Inspection on 01/07/08 for 31 King Edwards Grove

This inspection was carried out on 1st July 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 12/03/2009.

CARE HOME ADULTS 18-65 31 King Edwards Grove 31 King Edwards Grove Teddington Middlesex TW11 9LY Lead Inspector Davina McLaverty Key Unannounced Inspection 1st July 2008 09:00 31 King Edwards Grove DS0000071404.V363880.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 31 King Edwards Grove DS0000071404.V363880.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. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 31 King Edwards Grove Address 31 King Edwards Grove Teddington Middlesex TW11 9LY 020 8943 4555 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) www.gcpcare.com Grove Care Partnership Ltd Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 31 King Edwards Grove DS0000071404.V363880.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 service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 8 Date of last inspection New Service Brief Description of the Service: 31 King Edwards is a registered care, providing personal care and accommodation for up to eight people with learning disabilities. Five people currently live there. 31 King Edwards is owned by Grove Care Partnership Ltd. The home is in a residential area in Teddington, close to public transport and local amenities. Accommodation is provided over three floors with large single ensuite bedrooms. There is a separate toilet on the ground floor as well as the staff sleep in room. People who use the service have access to a large garden. A lift is available but on the day of the inspection was not in use. The home is staffed twenty- four hours a day. The current fess start from 1,750 per week, and will vary depending on peoples assessed needs. The inspection report will be made available in the home and details of CSCI are included in the Statement of Purpose and Service User Guide. 31 King Edwards Grove DS0000071404.V363880.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 outcomes. The inspection included an unannounced visit to the service on the 1st 2008. We met all five residents, the manager, the registered person and staff members. We also looked at a number of records, which included resident’s files, care plans, health and safety records as well as environment. July four two the In addition, the inspection took account of information received about the service since it was registered on the 11th January 2008. We also contacted the residents who live at the home, their relatives and staff who work in the home. We asked them to complete surveys about their experiences. Surveys were received from three staff, and four residents, three of whom had been supported by staff to complete the form. Comments were largely positive and where relevant their comments are reflected in the report. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA), which is a self assessment of the service and is also referred to in the report and helped us to form some of the judgements made. Residents spoken to on the day of the inspection stated that they were very happy and satisfied with the care and support provided. Comments included “it’s nice here”, “its better than my other home”, and, “the staff are good and help us to do things we want to do”. What the service does well: King Edwards provides a homely and safe environment for people to live in. People who use the service make choices about their day to day life including meals, activities outings and holidays. Staff reported that they offer people a good quality of life, treat people who use the service as individuals, try to meet peoples diverse needs and “work well together”. Surveys stated “I think the service provides the service user with a very good standard of living. But I think more care should be taken when placing a service user into a certain type of house. As each service user has such different needs”. Another said “The team has been selected based on experience and knowledge about the job”. 31 King Edwards Grove DS0000071404.V363880.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. 31 King Edwards Grove DS0000071404.V363880.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 31 King Edwards Grove DS0000071404.V363880.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 & 4 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a care home and have developed a Statement of Purpose and Service User Guide to help people make a decision about moving in. Assessments are comprehensive and completed before admission, to ensure the home are confident that they can meet the needs of the individual. People are invited to visit, look around and meet people living there and staff as a part of the admission process. EVIDENCE: The Statement of Purpose includes information about the aims and objectives of the service, the accommodation available, staffing level, the admission process and activities both in the home and in the local community. A Service Users Guide has been developed which provides information about the service, the key work system and how to make a complaint. This document is written in an easy to read format and includes pictures which assist users of the service to gain a better understanding of the home. People spoken to said that they had enough information to help them when they moved into 31 King Edwards Grove. Both documents will be updated annually unless significant changes occur. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 9 Prior to admission prospective residents are assessed by senior staff in various settings e.g. in their current home, in the community e.g. café or day care setting in order to establish a more comprehensive assessment of needs. We saw assessments by placing care managers and staff from the service in case files, which include details of the support and assistance individuals need. The AQAA states that the home plans to “Utilise further Person Centred Plans (PCP) tools through staff training to ensure that the home continues to meet the needs of all its service users”. Prospective residents are invited to visit the home and spend time there before making a decision as to whether they would wish to move there. People are admitted for a trial stay. At the end of this period a review meeting with the person is held to make sure that the home can continue to meet their needs. Two people said how helpful this was as it gave them a chance to see what the home is like before committing themselves to living there. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 & 9 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service are involved in developing person centred plans. Staff understand the importance of people being encouraged and supported to take control of their lives and make their own decisions and choices. People are able to take risks so that they can live their lives to the full and do the things that they want to do. EVIDENCE: People living at the service told us that they were able to make choices about their lives. Two case files and care plans were looked at. We saw information covering assessments of what people can do and the areas they need support and assistance from staff. Person centred plans are being developed with the resident, with them being encouraged to identify some goals they would like to 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 11 achieve. Information in the AQAA acknowledges that this is a new service and that as a result care plans were still being developed and that there is room for improvement e.g. the manager states that the home could do better by “ensuring that staff are fully trained and supported in understanding the concept of PCP and continue to work collectively towards residents empowerment and self determination.” The service operates a key worker system, which allows staff to work on an individual basis with people who use the service. People who use the service confirmed that they meet regularly with their key worker and do things they want to do. There were written risk assessments which showed that staff, have thought about the risks people take. People are encouraged to be as independent as the wish and to take risks. There are regular meetings for the people who live at the home, where they are told about any changes that may affect them. They also have the opportunity to raise any issues they feel are relevant to communal living, they decide what they want to eat and if there are any special activities they want organised or wish to attend. Notes following these meetings were seen. People spoken to were very positive about the home and were aware of their support plans, which they said they contributed to. Comments included “I think I can mostly do what I want”, “I go to college, I go shopping, and we go to the super market”. 31 King Edwards Grove DS0000071404.V363880.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 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People are given opportunities to take part in a wide range of activities at the home and in the community. They are supported to stay in contact with friends and to celebrate their culture and religion EVIDENCE: People told us that they did lots of different activities and made choices about the things they wanted to do. Everyone living at the home takes part in activities and a lifestyle that they choose. People are encouraged and supported to reach their full potential and people are involved in a variety of different activities including going to college, local day centres and activities within the community e.g. football, cycling. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 13 People are also members of social groups such as the Gateway club and will regularly attend special events organised by the club. People use the local community including the library, shops and public transport. Everyone is involved in shopping for the house and themselves. They plan menus and help with some household tasks. People are responsible for tidying up their own bedrooms, although if needed staff will offer support. People are supported by staff to maintain important family relationships. The AQAA states that the home plans over the next twelve months to “Promote social inclusion and opportunities for new clients to ensure that they feel settled and active as quickly as possible.” Also “to continue to organise social opportunities with input from clients, that residents, friends and families can attend.” Cultural needs are acknowledged and supported. People who wish to attend church are supported to go. People told us that they like the food. The kitchen was well stocked with fresh food, including fruit. Healthy eating is encouraged. 31 King Edwards Grove DS0000071404.V363880.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 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home supports people to maintain good health with any changes in peoples needs being addressed. Peoples medication is appropriately managed. EVIDENCE: Personal care needs are recorded within guidelines. The majority of people attend to their own personal care needs with support from staff. Support plans make sure that individual healthcare needs are addressed with support being given as required to visit the GP, dentist, optician and other health appointments. We saw records of GP, hospital and other health related appointments in case files. Staff monitor people’s weight on a regular basis and currently help individuals with healthy eating. The AQAA states that “Staff continue to focus on and develop healthy lifestyle options for all residents, advocating healthy eating choices, physical exercise and relaxation activities like in-house aromatherapy”. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 15 Staff are aware of privacy and dignity issues and speak with individuals in private. We saw people who use the service being asked if they wanted to speak to their relative who telephoned somewhere private rather, than in the office. We also saw staff leave the office when residents were in there to take a call. People said that their need for privacy was respected and that staff would knock on their bedrooms door and wait to be invited in before entering. Appropriate medication polices and procedures are in place. Only staff who have received training in the administration of medication administers medication. However, whilst looking at medication for two residents we found that the allergy section on the Medication Administration Record (MAR) was not completed. Medication for one resident did not tally with the instruction on the MAR sheet regarding the time the medication should be given. The staff member was advised to check with the persons GP and pharmacist as to what time the medication should be given. 31 King Edwards Grove DS0000071404.V363880.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 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place for the management of complaints. People feel confident about raising concerns with staff. The manager makes sure that all staff is aware of their responsibilities regarding the Safeguarding of Vulnerable Adults. Training is provided for staff in the safeguarding of Vulnerable Adults. EVIDENCE: The home has an appropriate complaints procedure and a whistle blowing policy, which enables staff to report any concerns they have about bad practice. There have been no recorded complaints since the home opened. People said that they knew who to speak to if they were unhappy about something at the home and that they would feel confident raising concerns with staff. Appropriate safeguarding policies are in place. The manager reported that all staff will complete training in safeguarding of vulnerable adults as part of their induction and will then attend more formal training. A formal programme is in place. Staff spoken to were aware of the steps to be taken in the event of abuse being identified. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,27,28, & 30 People who use this service receive excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home has been recently refurbished and is comfortable, clean with a good standard of furniture fittings. EVIDENCE: The home is situated in a pleasant residential area and has good access to local community facilities, open spaces and public transport networks. People told us that they liked living at the home and that they liked their rooms. The home is very spacious and well maintained. There is a large dining room/sitting room as well as two other lounge areas. There is also a 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 18 conservatory. The kitchen is also a good size and is appropriately equipped with appliances. A large garden is available to the rear of the home. Bedrooms seen were all of a good size and have been personalised to individual taste. People said that they have everything they need in their rooms. Two people chose to spend time in their rooms during the inspection. Both said that they valued the privacy of their own space. A lift is available, but on the day of the inspection was out of service. The toilet on the ground floor was clean however, communal soap and hand towels were available. The home should use paper towels and liquid soap to prevent the risk of cross infection. Throughout the home the furniture seen was of a good standard. All areas of the home were clean and tidy. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,& 35 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The staff team support each other and share skills and knowledge to provide a good service to people. Staff roles and responsibilities are clearly defined. Good staff recruitment practices are in place, ensuring people who use the service are protected. Staff have access to training appropriate to their roles. EVIDENCE: Staffing levels in the home vary depending on the needs of the people living there. A minimum of three staff are always on shift with one staff sleeping in and a waking night. These staff levels were seen to be sufficient to meet people’s needs. Staff spoken to also confirmed that there were sufficient staff on duty each shift. People who used the service did not raise any issues about staffing levels. One person in their questionnaire said “I think staff always treat me well because we always have enough staff”. We saw good interactions between people who use the service and staff. Staff spoken with, although very new in post demonstrated a good knowledge and understanding of individuals needs. We saw people who use the service to be comfortable and relaxed with staff. Minutes of staff meetings were seen. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 20 The organisation has an appropriate recruitment policy. We looked at four staff files and found that they all contained an application form, a recent photographs, two references, CRB check and proof of identity. Two staff when spoken to confirmed that they had had the appropriate checks carried out before they stated work at the home. Two staff confirmed that their induction was very good and covered what they needed to know. A written record of staff induction was seen on the files looked at. In discussion with the Proprietor and current manager both were aware of the formal training courses that new staff are required to attend and both stated that this was in hand. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service is well managed, although the current manager must submit an application to become the registered manager. People are supported to contribute their ideas to the running of the home. The health and safety of the people living in the home and staff working there is maintained. EVIDENCE: The Registered Manager approved at the time of Registration is no longer in post and the current manager must submit an application to the Commission for Social Care for approval as the Registered Manager. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 22 There is a commitment to running the home in people’s best interest and to seeking their views about how the home is run. Monthly meetings take place which seeks the views of the people living in the home. They are also encouraged to raise any concerns that they have. One person told the inspector that they had drawn up a list of possible rules for the house and had given to staff to look and comment on. We saw staff meeting records. At these meetings, staff are given the opportunity to discuss practice issues, and are updated on changes to people who use the service and changes within the organisation. The manager stated that the organisation is looking at its quality assurance and how they will seek the views of relatives and other stakeholders. There are a number of regular checks on health and safety. These include fire equipment, fire safety, water temperatures and fridge and freezer. Checks are recorded and we saw evidence of these. The AQAA states that the landlord’s gas safety record was issued in 2007. The five year electrical installation certificate was issued in 2007. The home had valid Employers Liability Insurance, a copy of which was seen during the inspection. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 4 25 3 26 X 27 4 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 24 n/a 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. 1 Standard YA31 Regulation 8(2) Requirement A manager’s application must be submitted. Timescale for action 30/12/08 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 YA42 Good Practice Recommendations Paper towels and liquid soap should be provided in the communal toilet. 31 King Edwards Grove DS0000071404.V363880.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 31 King Edwards Grove DS0000071404.V363880.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!