Care Home: Rustington Convalescent Home

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What the care home does well Rustington Convalescent Home provides a high standard of accommodation with a comfortable and well-maintained environment, where users of the service say they receive very good care. In order to ensure that the home can meet individual needs, pre-admission assessments are carried out and care plans completed. There is a well-trained and experienced staff team in place; many have worked at the home for a number of years. Both the staff team and service users speak highly of the commitment and skills of the Registered Manager and say that she runs the home in an inclusive manner that caters for the individual needs of each person living there. Daily access to good healthcare support is provided and trained nurses are on duty 24 hours a day. There was much praise for the choice and standard of meals provided and a programme of activities and outings are available. Comments about the service included from one permanent resident, " I can not say how happy both myself and my family are with the care provided, the staff are wonderful and go the extra mile, the food is excellent and I have the joy of meeting new and interesting people all the time" and from someone receiving convalescent care, " The level of care here is second to none, medical care is always on hand, the food is wonderful and I am amazed that so many people working together are enthused with the same dedication". What has improved since the last inspection? Permanent accommodation is now available for to up to five residents. A programme of redecoration has been continued and new carpets have been provided for several communal rooms and bedrooms. What the care home could do better: The home should continue to build on improvements to the excellent service it provides and continue to develop more holistic care plans for people who are permanent residents. The ongoing programme of refurbishment should continue especially addressing the deterioration in some sash windows. CARE HOME ADULTS 18-65 Rustington Convalescent Home Sea Road Rustington West Sussex BN16 2LZ Lead Inspector Mrs A Taggart Unannounced Inspection 5th June 2007 09:00 Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rustington Convalescent Home Address Sea Road Rustington West Sussex BN16 2LZ 020 7588 7001 020 7638 6286 manager@rustcon.co.uk 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) Carpenters` Company Mrs Margaret Julie Bishop Care Home 30 Category(ies) of Physical disability (30) registration, with number of places Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That rooms 6, 21 & 27 will not be used for Service User accommodation. That risk assessments are carried out prior to admission of a service user to accommodation that does not meet the current National Minimum Standards. That wheelchair dependent service users will not be admitted to rooms under 12 square meters in size. 30th January 2006 Date of last inspection Brief Description of the Service: Rustington Convalescent Home is registered in the Category (CRH) Care Home with Nursing and Physical Disability for thirty persons. The registered providers are The Carpenters Company. The responsible individual on behalf of the organisation is Mr P T Stevenson. The Registered Manager responsible for the day-to-day running of the establishment is Mrs J Bishop. The establishment offers comprehensive short-term nursing care to patients recovering from illness or surgery and has recently changed their admissions procedure to include up to five permanent residents. The establishment is located in Rustington close to local amenities and is set in seven acres of grounds. Accommodation comprises of twenty-eight bedrooms two of which are double. There is a large lounge, dining room, library, games room, and a therapy room and sun conservatory. Twenty-six rooms have en-suite facility, and a passenger lift serves all floors. The gardens and grounds are well maintained, with summerhouse, walkways, flower gardens and organic vegetable plots. Current fees are from £410 to £805 per week. Rustington Convalescent Home DS0000035682.V338770.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, the inspector read the last report and any relevant correspondence or documentation regarding the service and a planning document was completed. An Annual Quality Assurance Assessment (AQAA) document, which was sent to the manager, was completed and returned and survey forms were sent to users of the service and other professionals. Six replies were returned all making very positive comments about the home and services provided. The unannounced visit was carried out at 10.30am and lasted for four hours. During that time we spent time talking with users of the service, the staff on duty and two visitors, time was also spent observing staff practice. Four care plans were tracked, two for permanent residents and two for people receiving convalescent care and any relevant issues were discussed with the user of the service or the staff on duty. A tour of the building was undertaken during which time all communal areas and bedrooms were seen and we also looked at maintenance records and the fire book. Lunch, the main meal of the day was seen being prepared and served and the chef explained how diverse needs and specialist diets are catered for. The system for the administration and recording of medication was seen and found to be in good order. Records for the running of the business were seen including staff fire training, records of annual checks, Regulation 26 reports and complaints logs. All were current and in good order. The Registered Manager, Mrs. Bishop was not available and the senior nursing sister Alice Yuetsum Chan assisted with the visit and received feedback. What the service does well: Rustington Convalescent Home provides a high standard of accommodation with a comfortable and well-maintained environment, where users of the service say they receive very good care. In order to ensure that the home can meet individual needs, pre-admission assessments are carried out and care plans completed. There is a well-trained and experienced staff team in place; many have worked at the home for a number of years. Both the staff team and service users speak highly of the commitment and skills of the Registered Manager and say that she runs the home in an inclusive manner that caters for the individual needs of each person living there. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 6 Daily access to good healthcare support is provided and trained nurses are on duty 24 hours a day. There was much praise for the choice and standard of meals provided and a programme of activities and outings are available. Comments about the service included from one permanent resident, “ I can not say how happy both myself and my family are with the care provided, the staff are wonderful and go the extra mile, the food is excellent and I have the joy of meeting new and interesting people all the time” and from someone receiving convalescent care, “ The level of care here is second to none, medical care is always on hand, the food is wonderful and I am amazed that so many people working together are enthused with the same dedication”. 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 Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Users of the service have the information they need regarding the facilities and services available. Individual needs are assessed and contracts of terms and conditions of residency are agreed. EVIDENCE: There is Statement of Purpose and Service User Guide in place, both of which have been recently updated. People are also given an information booklet on admission. Since January 2007 the home has changed it’s admissions policy to include five permanent residents and the Statement of Purpose should be further updated to reflect this. Comprehensive pre-admission assessments are carried out and users of the service and their families are included in the process. Both of the current permanent residents said that they had spent time in the home in convalescence before making a choice to live there and both had signed contracts of terms and conditions of residency. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 and 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The staff team have the information they need in order to provide an effective and individualised service for the people living in the home. People are encouraged to maintain independence, are consulted with regularly and have their individual preferences respected. EVIDENCE: Comprehensive care plans are in place to inform the staff team of the individual needs of each person using the service. The plans include individual risk assessments, preferred daily routines and cultural and dietary needs. Plans are completed with input from the users of the service and their families and daily records reflect changes in care needs. The ethos of the home is to support people to become independent again following surgery or serious illness and the people currently staying in the home had very positive comments to make regarding this. One person said, “ everyone here is so kind and supportive, they have such a positive attitude that helps you to feel confident about becoming independent and caring for yourself again, this is especially important to people like me who live alone ”. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 11 In the self-assessment document, the manager of the home, Mrs. Bishop said that care plans were being further developed in a more “person centred” manner for permanent users of the service. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides the choice of menu containing a number fresh home cooked meals at each mealtime, visitors are made welcome at any time and people have access to a range of activities and outings. EVIDENCE: The home provides a wide variety of activities and entertainment including trips out, arts and crafts workshops and gentle exercise sessions. During the visit some people were looking forward to a trip to a local garden centre in transport arranged by the home. Religious beliefs are also addressed and a religious service or communion is available in the home on a weekly basis. The home is situated on the sea front in extensive landscaped gardens, which are well maintained and very accessible and several residents said that being in such a lovely location assisted their recovery. One person said, “I cannot Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 13 say how much the ambiance of the home and the wonderful setting have helped me recuperate. The staff are wonderful but I don’t want the gardeners forgotten as they work so hard to make our stay so pleasant”. There are five lounge areas, where people can either join with other people or see visitors in private and there are facilities for residents and visitors to make drinks at any time. When asked how they felt about living with a group of people that changed almost weekly, the two permanent residents of the home said that this was part of the reason they came to live at the home, the atmosphere was always lively and they had new people to meet and befriend all the time. The people staying in the home were also full of praise for the food provided. A four-weekly menu is in place and each day people have several choices both at lunch and suppertime. Menus showed that fresh, wholesome produce is used and vegetables are also provided from the home’s own gardens. The chef confirmed that individual specialist diets including those that reflect people’s cultural identity are catered for and residents confirmed that their needs were addressed. Comments included, “the food here is just wonderful, we get four meals a day and there is always fresh fruit and drinks around the home to help yourself to” and “ the food here is excellent, there is a good variety, beautifully presented and served, it just couldn’t be better”. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in the home have their healthcare needs met to a very high standard. Specialist healthcare input and emotional support are provided by the staff team to aid people’s recovery and medication is well managed in an individualised way. EVIDENCE: The personal and healthcare needs of each person are detailed in their plan of care and are regularly reviewed. There are trained nurses on duty at all times in order to attend to specific medical needs and a local doctor visits the home twice weekly. There is also access to a physiotherapist and other healthcare professionals if required. People staying in the home praised very highly the healthcare support they receive and said that the staff team were very skilled and supportive of their individual needs. Comments included, “ there is a surgery here every day, where the nurses answer your concerns and deal with your health needs and I have never before met such a group of skilled and attentive staff” and from a family member, “ my father is being really well cared for, my sister was given Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 15 a copy of his care plan and that covered everything he needs. We can visit him at any time, which helps his recovery and we are confident he is being well looked after”. Most of the people who stay in the home manage their own medication and this is agreed on an individual basis and documented on arrival. Each bedroom has a locked medication cabinet in place and medication-recording sheets are supplied to residents if required. Where the home manages medication on behalf of residents, this is well managed and records are current and in good order. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people using the service can be confident that their complaints will be recorded and acted upon and staff training and practice is designed to protect people from the risk of any form of abuse. EVIDENCE: There is a complaints procedure in place, which has recently been reviewed and updated. A copy is included in the Statement of Purpose and also prominently displayed within the home. Records show that one complaint has been received within the last year. This complaint was responded to by the manager is a timely manner and was found to be unsubstantiated. The people currently staying at the home confirmed that they were aware of the procedure but all said that they would find it difficult to find anything to complain about. The staff team receive training in the protection of vulnerable adults from abuse and in discussion showed that they were aware of their responsibilities should they suspect any form of abuse had occurred. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 28 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers a high standard of accommodation and is a comfortable, safe and attractive environment. The individual requirements of service users are provided for and the building is very clean and hygienic throughout. EVIDENCE: Rustington Convalescent Home is a large period building set in it’s own grounds on the sea front with easy access to the gardens and local facilities. The home is comfortable and welcoming, attractively decorated and furnished to a high standard and there is a continuous programme of redecoration and refurbishment in place. There are several lounge areas and an attractive dining room and the large extensive gardens are easily accessible with lawns a rose garden and a vegetable growing area. In the past year several bedrooms have been redecorated and new carpets provided to some communal areas and bedrooms and the work needed to make safe some old sash windows continues. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 18 The permanent residents of the home confirmed that they had been able to bring some of their own furniture and belongings with them and said they were very happy with their private space. Specialist equipment such as hoists and pressure beds are provided as needed and a call bell system is in place throughout the home. The standard of cleanliness is very high, there is protective clothing available for staff use and hand wash containers located around the home assist with infection control. Records show that regular health and safety and maintenance checks are carried out, fire checks are current and the staff team have recently attended fire training. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 and 36 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. A committed, skilled, well-trained and knowledgeable staff team supports the people living in the home. EVIDENCE: Staffing rotas showed that there were sufficient staff members available to meet the needs of the people currently living in the home. There was a senior nursing sister in charge, a trained nurse and two support workers supported by ancillary and kitchen staff. Users of the service made very positive comments about the staff team including, “ The staff are all charming, very helpful and always, always cheerful”, “the staff are so kind, they are very experienced and know just what level of care you need” and “ the carers are first class, the nurses are very competent and everyone is caring and helpful”. There is a programme of training and development for each member of staff in place and the self assessment document states that over 70 of staff hold NVQ in care and others are currently undertaking the award. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 20 The staff on duty confirmed that they received supervision and attended staff meetings and one carer said, “ people just don’t leave here and have worked at the home for years, it is very much teamwork and we all want to provide the best for the people we support”. As the manager was not present during the visit, recruitment records were not available. The self-assessment document stated that these are current and records were found to be in good order at the last visit. Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 41 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed in consultation with service users and records are in good order. EVIDENCE: The home is run in consultation with service users and their views are recorded and acted upon. From information gained from the AQAA document and from talking to service users and staff it is clear that the home is run by a competent and caring manager. Both the staff on duty and the people living in the home spoke highly of Mrs. Bishop’s management style said that she was very approachable and managed the home in an open and inclusive manner. There is a quality assurance process in place that gains the views of the people using the service, their families and other professionals. Each person staying in Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 22 the home is given a questionnaire at the end of his or her stay; these are collated every four months and are used to inform a process of continuous improvement to the service. Regulation 26, Provider’s visits are also carried out during which times areas for improvement are recorded. During the visit a user of the service made a suggestion on how something could be improved. When this was fed back to Mrs. Chan, it was acted upon straight away. All of the people using the service are quite independent and manage their own finances and records showed that people are supported by the home to gain advice on any additional funding opportunities that might be available. Records for the running of the business were seen including the fire book and staff fire training, gas certificate and electrical appliance testing and all were current and in good order. Policies and procedures are in place regarding health and safety issues, regular maintenance checks are carried out. Environmental risk assessments have been completed and these are regularly updated. Rustington Convalescent Home DS0000035682.V338770.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 3 29 3 30 4 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 3 3 3 X 4 x Rustington Convalescent Home DS0000035682.V338770.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Rustington Convalescent Home DS0000035682.V338770.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 Rustington Convalescent Home DS0000035682.V338770.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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