Inspection on 02/05/07 for 14 Gerrards Terrace

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

14 Gerrards Terrace 06/12/05

14 Gerrards Terrace 29/06/05

14 Gerrards Terrace 27/10/04

14 Gerrards Terrace 08/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 14 Gerrards Terrace Carleton Blackpool Lancashire FY6 7NB Lead Inspector Christopher Bond Unannounced Inspection 2nd May 2007 09:30 02/05/07 09:30 14 Gerrards Terrace DS0000009886.V334543.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 14 Gerrards Terrace DS0000009886.V334543.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. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Gerrards Terrace Address Carleton Blackpool Lancashire FY6 7NB 01253 895883 F/P 01253 895883 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) Northern Life Care Limited T/A U.B.U. Mrs Julie Elizabeth Ferguson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 4 service users in the category LD. 6th December 2005 Date of last inspection Brief Description of the Service: 14 Gerrard’s Terrace is one of four small homes in Blackpool area that is owned by UBU (formally Northern Life Care). It is registered to provide care to four adults who have a learning disability and physical disabilities. It is situated in Carleton close to the local shops, public transport and other community facilities in the area. The property is a large detached bungalow that accommodates all residents in single rooms. Three bedrooms are on the ground floor and one is on the first floor. There have been recent renovations to the home and the accommodation on the first floor has improved. The home has two bathrooms - one on each floor, and there is a lounge, dining room and a large garden area. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (02/05/07) the information given to the Commission showed that the fees for care at the home are £1,508.70 per week, with added expenses for holidays and chiropody. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and included a site visit to the service, which took place over a period of 3.0 hours. The residents support plans, staff files and safety certificates were all looked at during the inspection. The manger and two support workers were spoken to during the inspection. Two service users were spoken to during the inspection. A tour of the home was undertaken. What the service does well: This was a good service where people are cared for properly. There were several staff on duty during the inspection and people generally receive an individual service, on a one-to-one basis. The support workers understand the needs of the service users and staff communication is very good. There is a strong emphasis on using activities and resources that are available within the local community. Activities included gardening, swimming, hydrotherapy, and trips to the theatre, cookery, walking and rambling. On the day of the inspection one person had gone swimming at a local hotel. There is a strong emphasis on care planning and everyone’s individual plan is ‘person centred’, meaning that the plan was written with the service users needs in mind and from their perspective. The plans describe each person in a positive way (for example what people like and admire about them, and their skills and abilities). There is also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. The house itself is in a quiet residential area of Carleton, near Poulton- le – Fylde. There have been recent renovations to the first floor, which have improved the bathroom and the bedrooms. There was a ‘homely’ feel to the house and the service users looked relaxed and content. Staff training is good and there had been several recent training events. Everyone who works for this organisation has to complete the Learning Disability Award Framework, which is a nationally recognised qualification in care. This is specifically for those staff working with adults who have a learning disability. Several of the staff also have National Vocational Qualification level 2 or 3, which is also nationally recognised. Well -trained staff mean that they are able to do their jobs more professionally. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 7 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 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 8 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): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed needs assessment helps the support workers to provide a good service, which is tailored to the residents’ specific needs. EVIDENCE: There were three people living at Gerrard’s Terrace. One resident had left the home last year, which meant that there was a vacancy within the home. The manager was aware of the procedure to follow regarding ensuring that the right person was selected to fill the vacancy. It was clear that care would be taken to ensure that any new resident at the house would be compatible with the other people who live there. Introductory visits would be essential and overnight stays would then be introduced. The manager was able to explain the process that would be used. A booklet entitled ‘Welcome to UBU’ had been given to all of the current residents. This explained what service would be available if someone chose to live there. All of the people who lived at Gerrard’s Terrace had lots of information written down about them. This information included a detailed description of their current needs and abilities. This information was called ‘getting to know you’. This is important because it enables all of the support workers to be aware of the residents’ specific requirements, and how to support them properly and professionally. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 9 This ‘assessment’ of need forms part of the persons’ individual plan and is also held within the caring organisations own computer system. The assessment is updated whenever new skills are learned or when personal goals are achieved. Changes in personal circumstances or health issues are also recorded and added to the assessment. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged to maintain a positive and inclusive lifestyle through good ‘person centred’ planning and a thorough review process. EVIDENCE: All of the service users at Gerrard’s Terrace had a large file that held important information about them. This was called an Individual Plan and was written from the service users perspective. The plans described each person in a positive way (for example what people liked and admired about them, and their skills and abilities). There was also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. Each plan also held long and short-term goals that were set down to help people reach achievable targets that were important to them. One person’s goal was to go on holiday to a place of their choice. A support worker reviewed the information held every month. One key worker meeting took place on the 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 11 day of the inspection. Everyone who lived at the home had a yearly meeting where their goals, needs and choices were reviewed and re-assessed formally. It was clear that the service users were being encouraged to take part in all aspects of running the home. The support workers confirmed that the service users were helped to shop for food etc, prepare meals, clear up after meals, clean their rooms and help clean the house. Risk assessments had been completed to help ensure that people were safe whilst undertaking these tasks. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 11, 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 service users lead full and active lives due to good support and effective planning and assessment. EVIDENCE: All of the service users who lived at Gerrard’s Terrace enjoyed an active lifestyle. Two of the service users were out of the house enjoying activities during this inspection. Other activities included gardening, swimming, hydrotherapy, trips to the theatre, cookery, walking and rambling. One of the service users attended home football matches in Blackpool. On the day of the inspection one person had gone swimming at a local hotel. The information regarding activities was clearly written in each person’s plan. It is important that people who may have a learning disability are enabled to use the resources and facilities that are available to all within the community. There was lots of evidence to show that the service users who lived at the homeenjoyed lots of appropriate community based activities and were part of the 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 13 local community. All three of the gentlemen were part of the local church community and attended social events and coffee mornings. This had helped them to develop a strong community presence and develop friendships within the community. None of the service users who lived at Gerrard’s Terrace were able to communicate verbally with the inspector. It was clear, however that people were enjoying their lives because of good support, good care planning and a high staff ratio. The service users were able to assist the support workers in preparing meals. The kitchen was fairly small but the two people who used wheelchairs were able to be involved in food preparation. Advice was offered by the manager and support workers about the right things to eat to ensure a healthy diet. A nutritionist had been asked to provide appropriate diets. Each person helped to prepare and cook his or her own meals. The manager confirmed that family and friends visited the service users regularly. One person was expecting a visit from their mother later in the day. Families, wherever possible, were involved in helping to make decisions about peoples lives within the home. There were no visitors to the home during the inspection. One person had an advocate who helped look after their interests and who was able to promote their rights. This person was also a friend who assisted the service user to enjoy activities and resources in the local community. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 18, 19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care issues were dealt with properly and professionally in a way that the service users preferred. EVIDENCE: There was lots of evidence within the home to show that individual health matters were being dealt with appropriately and properly. There were sections in each person’s individual plan to record health issues and visits to healthcare professionals. One of the service users was visiting the doctor on the day of the inspection. Information was also kept on the house computer and people were always informed about what information was being recorded. Some of the service users needed assistance regarding personal care. Evidence of their needs were found in the plans. There were also aids around the house to help with mobility issues. Staff had received training to make sure that they moved people safely and respectfully. Nobody who lived at the home was able to control his or her own medication. There were systems within place at the home to ensure that medication was dealt with correctly. Medication records were seen and were found to be 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 15 properly maintained. Care staff was unable to handle medication until they were 21 and appropriate training had been provided for those who handled medication. It was clear that throughout the inspection the service users were being spoken to politely and respectfully. Each person had one-to-one support throughout the day. Two of the service users were at home during the inspection and the support workers were observed dealing with the persons day -to -day needs properly and professionally. There was also a strong commitment towards ensuring that the person was in agreement with issues of care. Time was taken to ensure that the person agreed with what was happening and was fully aware of what the support workers were doing. There were difficulties in communication but the support workers had a good knowledge of what body language and gestures the service user was using. There was evidence within the information written down at the home that showed that all of the support workers had access to the persons preferred communication methods. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 21 and 22 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: There was evidence within the Statement of Purpose that there was a complaints procedure within the home. Support workers were skilled in advocating on behalf of the service users and looking after their interests. One person had an external advocate who was able to speak on his behalf. One support worker spoke of how the staff team were skilled in recognising when people were not happy or when the service needed to be altered slightly to meet the service users needs. The support workers had received training in safeguarding people. This was also part of the Learning Disability Award Framework, a foundation course about supporting people who had a learning disability. One of the support workers who was spoken to and demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. There was a strong emphasis on the Mental Capacity Act and what people’s rights were if they were unable to speak up for themselves. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users lived in a comfortable, safe and positive environment. EVIDENCE: Gerrard’s Terrace was a large detached dorma- bungalow in a quiet residential area of Carleton, near Blackpool. The first floor had recently been renovated and one service user was living temporarily on the ground floor whilst their room was being prepared. All of the bedrooms were large and there were plenty of personal possessions around. All the people who lived there had single bedrooms. The rooms were decorated with the interests of the service users in mind. This is important because it helps to ensure that people feel at home and that their room is ‘their space’. There was a large garden area, which had wheelchair access. One person was soon to celebrate their fortieth birthday and a garden party had been planned. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 18 There was a large lounge at the front of the house and a dining area. All the rooms were nicely decorated and furnished. There was a comfortable and homely feel to the house and the service users looked relaxed and comfortable. The home was very clean, and it was clear that care was being taken to ensure that the home was hygienic and safe for the people who lived there. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 31, 32, 33, 34, 35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good staff support and regular training helped to ensure that people received a good service that was tailored to their individual needs. EVIDENCE: It was good to see that there were plenty of staff around to help ensure that the service users needs were dealt with properly. The staffing rotas confirmed that this was a regular occurrence. Every staff member had a nationally recognised qualification in caring for adults who have a learning disability (the Learning Disability Award Framework). Over half of the care staff had a recognised award in care (National Vocational Qualification level 2 or 3). There was a training programme to ensure that each of the staff had instruction in care and safety issues. This meant that they were able to do their jobs properly and professionally. Proper checks were carried out prior to people being employed to ensure that the service users were protected from unsuitable staff. The staff files were 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 20 looked at and were found to be in order. The support workers received plenty of individual support from the manager. Both people who were spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. 14 Gerrards Terrace DS0000009886.V334543.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): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Strong values and management approach means that this is a good home, which is run in the best interests of the service users. EVIDENCE: The manager of the home had been with the organisation for a number of years. She was a trained nurse and held the National Vocational Qualification level 4 in management, which is a nationally recognised qualification. There were clear lines of responsibility within this home and the strong vales of the manager were passed throughout the staff team to ensure that the home was run in the best interests of the service users. 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 22 There were certificates to show that competent people had checked the fire alarm, gas systems, electrical installations and lifting equipment. There were also yearly checks to the fire safety equipment and water supply. The staff had received training in safety aspects around the home including fire safety training, first aid, moving and handling and food hygiene. This is important to ensure that the residents were safe and secure in their own home. The organisation conducted regular themed audits to ensure that quality issues were being addressed. Care staff attended monthly staff meetings where information was shared and issues regarding the home were raised and addressed. This made sure that all the staff had current information about the home and the service users. There was also a communication book where the support workers were able to pass important information to each other on a daily basis. Each of the service users had a bank account that was safely audited by the manager and the organisation. Daily finances were handled correctly and professionally. Proper checking is essential to ensure that people’s money is safe. 14 Gerrards Terrace DS0000009886.V334543.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 X 4 X 5 X 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 4 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X 14 Gerrards Terrace DS0000009886.V334543.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. Refer to Standard Good Practice Recommendations 14 Gerrards Terrace DS0000009886.V334543.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 14 Gerrards Terrace DS0000009886.V334543.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!