Inspection on 06/02/06 for 8 The Villas

This inspection was carried out on 6th February 2006.

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

8 The Villas 10/10/06

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 8 The Villas 8 The Villas West End Stoke-on-Trent Staffordshire ST4 5AH Lead Inspector Mr Berwyn Babb Unannounced Inspection 6th February 2006 14:30 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 8 The Villas Address 8 The Villas West End Stoke-on-Trent Staffordshire ST4 5AH 01782 847947 01782 412492 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) Mr Ronald Mark Snijders Elizabeth Claire Adams Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15/07/05 Brief Description of the Service: Number 8,The Villas, provides personal care and accommodation for eight service users with a learning disability, the minimum age for whom is 30 years. The home, was opened in 1988, and is located in a residential area known as The West End, near the centre of the town of Stoke. Whilst quietly situated, it is very conveniently placed for access to all of the facilities of Stoke town. It is near to shops and pubs and is on a good public transport route. The home is provided in a large detached house that is intentionally preserved as being indistinguishable from other properties in the small un-adopted road. The accomodation consists of four single bedrooms and two shared bedrooms. None of the bedrooms have en-suite facilities. There are bathrooms on boh floors, and separate W. C.’s conveniently situated around he home. There is ample communal and private space for the service users to enjoy, with a good standard of furniture, furnishings and fittings throughout. In addition to the spacious internal accommodation, the home has large and attractive rear gardens, wih a smaller formal garden a the front. There was provision of outdoor seating in good quality high grade garden furniture. The garden contains several fruit trees, a vegetable plot and a large greenhouse. The stated aims of the home are to provide a home for life for the service users based upon good management of care that promotes choice and normal lifestyles with strong community presence. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This first unannounced inspection under the proprietorship of the new provider, Mr Ronald Snijders, was carried out to complete the schedule for the inspection year 2005/06, and concentrated on those key standards not reported on after the previous inspection of 15/07/05. All of the residents were present to talk to the inspector, as was Mrs Adams, the Registered Care Manager, and Mr Snijders the proprietor. The inspector wishes to thank all the residents, management, and staff for making this inspection such a positive experience, and for their hospitality and assistance. The life of the home continued unabated during the inspection, with people coming in from their day time activities, people preparing tea, people getting ready for an evenings entertainment, staff enabling people to exercise their choices, or assisting them with their care needs, and maintaining the capability of the home by fetching prescriptions and other necessities. All the National Minimum Standards inspected were met, and the Inspector was very satisfied with the quality of care provided. He felt the quality of life afforded to the eight residents was of a very high standard. What the service does well: What has improved since the last inspection? A temporary re-arrangement of the accommodation was agreed with CSCI to meet the increasing physical needs of one long term resident, so that he could remain in what is his home, rather than have to face major disruption at this late stage in his life. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 6 A “ Falls and Gully” style shower cubicle has been added to the downstairs bathroom. This provides not only a wider choice of bathing facilities for residents, but allows for a more appropriate and less exhausting method of bathing for one particular resident with magnifying physical needs. One gentleman has obtained a special chair that assists him to rise and to sit down more safely and comfortably. The cooker has been replaced with a new double oven/eight burner [hobs] model, and according to staff, this has improved the efficiency of the kitchen to produce cooked meals beyond all expectation. A new washing machine has been installed. The attic has been refurbished to provide an office for the proprietor. It was envisaged that staff meetings and training would also take place in this area. 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. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 the following standard(s): 1 The statement of purpose contained sufficient information for prospective residents to make an informed choice about moving to the home. EVIDENCE: The inspector reviewed the statement of purpose which had been amended to reflect the change of ownership in the home, now that Mr Snijders had become the provider. He found it to be produced in a large folder that made it easier to maintain it as a living document, and, with the original being maintained on a database, thus capable of easy reproduction in response to demand. It contained, in addition to the Service User’s Guide, a sample contract, and copies of the policies concerning admission to the home, together with the categories for which the home is registered, a complaints procedure, details of the sizes of the individual rooms, and the funding arrangements that were required to secure a place in the home, details of the qualifications and experience of staff, and a copy of the most recent inspection report. It was particularly encouraging to note the extensive consideration that had been given to the needs of prospective residents, especially in the area of preadmission visits that were planned on an expanding programme, working up from looking around the home and meeting people, to overnight and extended stays. Even at this point, admission would only be on a temporary basis, with a review after a minimum of six weeks, to allow the new resident time to settle in, before committing them permanently to living at 8, The Villas. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6 Scrutiny of a sample of care plans and observation of the dynamics of the staff resident interaction, portrayed a service where the goals and needs of residents were being recorded, reviewed, and monitored, diligently and appropriately. EVIDENCE: The inspector reviewed one care plan chosen with the intention of triangulating observations made in the room of that resident during the tour of the facility, with information received during discussion with the same resident. What he found was a comprehensive plan of care, that recorded both the assessed needs and the choices of that resident, and the programmes designed to meet these. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 10 There was a personal thumbnail history which included the stated likes and dislikes of the resident, together with activity plans, financial details, copious risk assessments, a record of discussion about funeral wishes and the way the resident wanted to be treated in the last stages of their life, a matrix of the various activities that the resident engaged in during the course of the week, arrangements to visit various clinics, details of health professionals involved, input of community nurses and doctors with regard to a behavioural plan, and the implementation of techniques recommended by appropriate professionals for the maintenance of stability in the resident. The plan was neatly presented and up to date, with reviews having taken place at the appropriate times, and demonstrated evidence of the resident’s involvement both in reviewing the plan, and in the community life of the home. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 the following standard(s): 11,13,14 From talking to residents and observing the dynamics within the home, it was deemed that they thought their leisure activities were appropriate, that they participated in the local community, and that where there was an opportunity to maximise any area of their personal development, this was being supported by the staff of the home. EVIDENCE: During the course of the afternoon the inspector was able to observe the enjoyment derived by a resident from the painstaking completion of a jigsaw, the nature of which had been specially selected to make the most of the abilities he possessed, and to give him the personal satisfaction of completing a chosen task that he enjoyed. Other residents exhibited obvious pride, in the ownership of tasks that they recounted to him, as being their particular domain within the home. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 12 In wider discussion, he learned from residents of the different opportunities afforded them, both during the day and in the evening, to engage in activities that developed their skills and gave them greater confidence in the community in which they lived. Discussion and records showed that residents (following the appropriate risk assessments) went out to shops and other local facilities, either alone, or with an enabler (as determined by their care plan) and some held memberships of local leisure and sporting facilities. A favourite of residents who spoke to the inspector, was going to nearby pubs for a meal, either as a group, or as an individual pleasure with their key worker. The home has access to a large people carrier to supplement the use of public transport and taxis, and this is maintained in good condition, and has no distinguishing signs on it to stigmatise the occupants, as being from a residential home. There was substantial evidence in the rooms of the individual residents, of their personal choice of such things as videos, and music CD’s and tapes, and one resident who is not able to get out as much as the others, enjoys watching sport on Sky television, which has been specifically installed for his entertainment. Being so early in the year, detailed planning for holidays had been not yet started, but one resident was set in returning to the scene of a previously enjoyed holiday, whilst another felt called to try something different this year. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 the following standard(s): 18,21 From observation on the day, and in written documents, and from discussion, it was seen that sensitive consideration was given to the prospects of death and dying, and that residents were being monitored and supported with the utmost dignity. EVIDENCE: Knowing from care plan reading and discussion with staff what the physical and psychological needs of residents were, the inspector was able to observe the skills with which these were being monitored and met, without compromising the privacy and dignity of the individual resident. The use of diversional techniques in response to early signs of a known behavioural pattern was an indication not only of the basic skill of the staff, but also of the comprehensive knowledge they had of each of their residents. Perfection of this way of working cannot be achieved overnight, and is just one benefit of this home’s capacity to attract long term commitment from its workforce. This stability had also allowed the home to build up good ongoing relationships with their doctors and district and specialist nurses, who worked in partnership to provide advice and assistance in meeting the assessed care needs of the residents. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 14 In the care plans subjected to minute scrutiny, details of a discussion held with the resident and their supporters, set out their wishes in respect of the time of their death, and of the arrangements that they would like made for their funeral. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 the following standard(s): 22,23 From discussion with residents and formal interview with a member of staff, the inspector deemed that the protocols, policies and procedures, produced by the home ensured that the residents views were heard and valued, and that they were protected from abuse. EVIDENCE: Discussion with the care manager and staff confirmed the extent to which their knowledge of each individual resident and their normal daily pattern, would enable them to discern any unusual mannerisms or actions, and follow these up to see if there was something wrong. The home subscribes to the locally agreed policy of the Protection of Vulnerable Adults, and staff who spoke to the inspector were aware of the correct procedures to be followed should they ever suspect abuse was taking place. As detailed under section one, a copy of the complaints procedure is included in every residents contract and members of staff confirmed that it was sometimes necessary for them to read and explain these to individual residents. There have been no complaints about this home during the current inspection period. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 the following standard(s): 24,25,27,30 The environment of this home appeared to offer residents a safe and comfortable place to live, in the least institutionalised manner concomitant with their assessed needs. Private and communal rooms enhanced their needs and lifestyle, and the home was clean, warm and tidy throughout. EVIDENCE: The home is a substantial detached Victorian villa situated on an unadopted road in a quiet residential district near the centre of Stoke. A visual review of the exterior suggested regular decoration and maintenance had been sympathetically carried out to retain the original materials in good order. There is no through traffic passing the home, the front of which is protected by a formal garden that secures a further measure of privacy, and to the rear of which there is a large garden with patio, lawns, shrubs, flower beds, vegetable patch, fruit trees, greenhouse, outbuildings, a yard, and a gated vehicular access. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 17 The inspector visited most of the bedrooms, and as well as being personalised to reflect the choices and hobbies, and other interest of each resident, these were of good size, and, with the exception of one room where a new chair had not yet arrived to match the rest of the new furniture, they were appropriately equipped to enable residents to comfortably carry out chosen activities suitable to their lifestyle. As detailed in the summary, a new shower cubicle has been added to the bathing facilities in the home. This occupies a previously unused space in the downstairs bathroom, and is fully tiled, and capable of accommodating a resident in a wheelchair if necessary, as it is of the “Falls and Gully Style”. The shower equipment is regulated to ensure that nobody can be accidentally scalded, and the whole is appropriately screened with a suitable waterproof curtain. In the remainder of the room there is a conventional bath, toilet, and wash handbasin. Upstairs there is a further conventional bathroom. Separate WC’s are located conveniently throughout the house. Enhanced lighting and fresh paint work, in various hall, stairs, landing, and corridors, made it easier to appreciate the degree of cleanliness maintained in this home, as the whole has been made much lighter since the previous inspection. There were no offensive odours encountered, and a visit to the laundry in the cellar confirmed that this had suitable walls and floors, and was equipped with industrial machinery capable of meeting all the current and expected future needs of the home. The inspector gave advice that they storage of potentially combustible materials should not take place in this site of heat sources, unless in suitable fire proof containers, or in an area protected by fire resistant doors and fitted with suitable smoke and heat detecting devices. It was agreed with the care manager and proprietor that pending the implementation of any of these measures, the items being stored in the alcove, should be removed to an outside storage facility, that is currently empty. Generally the inspector was impressed with the freshness and cleanliness of this historic building, especially as the materials used during its construction, and retained in maintaining its character, did not particularly lend themselves to easy cleaning and hygiene provision. He understood that the high standards observed, were obtained by both residents and staff working together in unison. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The written policies and procedures of the home demonstrate the recruitment practices meet both equal opportunities demands, and the needs of vulnerable service users to have their rights protected. EVIDENCE: This home has experienced an enviable low rate of staff turnover, but has operated a policy of advertising through the local newspaper, or the job centre, at times when staff have been required. Their policies clearly state that new staff would not be taken on without confirmation of a clear Criminal Records Bureau check and following up two written references, and that they would be expected to hold or immediately commenced working towards NVQ Level 2 in Care. In conversation the inspector was told that new staff would always be rotaed to work in tandem with a more experienced carer, until the completion of a satisfactory induction programme. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 This home is managed by a suitably qualified and experienced person, who enables residents to express their views, and influence the delivery of the service within the home. EVIDENCE: The day to day running of this home is overseen by the registered care manger, Mrs Elizabeth Adams, who has substantial experience in running this home, and in responding to the needs of people who have a learning disability. She was able to demonstrate that she has taken part in recent relevant training to bring her up to date with the most regarded aspects of good practice, and has completed her NVQ Level 4 in Management and Care. She was able to indicate where she had been engaged in amending, improving, and updating policies, and had strategies for ensuring that these were translated in practice. Other members of the team spoke highly of her, and the stability of the staff group within the home gives testimony to her people management skills. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 20 CSCI receive regular monthly reports from the proprietor, detailing the outcome of his visits to the home, these include notes on what residents said to him in answer to his questions about the quality of the care provided within the home. There is a quality management tool used by Mrs Adams, and this seeks not only the views of the residents within the home, but also that of their relatives and significant professionals in partnership with the home in delivery of care, to obtain their views of the standard and quality of service being offered in response to residents assessed and changing needs. The inspector had previously been able to discuss with a resident where views opinioned in this survey had later been translated into action on his behalf. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 21 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 4 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X X LIFESTYLES Standard No Score 11 4 12 X 13 4 14 4 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 X X 4 4 X 3 X X X X 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA42 YA42 Good Practice Recommendations It has been agreed with the care manager and proprietor that potentially combustible materials should not take place near a site of heat sources, unless in suitable fire proof containers, or in an area protected by fire resistant doors and fitted with suitable smoke and heat detecting devices. 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 8 The Villas DS0000065377.V282279.R01.S.doc Version 5.1 Page 24 - 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!