Inspection on 02/02/08 for The Dales Rest Home

This is the latest available inspection report for this service, carried out on 2nd February 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Dales Rest Home 6 Marine Park West Kirkby Wirral CH48 5HW Lead Inspector Julie King Key Unannounced Inspection 07:15 1 & 2nd February 2008 st 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 The Dales Rest Home DS0000070826.V354238.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. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Dales Rest Home Address 6 Marine Park West Kirkby Wirral CH48 5HW 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) 0151 625 2574 0151 625 2574 The Dales (Northwest) Ltd Vacant Post Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of people who can be accommodated is: 25 Date of last inspection Not applicable Brief Description of the Service: The Dales is a large detached Victorian house converted to use as a personal care home. The home is over three floors, and has a chair and passenger lift. The majority of the rooms are large, single rooms, but none are en-suite. However, all are very nicely furnished according to the individual residents preferences, and have hand-wash basins. There are garden spaces to the front and rear of the home and spaces for car parking. The home is set in a quiet road close to central West Kirby, and is easily accessible to local amenities and transport links. Fees range from local social services funded to privately agreed rates for individual service users. The Dales Rest Home DS0000070826.V354238.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 unannounced site visit was conducted over two days in order to have the opportunity for CSCI to meet as many residents and their families as possible. A tour of the building took place and discussions were held with residents, relatives, visiting professionals and staff about the standard of care and the management of the home. Information about The Dales was obtained through an Annual Quality Assurance Assessment (AQAA) and examination of residents case files and supporting documentation A part of the inspection process includes giving questionnaires to residents, families and health care professionals in order to obtain their views on the standard of the service provided. Comments made in these questionnaires are included in the report and contribute to the basis of any judgments made. What the service does well: What has improved since the last inspection? What they could do better: To act on the recommendations listed at the end of this report. The provider has stated that all recommendations for good practice will be implemented. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 6 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. The Dales Rest Home DS0000070826.V354238.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 The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents assessed needs are being met, and the home is able to provide assurances to residents and their representatives that assessments will be a continuous process throughout the resident’s stay. EVIDENCE: The management and staff understand the importance of having sufficient information when choosing a care home, and have developed updated information to help prospective residents understand what services the home can provide. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 9 The owner provides a Statement of Purpose that is specific to the individual home and the resident group they care for, and clearly sets out the objectives and philosophy of the service, supported by a Service user Guide. The guide details what the prospective resident can expect and gives a clear account of the services provided, the accommodation, qualifications and experience of staff and how to make a complaint. It is a new service, so does not yet contain information on CSCI inspection findings, but this report will be made available to all residents and other interested parties once published. All the residents have access to a copy of the Guide, and if requested the provider can supply a copy of the Statement of Purpose and Guide in a different language to suit the needs of the resident. Admissions are not made to the home until a holistic needs assessment has been undertaken. For people whom are self funding and without a Care Management Assessment the assessment is always undertaken by a skilled and experienced member of staff, usually the nominated senior carer with additional support of the owner if needed. The assessment involves the prospective resident, and their family or representative where appropriate. If the assessment has been undertaken through care management arrangements the manager obtains a summary of the assessment and a faxed copy of the care plan from the liaising social worker. The admission assessments have been completely updated to included a comprehensive lifestyle assessment which includes past social and family history, and information on specific likes and dislikes. An activities co-ordinator has just been appointed and once commenced, will be responsible for working with resident’s families during this pre-admission, and during admission process. Prospective individuals are given the opportunity to spend time in the home as either a trial visit, or just a look around and a chat with the current residents. Recently admitted residents were spoken with and said that they “had met someone” from the home prior to admission, and that “my daughter was involved” during this process. One resident was moving into the home on the second day of this site visit, and both the resident and their family had a chat with the inspector, telling them that they were “very impressed with the friendliness and approachability of the owner and staff”, and that relatives felt “included” during the pre-admission planning. New residents are provided with a Statement of Terms and Conditions/Contract; this sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the individual. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 10 This gives a clear understanding of what residents can expect, and the owner offers the opportunity for discussion and clarification. The owner stated that all terms and conditions of residence will be reviewed on a regular basis. Standard 6 was not assessed as this home does not provide intermediate care. The Dales Rest Home DS0000070826.V354238.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): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning system in place for all residents. This provides staff with the information they need to meet the resident’s needs. EVIDENCE: All resident’s care plans and associated records were examined as part of the case tracking process. All the files seen evidenced that the residents have access to health care services both within the home and in the local community; and residents are able to choose their own GP and attend local dentists, opticians, etc. Documented evidence showed that health needs are monitored, with monthly reviews, including important risk assessments, such as for nutrition, reviewed more regularly, or as needed. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 12 The home is able to provide the aids and equipment needed by the residents, and there is good evidence in the care plan of health care treatment and intervention, both from the home’s staff and visiting professionals. Examination of the daily reports evidence that staff do clearly record that they are able to think in a person centred way and are able to give a verbal update of each resident. The staff encourage residents to be as independent as possible, and to take responsibility for their own personal hygiene, with assistance if necessary. The views of residents are sought in the way personal care is delivered, and it was observed that staff clearly had an excellent rapport with all the residents seen during the two days of this site visit. The registered provider has a medication policy which is accessible to staff, and medication records were up to date for each resident, and medicines received, administered and disposed of are recorded. At the time of this site visit, medications were compliant with current good practice requirements, but it was suggested that the staff should record the room temperature where medications are stored, and that the storage of eye medications could be further improved. Staff spoken to think in a person centred way when considering an individual’s personal care needs, and appeared aware of the need to treat individuals with respect and to consider dignity when delivering personal care. Residents spoken with said that they “are happy” with the way that staff deliver their care and respect their dignity, and they “could talk to them [staff] at any time”, and that “they ask me what I want”, also that “the staff look after you – don’t shout at you”. All residents and families spoken with said that were “really pleased with the changes” at the home, and felt that the owner and staff were “approachable”, “friendly and open”, and “communication was good” between the owner, staff, residents and relatives. The home has new policies and procedures, which provide guidance for staff on how to support a person and their family when faced with a terminal illness. The wishes of individuals about terminal care and arrangements after death is not always recorded, but staff were able to give a verbal account of good practice. The Dales Rest Home DS0000070826.V354238.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities is available which provide residents with stimulation to promote social interaction. EVIDENCE: Detailed information is gathered from resident on admission to the home regarding their past life and the social activities that they had previously enjoyed. It was evident from observation and discussion with residents that the staff strived to provide a varied social activities programme in line with their individual preferences and abilities. The provider has recently appointed an activities co-ordinator who will work no less than 20 hours per week once they commence. In the meantime staff play an active part liaising with relatives to help ensure the residents have as much choice of daily activity as possible. The programme of activities is displayed in the home and includes both in house stimulation and trips out. Resident confirmed that there is a range of activities and that they are free to choose whether or not they participate. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 14 Group activities are provided together with one to one stimulation for those who do not wish to or are unable to participate in group events. In addition to the in house entertainment, external activities and events are also provided. Ministers from local churches make regular visits to the home and provide services to group or individual residents on request. Visitors are welcome to visit the home at any time, and one relative’s questionnaire stated that staff were knowledgeable about the care her mother needed and were always on hand whenever they were needed. Meals are served in the dining room or in the resident’s bedroom as they wish. The menu shows that a well balanced diet is offered and a choice of meal is always available. The meals served during the site visit were attractively served and looked appetising. Residents said that the food was “really good” and that they could choose from the menu or request a particular favourite. One male resident said that “cookie is the best in the business” (when referring to the cook), and said that he had put on weight in the last few months, mainly “thanks to my bacon butties in a morning”. Special diets can be provided on the advice of the GP or dietician or on request of the resident. The dining tables were attractively laid with condiments and appropriate cutlery, and glasses of wine are offered with meals as the residents wish. The lounge and dining areas have been completely refurbished with new carpets, tables, dining and easy chairs seen. The kitchen has also been refurbished with new equipment now in place. The Dales Rest Home DS0000070826.V354238.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): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good knowledge and understanding of Adult Protection issues to protect residents from harm or abuse. EVIDENCE: The owner has developed a complaints procedure which is detailed in the Statement of Purpose and Service User Guide and is also displayed on notice boards within the home. The procedure gives residents and visitors the details of the person to whom complaints should be made and the timescale in which the complaint will be investigated and responded to within. There have not been any resident’s complaints about this service since the changes in ownership. All staff have been given initial training on the Protection of Vulnerable Adults (POVA) and are aware of the different types of abuse and of the action to be taken in the event of it being suspected to ensure that residents are protected. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 16 Every member of staff spoken to during this site visit was able to demonstrate their awareness of the procedure to be followed, but it is recommended that all staff, including housekeeping and ancillary, complete full POVA training as soon as possible. The Dales Rest Home DS0000070826.V354238.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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All areas seen were clean and can evidence upgrading, thus helping to provide residents with a homely place to live. EVIDENCE: The location and layout of the home is suitable for its purpose and provides a comfortable and homely environment for residents to live. Residents are accommodated in well-maintained bedrooms, but none as yet have en suite facilities. The owner is in the process of converting an adjoining flat into further bedrooms with en-suits, and hopes that this building work will be completed by April 2008. The bedrooms are spacious and bright and it is evident that every effort has been made to assist residents to personalise their rooms with pictures, The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 18 photographs and items of memorabilia. Some residents have chosen to provide items of furniture to make their room more homely. All bedrooms on the ground floor have been completely refurbished with new carpets, wardrobes, beds, flat screen televisions, bed linens and matching soft furnishings. Improvement work was seen in progress throughout the rest of the home, with plans to have the entire home refurbished within the next few months. Specialised equipment such as a lift, assisted bath and shower rooms, hoists and appropriate toilet aids are provided to assist service users and maximise their independence. All parts of the home are clean and tidy, and the AQAA indicated that policies and procedures are in place to prevent the spread of infection, and plans are in place to improve the garden areas later this year. The Dales Rest Home DS0000070826.V354238.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff demonstrate a good awareness of their roles and responsibilities, thus providing residents with safe, individualized care. EVIDENCE: There are sufficient staff on duty to look after the residents in accordance with their particular needs with additional staff being on duty at busy times of the day. There are also sufficient domestic/catering staff employed to ensure the home is kept clean and tidy and good food is provided. Staff members undertake some external qualifications beyond the basic requirements, and the owner encourages and enables this, recognising the benefits of a skilled, trained workforce, and the home can boast of a high level of NVQ 2 and NVQ 3 trained care staff. Every member of staff’s personnel files were examined, and all seen contained the required documents and records including CRB checks and references from previous employers. Staff supervision is completed on a regular basis, and appraisals are planned for the near future. Evidence was seen of appropriate staff training, accessible for all staff, with additional training planned for the next few months. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 20 The management of The Dales recognise the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individual residents. Job descriptions and specifications define the roles and responsibilities of staff. Residents spoken with said that the staff are “lovely”, and gentleman said “the staff look after you-don’t shout at you”. These comments are supported by the numerous letters of thanks and appreciation from relatives, which were seen on the notice board, plus discussions with eight families over the course of the two-day site visit. The Dales Rest Home DS0000070826.V354238.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): 31,32,33,34,45,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is run by a person who is fit to be in charge and who ensures the residents are well cared for. EVIDENCE: The registered owner is competent and qualified to run the home for the residents best interests. Staff spoke well of the owner saying she is always available for advice and support; an observation confirmed by the relatives spoken with during this visit. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 22 One member of staff commented “the residents always come first and the home is well run”. Residents also commented on the good management of the home. Quality assurance systems are in place to ensure the ongoing efficient and effective running of the service. This includes monitoring and supporting staff, reviewing administrative systems and consulting with residents and their carers about the care provided. The owner is able to communicates a clear sense of direction, and is able to evidence an understanding of ‘best practice’ operational systems, particularly in relation to continuous improvement, customer satisfaction, and quality assurance. Equality and diversity issues are given priority by the provider, who is aware of the varying strands this involves. The owner possess a well-developed awareness and understanding of equal opportunity issues, development and implementation of the service’s policies and procedures. Other professionals spoken to in order to obtain their views on The Dales said the home provides a good quality service. A system of formal supervision has been introduced into the home, which gives all staff an opportunity to meet with their line manager and discuss their development within their role. Discussion with staff during the visit confirmed they enjoyed their work and they felt well supported in their role. The AQAA indicated that regular health and safety checks are carried out on equipment around the building and supporting policies and procedures are available for staff to refer to. Staff training records indicated that staff have completed different amounts of health and safety training but it was suggested that further work in relation to the safe use of bed rails needs to be carried out to ensure all staff are trained in this aspect of care provision as soon as practicable. The Dales Rest Home DS0000070826.V354238.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 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 3 3 3 3 3 The Dales Rest Home DS0000070826.V354238.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. 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. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended that there are two staff checking and signing the disposal records for all drugs of potential abuse; and, that the medication storage area temperature is checked and recorded every 24 hours. It is recommended that liquid soap dispensers are obtained for all communal areas; and, that all wires and potential trip hazards are secured safely. It is recommended that any indications of an actual or potential health problem identified from the staff preemployment questionnaire is thoroughly explored prior to employment; and, that if the list of previous employers differs from the list of referees, then the previous employers are contacted if possible. It is recommended that individual staff and their mentor sign induction records upon completion. It is recommended that staff sign their fire training records upon completion of drills or training; and, that all DS0000070826.V354238.R01.S.doc Version 5.2 Page 25 2 3 OP19 OP29 4 5 OP36 OP38 The Dales Rest Home necessary staff complete suitable and sufficient training in the safe use of bed rails as soon as practicable. The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2yQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 The Dales Rest Home DS0000070826.V354238.R01.S.doc Version 5.2 Page 27 - 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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