Inspection on 19/06/07 for 23 Barncroft Street

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

23 Barncroft Street 27/05/09

23 Barncroft Street 06/07/06

23 Barncroft Street 16/12/05

23 Barncroft Street 05/08/05

23 Barncroft Street 09/02/05

23 Barncroft Street 14/10/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 23 Barncroft Street Hill Top West Bromwich West Midlands B70 0QJ Lead Inspector Deirdre Nash Unannounced Inspection 19th June 2007 2:45pm 23 Barncroft Street DS0000004840.V337362.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 23 Barncroft Street DS0000004840.V337362.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. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 23 Barncroft Street Address Hill Top West Bromwich West Midlands B70 0QJ 0121 556 8809 0121 556 8807 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) Milbury Care Services Limited Mrs Hayley Whitehouse Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2006 Brief Description of the Service: 23 Barncroft Street is an adapted bungalow property, which is owned and managed by the Milbury organisation. The home is situated in the Hilltop area of West Bromwich, which is easily accessible and is close to nearby public transport routes. Local shops and amenities are also available. The accommodation consists of four single occupancy bedrooms, kitchen, lounge/dining area, and bathroom and toilet facilities. There is a small enclosed rear garden/patio and off road parking to the front of the property. Service users are offered 24-hour personal care and support. The home aims to enable service users to live an ordinary life in the community. The weekly fee currently ranges from £935.65 to £1290.00 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We looked at all of the information that we have received about this home since it was last inspected. We sent the manager of the home a questionnaire to fill out in order to bring us up to date with facts and figures about the home. This was returned to us in good time and the quality of the information sent to us greatly assisted the inspection. We called at the home without notice late afternoon, spoke with the manager, members of staff and met three of the residents. We looked around the home and looked at records. The care of a sample of one resident was followed in this way to see if the home is looking after people as it should. Residents appear generally well. They look healthy and well looked after and can communicate comfortably with staff. What the service does well: The manager is qualified, experienced and registered with us and the home is run in the best interests of its residents. The home provides good personal care and makes sure that residents get routine as well as specialist health care. Managers and staff have got to know the residents well, welcome their families and are clearly committed to their welfare. The home produces clear and detailed individual plans for individuals care for staff to follow. These plans weigh up the benefits and risks involved in most ordinary daily events and leisure activities so that residents can live an active life in relative safety. Residents have some choice about their meals and staff do encourage healthy eating. The home is on one level and has a garden that residents make use of and a house car for everyone to use. Staff are properly recruited, supervised and trained and the home checks the quality of the service that it offers. Residents are helped to keep busy, pursue hobbies and interests, develop skills and get out and about regularly. Most residents have their own bedroom and residents throughout the day use these as they please. 23 Barncroft Street DS0000004840.V337362.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. 23 Barncroft Street DS0000004840.V337362.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 23 Barncroft Street DS0000004840.V337362.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): 1, 2, 3, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has good information about its services and does not admit people that it cannot properly look after. Residents live in a home that can meet their needs. EVIDENCE: The home has a written statement of purpose and service user guide. The manager acknowledges in the Annual Quality Assurance Assessment (AQAA) that using DVD and CD format could improve access to this information for people that don’t read. We looked at the care file of a recently admitted resident. It contains two forms of admission assessment including one undertaken by the qualified manager six months before the resident moved in. There is also a contract of terms and conditions for care and accommodation signed by the residents advocate on his behalf. This includes the fees to be paid and shows that us of the house car is an extra weekly cost. There is a social services contract and a letter to the prospective resident stating that the home can meet his needs. We looked at the training records for one of his key workers who is also a recent recruit to the staff team. She had a ‘Skills for Care Induction’, training 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 9 in the administration of medication and nutrition training, is progressing through the Learning Disability Award Framework (LDAF) and registered for NVQ at Level 2 in Health and Social Care. This resident does not have any complex assessed needs but is over sixty five years of age and his key workers should also have some training in the conditions of old age. This would improve the homes capacity to meet his future needs. 23 Barncroft Street DS0000004840.V337362.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, 9, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home produces detailed and clear plans for the care and support of each resident. Key risks involved in daily living are assessed and managed to promote independence. Residents are supported to take some control over their own lives. EVIDENCE: The care file of our ‘sample’ resident contains a comprehensive written service user plan that covers most areas of his life. Review dates are written in for each area. Assessment of risk associated with each are set within the care plan itself or specifically set out in a separate file. We spoke to one of his key workers and she was able to describe his personal care as it is represented in the written plan. There is a risk assessment for choking on food and the management plan is to cut his food into small pieces. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 11 The key worker described the problem as a more complex social, psychological response to mealtimes. This is not addressed in the risk management strategy. This suggests that care plans are not a working tool. Risk assessments and management strategies should be updated from key worker information to make sure that potentially harmful behaviours are understood and sensitively managed. The care file contains a considerable amount of well-organised information about the resident including guidelines for communication and a statement on his range and ability to make decisions. The manager acknowledges in the AQAA that the home could improve outcomes for residents here by building up a picture of residents’ wishes and aspirations as well as their care needs. The home could also improve these outcomes by producing a summary of the service user plan in a form that the resident can understand. 23 Barncroft Street DS0000004840.V337362.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, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a commitment to enabling residents to develop their social and life skills. Residents have a life style generally suited to their age and interests. EVIDENCE: We saw a list of interests, activities indoor and outdoor, a list of preferences and likes and dislikes on file. There is also a daily ‘activity planner’. Taking two dates as a sample we compared the plans with the residents daily record. The daily record met the plan for each day in some parts but not in others. For example on the day of the inspection the resident was supposed to go out to the local Arts gallery but the manager said that it didn’t happen because another resident had an unplanned visit to the GP. The daily record, by 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 13 change of staff shift time did not say this. On another day it was planned that he would to go to ‘Options for Life’ in the morning. The daily notes said it was closed so he went ‘personal shopping’. During the afternoon it was planned that he would watch football on TV. Daily records said that he watched ‘some’ football and then walked around the garden. There are no timeframes in these reports. More information is needed here to tie these activities in with his care/activities plan. Referred to above more work needs to be done on individual’s aspirations so staff are clear about why they are doing what they do with individuals. The home acknowledges that adopting person centred plans for care and support could achieve this. We saw a relative spending the afternoon with another resident while we were there. There is an activity planner of Barncroft special events kept on the notice board. The AQAA acknowledges that community based activities could be improved by the home applying for bus passes for residents so that they can use ‘free’ public transport. The home has a car and residents pay a levy of £5 each week for its use. Artwork has been added to the garden patio to provide a more stimulating outside area. We saw information about food likes and dislikes in the file of the resident that focussed on and a plan for supporting him to make snacks in the kitchen. We saw fresh fruit and vegetables in the kitchen and a pictorial meal planner. 23 Barncroft Street DS0000004840.V337362.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, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides health and personal care and support based on individuals needs and makes sure that residents get specialist treatments. Residents are well looked after. EVIDENCE: We saw a personal health plan including GP check ups, routine and specialist health care appointments in the file of our sample resident. There is also documentation showing a referral to a falls clinic. We noticed staff sensitively prompting the resident to visit the toilet as set out in his continence care plan and a bathing/shower plan that gives clear instruction to staff how to prompt and assist him to help himself. There is a nutritional risk assessment on his file, a record of his weight and records of daily food and liquid consumption. There is also a pressure area risk assessment. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 15 We met him and he looked well and happy, we heard him laughing a lot. He indicated that he wanted a change of top clothes at one point while we were there and staff helped him to do it. There are details about arrangements for death on his file. His file contains a list of his medication including its purpose and possible side effects and a pro forma pain chart. Medication is kept securely and we saw it administered safely. We saw records of training in safe administration of medication, first aid training and nutrition training in his key workers file and a forward booking for infection control training. 23 Barncroft Street DS0000004840.V337362.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, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home promotes an open culture where residents feel safe and supported to share any concerns in relation to their protection and safety. EVIDENCE: We have received no complaints about the home since the last inspection. The managers notified us of an adult protection referral made by the home to the local social services department and this situation was handled properly by the home. The home has a complaint procedure and also makes available the providers ‘let us know what you think’ card system that go directly to head office by post. We saw the leaflets and cards in the lobby. Easy read complaint leaflets are in bedrooms. The key worker that we spoke to is very clear about her duty to report any concerns or allegations to the manager and expressed firm confidence that the manager would act. Records show a forward booking in adult abuse awareness training for this new member of staff. We saw a care plan for the management of his money in the file of our sample resident 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 17 The AQAA reports that key worker meetings now provide a forum where staff can spend confidential time with individual residents and monitor dissatisfaction and issues of protection. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 18 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, 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. The house is accessible, clean, fresh and fairly well maintained. Residents enjoy a comfortable home. EVIDENCE: The house is on one level and looks in reasonable decorative order. Each resident has their own room but there are no en suite facilities. The manager reports that the bathroom is to be completely refurbished in the coming weeks with a new assisted bath and a level shower. The resident in our sample agreed to show us his room. It has personal effects and is clean and neat. The shade and the dimmer switch knob are missing from the ceiling pendant light. The manager immediately asked his key worker to put these things right. These small repairs and replacements should not be left for inspectors to point out. There are garden around two 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 19 sides of the house and most of it is paved and gravelled. Although there is a large silver birch by the back door and a few shrubs, the border beds have run to weed and there is very little seasonal colour. The area near the back door has been made more interesting with some artworks. We saw from daily records and for ourselves that the resident in our sample uses the garden a lot and it should be improved with flowering shrubs and climbers that give some all year interest. A gate should be installed instead of the garden chair that is used to block off part of the garden if it is not considered sufficiently safe for residents to go into unaccompanied. We saw supplies of water-soluble bags in the storeroom for transporting soiled linen as well as gloves and aprons. The washing machine in the laundry room has a sluice programme. The kitchen is domestic but kept clean and well ordered. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 20 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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home recruits, trains and supervises its staff well. Residents have confidence in the staff that care for them. EVIDENCE: There were three care workers plus the manager on duty when we arrived. The manager reports that the minimum level is two care assistants plus the manager during the day with one wakeful member of staff overnight in touch with on call duty backup from a manager. There is flexibility of staffing hours for planned outings and activities for individuals or as a group and the home makes little use of agency staff. The manager says she prefers to offer extra hours to staff already known by the residents. Referred to above however, a resident was unable to take an outing as planned the day that we visited because another resident had to go to the doctor. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 21 The care team is female with one male bank staff worker. Three out of the four current residents are men. The home cannot offer much choice to residents about the gender of the people who give them personal care. The AQAA shows that six out of eleven care staff hold NVQ at Level 2 or above and four are working towards it. We looked at the personnel file for the key worker of our sample resident who is a recently recruited staff member and it contains all of the information and proofs necessary to protect vulnerable residents. We also saw records of Skills for Care Induction, two professional supervision sessions with a manager since January this year and a ‘progress review’. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 22 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, 42, 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and the manager is qualified, competent and experienced. Residents live in a home that is safe and run in their best interests. EVIDENCE: The manager is qualified, experienced and registered with us. A strong team of senior care assistants that lead the shifts supports her. Staff spoken to confirm that staff meetings take place and say that they are actively encouraged to voice their views and opinions, they say that the home is well run with good leadership and that the company is good to work for. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 23 The manager regularly audits records made by staff and a regular quality review including stakeholders is in progress. The home should send us a copy of the summary of findings as well as the monthly reports on unannounced visits from a representative of the provider company. This will show us that the organisation is committed to continually improving the service. There is a programme for renewal and refurbishment of the home. The registration certificate can be seen on display, as is up to date insurance at the correct level of cover. All of the records that we saw are well written, clear and respectful. We looked at a sample of safety check records and found them to be up to date and in good order. Staff receive up to date training in safe working practices. We have been notified of any incidents within the home, as we should be. All of the records papers and documents for the administration of the home and the framework for delivering care to the residents are well organised. This greatly aided the inspection and meant that we spent as little time as possible imposing on the residents. The AQAA was well completed and the management team clearly and accurately identified areas for improvement of the service. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 24 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 4 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 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 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 3 x 4 3 3 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 25 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. 1. 2. 3. 4. 5. Refer to Standard YA3 YA6 YA19 YA28 YA24 Good Practice Recommendations Residents should be confident that the home can meet their specific needs as they get older. Train staff in the conditions of old age. Residents should be confident that what their key workers learn about them from day to day contact is used to update and improve their plan of care. Residents physical health should be promoted in all areas of their care. Consult a dietician about individuals’ condition and a healthy eating plan. Residents should be able to enjoy the full benefit of having a garden. Plant flowering shrubs and climbers that provide all year around interest and stimulation. Residents should have access to all shared areas of the home on assessment of the risks involved. Install a gate in the garden at the side of the house if it is a restricted area. 23 Barncroft Street DS0000004840.V337362.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit West Point Mucklow Office Park Mucklow Hill Halesowen B62 8DA 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 23 Barncroft Street DS0000004840.V337362.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. 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!