has been made regarding the use of topical creams. The home is in the process of being involved in the Gold Standards framework training for end of life care and works closely with the local Hospice. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 13 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 and 15 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. In order to ensure that opportunities for stimulation and interest are offered, the people living in the home are can attend a variety of activities and entertainments, visitors are made welcome at any time and a variety of fresh home cooked meals are provided. EVIDENCE: The people living in the home confirmed that they had access to regular activities and social events and said they could chose not to attend if they wished. During the visit there was a gentle chair exercise class, followed by a quiz in the conservatory and the people joining in said they enjoyed it very much. There is a programme of regular activities including, quiz’s, scrabble, musicians, exercises and a pat dog visit and in the AQAA the manager told us that people also have access to a befriending service through Age Concern. A hairdresser regularly visits and hand and nail care is also available. Religious beliefs are addressed as part of the care planning process and people have access to the local clergy. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 14 People confirmed that they can receive visitors at any time and there is a notice in the hall saying that tea and coffee making facilities are available for all visitors. Care plans and daily records show that personal privacy issues are addressed and people said they are always treated with kindness and respect by the staff team. Menus showed that a wide variety and choice of meals are offered to service users and fresh cakes and biscuits are baked daily. Service users were very complimentary about the meals they were offered and comments included, “ I live here with my husband and it is very, very good indeed. I can’t speak highly enough of the staff and the care we receive and couldn’t wish for anything better. The food is better than you would get in some hotels. We can have a choice of cold or cooked breakfast and they ask you on the intercom what you would like each day. I enjoy the activities and you can have your meals where you like” and from another person, “ the food is lovely and the staff are very kind to me and help me to eat my meals on days when I can’t cope. I go to the dining room for my main meal but like to have the others in my room”. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 15 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 and 18 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. Service users and their families can be confident that their complaints and concerns will be recorded and acted upon and the home’s working practices are designed to protect people from EVIDENCE: The home has a clear complaints procedure, a copy of which is posted in the entrance hall and also forms part of the Service User Guide. Records show that all complaints are recorded and acted upon within the home’s published timescales. Both service users and visitors to the home said that they felt very confident that their concerns and complaints would be listened to and acted upon and said that the manager was very approachable. A healthcare professional visiting the home said, “ one of the things I like about this home is that as soon as you raise an issue to the manager or deputy it is dealt with straight away”. Records show that the staff team receive training in the protection of vulnerable adults from abuse and the manager is aware of the new safeguarding guidelines and had attended training in The Mental Capacity Act awareness. All of the staff team spoken to during the visit were aware of their responsibilities and said that they would report any suspected abuse immediately. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 16 Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 17 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 22 24 and 26 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. The home offers a homely, comfortable and clean environment for the people who live there, infection control issues are addressed and regular environmental improvements are undertaken. EVIDENCE: Royal Bay Nursing Home offers a comfortable, homely and well-maintained environment for the people who live there. A programme of redecoration and refurbishment is currently underway and in the last year many improvements have been made. New furniture has been purchased for the conservatory/lounge areas and for some bedrooms. In many areas carpets have been replaced and new equipment such as specialist hoists provided. Other equipment to aid safety and independence is also in place such as handrails, a modern call bell and intercom system and pressure relieving beds. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 18 The staff team are provided with pagers so that they can respond immediately and safely to any situations needing extra support or advice. Service user’s private bedrooms are light, airy and attractively decorated and have been personalised to reflect people’s individual tastes and hobbies. Some bedroom carpets need replacing but the deputy manager said that this was in hand as part of the home’s environmental improvement plan. There is a very attractive and well-maintained garden area and service users said that they like to sit out in better weather and also watch the birds in the winter. A family member commented “ People are always looked after with kindness and consideration and my mother and myself have always been satisfied with the care and attention she receives. The food is excellent as is the love, care and attention given. All of my requests have been answered i.e. pictures, photographs, some pieces of her own furniture and things to make her room homely and a bird house outside her window. Nothing is too much trouble. The care that my mum has received has been excellent and the staff are always there for us if we have any problems”. There are three cleaners working each day, infection control notices are posted throughout the home and antiseptic hand gels, and protective clothing are available throughout the home. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 19 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 28 29 and 30 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported by a competent, well trained and well supported staff team and to ensure people’s safety, robust staff recruitment process are carried out. EVIDENCE: Staffing rotas show that two trained nurses and six care staff are working during early shift and one trained nurse and three carers at night. There were also three cleaners, a chef and two kitchen staff, three maintenance people, a gardener and two office staff. The staffing rota matched the people on duty during the visit. Service users, families and professionals involved with the home spoke very highly about the care and commitment of the staff team and said that people were very well cared for in the home. Comments included, “ This is a very good home in every way, the staff are all kind and very thoughtful” and “ It is quite pleasant all round, I have no complaints, everybody is very kind and jolly and nothing is too much trouble. I choose not to join in the activities but the staff pop their head in very often and always make me comfy”. A staff member commented, “ I think that there is a good mixture of staff that works well together. The home is a nice environment to work in and residents are well looked after”. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 20 In order to ensure the safety of service users, the home has a robust recruitment process in place, four staff files were seen and all contained the required documentation including a current Criminal Bureau Check (CRB) and two references. All new staff receive and induction in line with Skills for Care guidelines and workbooks under completion were seen during the visit. There is a good training and development programme in place and as well as mandatory training the staff team has access to courses relevant to the care of the people they support. English speaking classes have been provided for staff for whom English is not their first language and some policies and procedures have been produced in other languages. The deputy manager has become an NVQ assessor and a number of staff are currently working towards the award. In the AQAA the manager told us that regular supervision and appraisal is undertaken. The staff on duty confirmed this but as the manager was not present, records could not be seen. This will be assessed again at the next visit. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 21 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 37 and 38 Outcomes for service user in this area are considered as good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of service users by a competent and experienced manager, there is a quality assurance process in place to monitor the development of the service being provided and records are in good order. EVIDENCE: A competent and experienced person manages the home and service users staff and families speak very highly of Mrs. Ward’s commitment to providing a good service for people. Mrs Ward is supported by a good management team and some responsibilities are appropriately delegated to the deputy manager and senior nurses. A member of staff commented “ The manager is very helpful and approachable and the deputy is also very good. We have supervision and appraisal to talk about our work and good daily handovers keeps us up to date with service user’s changing needs”. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 22 An annual Quality Assurance procedure is carried out, which consists of a selfassessment process and surveys being sent to service users, families and other professionals involved in the home. Outcomes from the last process were seen and the deputy manager told us that they were soon to be published. One of the Royal Bay company directors works in the home on a day-to-day basis and monitors the development of the service being provided. Records for the running of the business were seen including fire maintenance and weekly tests, staff fire training, accidents and incidents and health and safety reports and all were current and in good order. Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 X X 3 X 3 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 4 3 X 3 X x 3 3 Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP9 Regulation 13 Requirement To ensure that service users are protected from the misuse of medications, topical creams must only be used for the person for whom they were prescribed. Timescale for action 15/12/07 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 Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Royal Bay Nursing Home DS0000024205.V354571.R01.S.doc Version 5.2 Page 26 - 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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