Inspection on 17/08/05 for 47 Sandy Lonning

This inspection was carried out on 17th August 2005.

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

47 Sandy Lonning 16/05/07

47 Sandy Lonning 22/03/06

47 Sandy Lonning 01/03/05

47 Sandy Lonning 11/11/04

47 Sandy Lonning 08/03/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 47 Sandy Lonning Netherton Maryport Cumbria CA15 8AS Lead Inspector Gordon Chivers Unannounced 17 August 2005 09:15 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 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 Stationary 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. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 47 Sandy Lonning Address Netherton Maryport Cumbria CA15 8AS 01900 812943 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) West House Fiona Elizabeth Dixon Care Home 6 Category(ies) of LD - Learning Disability registration, with number PD - Physical Disability of places 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 6 service users to include: - up to 6 service users in the category of LD (Learning Disability) - up to 2 service users in the category of PD (Physical Disability) Date of last inspection 01 March 2005 Brief Description of the Service: West House provides the services and care at 47 Sandy Lonning for six people who have a learning disability, some of whom may have a physical disability. The home is located in a quiet lane half a mile from the West Coast Town of Maryport. Community facilities and amenities are within easy reach.The premises are purpose built and have been progressively extended and adapted. Recent extension work has provided additional living space for service users. This adds to the environmental standards that were already met by the home. Very comfortable and pleasant accommodation is provided with a high standard of furnishings and decorations. All but two of the private bedrooms are on the ground floor and four of these have en-suite toilet and bathing facilities. The lounge, dining room, kitchen and utility room are also on the ground floor. Additional toilets are available and separate bathroom and shower room have specialist facilities adapted to assist people with a physical disability. The office is situated on the first floor.The garden area is well maintained and there are car-parking facilities to the front of the home. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, commencing at 09.15 and lasting seven hours. The inspection took place in the presence of a Senior Support Worker, Diane Newton, who has been seconded from another home to manage Sandy Lonning on a temporary basis whilst the manager’s post is vacant. The inspection included a tour of the premises, reference to a range of documents including a sample of service users’ case files, an interview with one member of staff and talks with four service users. The inspection focused upon the standards which were not assessed by the last inspection. The inspector would like to thank the service users and staff of Sandy Lonning for their welcome and cooperation during this inspection. What the service does well: What has improved since the last inspection? Various small improvements and repairs have been made to the internal environment of the home, and plans are in place to make all six service user bedrooms completely en-suite. A store room on the ground floor has been converted to a staff sleep-in room. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 6 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. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The home provides sufficient information for prospective service users and also undertakes a range of assessments which provide a basis for plans to meet their needs and aspirations. More evidence would be necessary to assess how the admissions procedure is implemented. Each service user has a signed contract of residency. EVIDENCE: The home’s Statement of Purpose summarises the range of services provided by the home and a code of practice based upon the core principles of civil rights, maximising independence and social inclusion. The Service User Guide contains further information about the home’s services and facilities, and information about the admission process. It also contains a copy of the terms and conditions of residency and a reference to the complaints procedure. This document will require updating once a new manager has been appointed and is in post. The home has an admissions policy and procedure which requires full assessments on prospective service users as the basis for decisions on whether the home is appropriate for them. The last admission took place four and a half years ago and the relevant archive file examined contained some of this information. The Service User Guide informs prospective service users that the home will undertake a comprehensive range of risk and needs assessments, upon which 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 9 care plans and person-centred plans are developed. These were found in the sample of case files examined. The home’s admission policy describes the gradual way by which prospective service users should be introduced to, and familiarised with, the home prior to admission on a trial basis. Unfortunately the archive file on the last service user to be admitted does not contain the records of the admission process and so it was not possible to verify whether the process was implemented correctly and thoroughly. The case files of all the service users contain a contract of residency which has been signed by the service user and a representative of Westhouse. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8 Service users are actively involved in all aspects of domestic life. EVIDENCE: Service users and staff participate in the formal house meeting which takes place every month and which covers a range of domestic issues. They also contribute to the weekly menu planning session and on issues such as group or communal activities and outings. Some of the service users contribute directly to the physical chores in the home such as cooking, cleaning, laundry and shopping. Individually they choose the décor and furnishings of their bedrooms; one service user proudly showed off the new wardrobe and chest of drawers which he had personally selected. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,17 All the service users enjoy active and appropriate lifestyles, and they are provided with, and guided towards, balanced and varied meals. EVIDENCE: All of the service users lead very active lives. They will attend specific day service venues and activities of their choosing and when they choose to. Some are involved in craft activities through evening classes, one service user has developed a particular talent for pottery; others go to drumming, horse-riding and computer sessions.. Some of them will attend weekly discos for people with learning disabilities. They all will go to pubs and restaurants from time to time. Three of the service users recently had a holiday in Spain. All of their respective activities are planned in advance based upon their person-centred and care plans, and the each event or experience is recorded in their daily diaries. The weekly menus are based in part upon the stated preferences of the service users. The meals are also informed by their individual dietary requirements, necessary to manage specific chronic conditions as well as to control propensities towards obesity or hyper-stimulation. Staff will cook or buy alternatives for service users who are unable to have standard foods. All of 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 12 the service users are directly involved in understanding the reasons for their diets as well directly managing them. The weekly menus are balanced and varied including plenty of vegetables and avoidance of fatty foods as much as possible. Fruit is always available in the home. Alternative meals or parts of meals will be provided if a service user expresses such a choice at the time. Both the kitchen and adjacent dining room are extremely well appointed 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20,21 The home correctly implements the procedure for the administration of medication which ensures that service users’ medical needs are met and their protection from maladministration. Service users are fully involved in the management of any chronic health conditions, and preferences about funeral arrangements have been gathered and stored with sensitivity and respect. EVIDENCE: None of the service users administer their own medication, although at least one of them has a complete awareness of her medication regime. All of them have signed their permission for the home to administer their medication on their behalf and this is held on file. The medication is stored appropriately in a locked metal cabinet bolted to a wall in the office. There are no controlled drugs in the home. Each service user’s medication regime has been collated and attached to the MAR sheets: the latter and the return book are recorded correctly. All members of staff have received the required training to authorise them to administer medication. Some of the service users have chronic physical conditions which require ongoing medical management. Their case files contain full records of the assessments, plans and interventions to control and alleviate the effects of these conditions. The service users are directly involved in these management regimes. The case files contain evidence that staff have attempted to 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 14 ascertain the service user’s preferred funeral arrangements (sometimes through consultation with families). 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Service users are protected from abuse and neglect by the home’s policies and procedures, but this protection would be reinforced by refresher training for staff. EVIDENCE: The home has a record of the CRB check undertaken in respect of each member of staff. There have not been any recorded incidents or allegations of concern in the home. Staff interviewed were not aware of any such concerns whilst having worked there. The relevant policies and procedures, including that of ‘whistle-blowing’ were in place, but staff had not had any training on the recognition and prevention of abuse for several years and none of them have been allocated places on the first round of such training which Westhouse has scheduled for the Autumn. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25,29 The bedrooms are of ample size and well provided for to cater for the individuals’ lifestyles, and the home has sufficient specialist equipment to meet their needs. EVIDENCE: All of the private bedrooms have been decorated and furnished according to the preferences of each service user. Each room has been individualised through personal photos and pictures, music systems, televisions, bookcases etc. The rooms are large with plenty of room for personal recreation and hobbies. Four of the bedrooms have en-suite toilets and baths. The two bedrooms on the first floor are due to be converted into fully en-suite arrangements in the near future. Service users were seen to be spending time occupied with their interests and pastimes in their rooms Following a recent minor accident during the night to a service user in his room, the senior support worker in temporary charge, Diane Newton, has converted a store room on the ground floor in to a staff sleep-in room so as to be in close proximity to the most vulnerable of the service users. Diane has concluded that this location is more appropriate than the proposed location on the first floor at the far end of the building. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 17 There is a bath chair hoist in one of the communal bathrooms and a fold-away chair fixed to the wall in a communal shower room. The home also has a mobile hoist (as back up), and one service user has his own zimmer frame and wheel-chair for use on outings or long walks. The home has an alarm system installed. No other specialist equipment is required by the present group of service users. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35,26 The service users benefit from staff who have clear roles and responsibilities, are competent, qualified, well trained and well supervised. The recruitment and selection policies and procedures are effectively implemented. EVIDENCE: Staff interviewed confirmed that they were in possession of a job description and a code of conduct. They stated that they were clear as to what their role was and where their responsibilities ended and those of their line manager began. Six of the seven permanent staff team have achieved NVQ level 2, the seventh has completed the LDAF foundation and induction course and is registered to undertake NVQ level 2. There is very little turnover in the staff team; those interviewed and spoken to saying how much they enjoyed working there, how it was like home from home, that morale was good and how well they work together, especially at this time when they have no manager. The Senior Support Worker in temporary charge attested to their reliability and competence, and how previous managers had actively delegated additional responsibilities to the staff (with their agreement) so as to develop their range of competencies and skills. Staff interviewed considered that there were always sufficient staff on duty at any one time. The home has a copy of Westhouse recruitment and selection procedures, including Equal Opportunity and Diversity policies. Evidence of the 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 19 appropriateness of those policies and procedures and their correct implementation has been examined at Westhouse central office. The manager and service users are involved in the selection process of new staff. Each member of staff has a training file with records of training undertaken. All staff undertake annual refresher training on a range of health and safety issues. Training needs are identified in individual supervision sessions and incorporated into a Personal Development Plan. The manager requests Westhouse to arrange relevant training courses to meet the identified need. It is a pity that Westhouse no longer uses the training record form which showed, at a glance, the training received (or not) by all staff over four years, and which could easily be converted into a planning and record matrix. Each member of staff receives formal supervision six times a year, the dates of which are recorded. One supervision session will double up as an annual appraisal. Staff receive a copy of the supervision notes and a copy is lodged in their file. Staff interviewed maintained that supervision was effective and a positive experience. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,40,41,43 The present temporary management arrangements are effective. Service users are consulted upon possible developments, although this process could be improved upon. The home has a full set of policies and procedures and their confidential information is properly stored. There is a good system for the management of service users’ and household monthly accounts. EVIDENCE: The previous manager, Fiona Dixon, has recently taken over the management of another Westhouse home. The position has been advertised and Westhouse hope to interview by the end of August, 2005. In the meantime a senior support worker from another home, Dianne Newton, has been temporarily seconded to manage Sandy Lonning at least until September 1st, although it is probable that this secondment will have to be extended. It is clear that Diane has all the competencies necessary to fulfil this role, having had managerial experience in the past, and the staff interviewed expressed their confidence in her. She also benefits from effective management systems developed by the 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 21 previous manager. Management cover for the home during Diane’s forthcoming holiday absence will be provided, at arms length, between the Assistant Service Manager, Alison Stephenson, and the previous manager, Fiona Dixon. Service users participate in the monthly house meeting; they are informed of developments under consideration and their views are taken into account. However, the home does not produce an annual development or improvement plan with stated goals or targets based, at least in part, upon the opinions and ideas of the service users as well as other stakeholders, and which can be reviewed at the end of the year at the point of developing the succeeding plan. The home has a full set of Westhouse policies and procedures by which the service is determined and against which the underlying values and principles can be monitored. The home has records of the Regulation 26 visits undertaken by the Assistant Service Manager each month. All confidential information relating to service users is kept in cabinets in the office which is locked when not in use. The home maintains an effective system for recording the monthly income, expenditure and running balance of disposable monies, including the retention of receipts, of each service user. These are audited regularly by administrative staff at Westhouse central office, although there are no records of such auditing. Parallel records are also maintained of their bank transactions and these are checked against the bank statements. There is also a separate system in place for recording and monitoring the income and expenditure of the whole household. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 x 3 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x 3 x Standard No 11 12 13 14 15 16 17 x 3 x x x x 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 47 Sandy Lonning Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x 2 3 3 x 3 F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 23 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. 1. 2. Standard 23 37 Regulation 13 10 Requirement The service must ensure that all staff receive training on the protection of vulnerable adults. The registered person must make adaquate arrangements for the home until a new manager is in post. Timescale for action 31/12/05 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 4 35 25 43 39 Good Practice Recommendations Full records of how the admissions procedure was implemented when a new service user is admitted to the home should be retained. The home should develop a training matrix as a management tool to plan and record staff training over time. The registered person should give consideration to locating the staff sleep-in room on the ground floor instead of the proposed location on the first floor. The registered person should ensure that the audit of service users personal monies is properly recorded. The home should produce an annual development or improvement plan with stated goals or targets based, at least in part, upon the opinions and ideas of the service F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 24 47 Sandy Lonning users. 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 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 47 Sandy Lonning F58 F10 s22560 47 sandy lonning v239858 170805 ui stage 4.doc Version 1.40 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!