Inspection on 21/03/07 for 89 Pavenhill

This inspection was carried out on 21st March 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

89 Pavenhill 16/03/06

89 Pavenhill 04/10/05

89 Pavenhill 22/03/05

89 Pavenhill 24/11/04

89 Pavenhill 19/03/04

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

CARE HOME ADULTS 18-65 Pavenhill (89) 89 Pavenhill Purton Wiltshire SN5 9DA Lead Inspector Pauline Lintern Unannounced Inspection 21st March 2007 10:00 Pavenhill (89) DS0000028555.V324977.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 Pavenhill (89) DS0000028555.V324977.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. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pavenhill (89) Address 89 Pavenhill Purton Wiltshire SN5 9DA 01793 771373 01793 771373 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) White Horse Care Trust Mrs Karen Brogan Care Home 3 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (3) of places Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users who may be accommodated in the home at any one time is 3 Only the named, female service user with a learning disability referred to in the application dated 10 February 2004 may be under the age of 65 years 16th March 2006 Date of last inspection Brief Description of the Service: 89, Pavenhill is one of 14 care homes that are run by The White Horse Care Trust. The home offers accommodation and personal care to two people with learning disabilities. The building is a detached bungalow in Purton. There are two bedrooms, a lounge with dining area and a garden to the front and rear of the property. There is a shower room with toilet and another toilet is available close to the kitchen area. The service users receive personal care and support throughout the day from a permanent staff team. There is at least one member of staff on duty throughout the day, one in the evening and one sleeping in. The philosophy of care emphasises the importance of an ordinary, domestic type home environment and the involvement of people with a learning disability within the wider community. Each service user is offered a range of daytime and leisure activities and is well known in the local community. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection took place over six hours. One member of staff was on duty at the beginning of the inspection and was later joined by the deputy manager and the registered manager. At the present time there is a permanent vacancy at the home. Pavenhill are currently providing a respite service to one person for approximately two months. There has been visits to the home from potential new service users, which has been fully discussed with the existing permanent service user. The inspector was able to engage in discussion with both service users and the staff members who were on duty to obtain their views. Records examined included care assessments, care plans, risk assessments, staff training, staff supervisions and health and safety documents. The fees start at £1,400 per week. What the service does well: What has improved since the last inspection? What they could do better: Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 6 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. Pavenhill (89) DS0000028555.V324977.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 Pavenhill (89) DS0000028555.V324977.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 and 2 Quality in this outcome area is good Information is available for prospective service users to make a choice about where they choose to live. Service users care and health needs are assessed to ensure that they can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As mentioned in the summary of this report Pavenhill are currently providing a respite service to an individual for a short period of time. Prior to moving into the home an assessment of their needs was carried out and a care plan was developed. The service user reported that they “like it here and have settled in well”. There is evidence to show that their family and health care professionals were involved in the decision for the temporary move to this service. Any potential risks are identified during the assessment process and measures put in place to minimise them. As there is a permanent vacancy now at Pavenhill, staff are ensuring that the remaining service user is fully involved in any decisions regarding who may potentially move into the house. Staff confirmed that the service user visited the respite client prior to them moving in, as they were unable to make a trial visit to the home themselves. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 9 Each service user has a service user guide, which has a copy of the complaints procedure and a copy of their contract. It also details what they can expect from the service and any rules, which they need to adhere to. The home has a statement of purpose, which is in the process of being updated with current information reported the manager. Once completed she confirmed that a copy would be forwarded to us. . Pavenhill (89) DS0000028555.V324977.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 and 9 Quality in this outcome area is excellent Service users individual plans reflect their assessed needs and personal goals. Staff members empower service users to make decisions regarding the way they choose to live their lives. Identified risks relating to care and health are assessed and reviewed regularly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has an individual care plan, which reflects their assessed needs and is reviewed on a regular basis. This plan covers healthcare needs and personal and social support required by the service user. There is evidence to indicate that the service user, their family and health care professionals have been involved in the development of the plan. Staff members confirmed that one service user always takes an active part in their care review. The home holds six monthly ‘in house’ reviews to monitor any changes. The home promotes a person centred approach where possible. The deputy explained that they are attending a person centred meeting over the next two Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 11 days supporting a service user to be able to express what is important to them. The service user informed the inspector that they are planning “to have their say” and to again stipulate their wishes to remain at Pavenhill until “I am 100”. They reported “the staff here look after me and I look after them but I am the boss”. During the inspection service users were observed making decisions for themselves and this continues to be the ethos of this service. It is very clearly the service users home and the staff members are there as friends to support them when needed. Service users greet visitors at the front door and also see them out when they leave. A key worker system is used at the home although due to the small numbers of service users and staff, everyone seems to work well with each other. People choose what clothes they wish to wear, what time they go to bed and get up and what food they wish to eat. One person explained that they always choose the clothes they buy and that they really enjoy shopping for clothes. Risk assessments are in place to cover health and care needs and are kept under review to take into account any apparent changes, which may occur. One assessment sampled showed that in each area assessed, any potential risks had been identified and measures put into place to minimise them. This is then documented within the individual care plan. The home has a risk assessment representative who is trained in completing the assessments. Pavenhill (89) DS0000028555.V324977.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, 15, 16 and 17 Quality in this outcome area is excellent Staff members support service users to access fulfilling activities of their choice. Pavenhill service users and staff members are a major part of the local community. Friends and relatives are always made welcome at the home. Staff members are committed to ensuring that service users rights are respected. Mealtimes are enjoyable, relaxed and a social event This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff members support service users to access various activities of their choice. One service user reported that they enjoy attending the ‘crafty club’ where they have the opportunity to meet up with other service users from other Trust homes and complete craft activities. Staff members confirmed that Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 13 one service user is ‘continually busy’ with one activity or another and has a very full diary. There is a holiday planned to go to Dorset again this year, which remains a firm favourite with the service user. They showed the inspector photographs from last year and explained what a good time they had there. The home continues to be a central part of the local community. The deputy explained that local people are extremely supportive and will often pop in for a chat or to bring in some ‘goodies’ of one sort or another. Someone had recently brought in a bird table to enable to respite person to be able to sit and look at the visiting birds. As usual the staff and service users took an active part in the local carnival by decorating the windows of the home. Service users confirmed that they look forward to and enjoy the planning of special celebrations such as Easter, Christmas and birthdays. There is the opportunity for service users to attend religious services if they wish. One individual takes communion once a month within the home when the local vicar visits. As mentioned previously friends and family are always made welcome at the home. One service user was observed taking pleasure in showing a prospective service user’s manager around the bungalow and offering them a cup of tea and a piece of cake. The service user explained that a very close friend had come to Sunday lunch at the weekend and that they had enjoyed having a ‘good chat’ about old times. Staff members reported that one person really enjoys reading magazines and watching the television. They told the inspector they also enjoyed listening to their cd’s. Another person was busy making a rug to give to the respite client when they leave. Care plans document that one service user will need staff to read their mail for them and will need support when completing forms. Preferred forms of address are also recorded within the care plan. Observation showed that staff members are constantly interacting with the service users and including them in all communication. One staff member explained that usually the afternoon is a time when service users will relax with either rug making or listening to music. One service user informed the inspector that they always prepare the vegetables and potatoes for the main meal of the day, which they prefer to have at midday. One the day of the inspection fish pie and salad was on the menu with yogurt of fresh fruit to follow. There is a low fat/ sugar alternative also available to suit each person’s dietary needs. One service user chooses to have their breakfast in bed each morning where they relax and watch a little television before getting up. Each service user confirmed that they enjoy the food at the home. Mealtimes are very relaxed and a time for social interaction. Staff members report that each service user shares the responsibility of clearing the dining table, setting the table and loading the dishwasher. Each person participates in the cleaning of their bedroom, dusting and changing their bed linen. One person is responsible for feeding the home’s pet cat. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 14 Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good Service users are able to inform staff members of how they prefer to receive their personal care support. Service users physical and emotional needs are identified by the close monitoring of staff members and appropriate action is taken. Medication is managed and recorded well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans inform the reader of amount and level of support is required for personal care needs. One plan informs staff members to support the individual to become as independent as possible. There are clear guidelines on how daily routines should be carried out to ensure that they meet the service users needs. It has been identified that one service user needs to be encouraged to take regular gentle exercise. Staff members have devised a method to ensure that this happens hourly and is recorded. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 16 Staff members confirmed that it has been an emotional time for one service user over the last few months and they explained how they have supported them through this period. They reported that they have sought advice from the doctor who knows the service user very well. Service users have access to an annual ‘OK’ health check and to all other health care services such as dentist, optician and audiologist. There is evidence of visits to the occupational therapist, district nurse and the physiotherapist. Mobility products are used by the home and records show that wheelchairs are regularly service to ensure they are safe. At the time of the inspection no service user self medicates. The medication records were sampled and demonstrated that they are completed accurately with no gaps in entries. Medication is stored securely within the home. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good There is a clear and effective complaints procedure in place to enable service users to raise any concerns if they wish. The policies and procedures the home has in place try to ensure that service users are safeguarded from abuse and harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user guide has a copy of the procedure for making a complaint. The Trust has a system where each service user has a pre addressed and stamped post card ready to send to the chief executive if they wish to raise any issues. There is a pictorial format available also. The manager confirmed that there has been no complaints made for a number of years. The home’s complaints log confirms this with the last issue being raised in 2004. The home has copies of the “No Secrets” document, as well as the organisational policy and procedure ton responding to allegations of abuse. A ’whistle blowing’ procedure is available for staff members. Staff members confirm that they have attended training in abuse awareness. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent Service users are provided with a homely, comfortable and safe environment. At the time of the inspection the home was found to be clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated within easy reach of the local shops and amenities and is in keeping with the local community. Decoration is of a high standard with each room being bright, light and warm. Furnishings and fittings are of a good quality and appropriate to the needs of the service users. Outside there is a slope, which provides easy, safe access to the garden, which has a swinging hammock and garden furniture. The home presents itself as a homely and comfortable environment for the service users. Each bedroom is personalised and provides the service users with a pleasant space of their own. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 19 The inspector was given a tour of the premises accompanied by a service user who confirmed that “it’s a lovely bungalow and it is spotless”. The home was clean and hygienic throughout with no offensive odours. All surfaces and floors were clean and there is evidence that infection control measures are in place. As with other health and safety areas, one member of staff has the responsibility of being the infection control representative for the home. They confirmed that they complete regular audits and checks to ensure that infection control is maintained within the home. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good Competent and qualified staff supports service users. Where possible the homes’ recruitment polices and practices protect service users. Staff members are provided with a comprehensive training programme to enable them to support service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with three staff indicates that they are qualified and competent to carry out their duties. Being long serving staff has enabled them to have an extremely good knowledge of the service user and their needs. By observation and discussion with the staff members it is clear that they are all very committed to the care and wellbeing of the service users and the smooth running of this service. There is evidence that staff will put the service users needs before any of their own. Many of the staff will ‘pop’ in voluntarily to help out with trips or shopping or just simply to check that ‘all is well’ at the home. Service users gave a ‘glowing’ account of the work the staff do and how they would not want them to leave. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 21 The deputy explained that they do sometimes use bank staff, however they have two regular people who have also been involved with the home for a long time and know the people well. Team members explained that they have attended regular training in subjects such as abuse awareness, fire training, basic food hygiene, manual handling, drug competency, listening and communication and person centred planning. One person explained that they are about to attend a course on bereavement. One staff member has finished their National Vocational Qualification (NVQ) level 2 and one has nearly completed theirs. The manager confirmed that all staff have been checked with the Criminal Records Bureau (CRB). Two staff recruitment files were sampled and each evidenced that they have a current CRB enhanced disclosure. The manager explained that most of the staff at Pavenhill would have completed the Trust’s induction, but due to the length of time there was no evidence of this, although staff members confirmed that they did receive an induction period when they commenced employment. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good The service is well managed. Service users are confident that their views are listened to. Where possible the health, safety and welfare of service users is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is registered with the Commission for Social Care. She has now achieved her registered managers award (RMA). She has vast experience and knowledge of working within the care sector. A feature of this service is how the manager and staff team promote engagement and inclusion for the people they support. Service users are encouraged to participate in discussion relating to the home and how it is being run. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 23 The Trust completes annual quality assurance audits on the service. This involves questionnaires being sent to families, staff and service users. The findings from the audit form the basis for the new development and training programme for the coming twelve months. Service users also have the opportunity to attend regular ‘residents consultation meetings’ where they meet up with staff and service users from other trust homes The minutes from the last meeting evidence that one of the service users from Pavenhill had attended the meeting and shared their views. Part of the annual audit is an assessment completed by the Investors in People body regarding staff development and opportunities provided for staff members. There is evidence to demonstrate that health and safety of service users is taken seriously by the home. Record show that there are regular checks completed on hot water temperatures, fridge/ freezer temperatures, emergency lighting and fire fighting equipment. There is a reviewed fire risk assessment in place completed on 9/11/06. Records show the last fire drill was carried out on 1/1/07. Staff members receive a fire lecture from the Fire service annually. Staff members confirm that they receive regular refresher training in manual handling. Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 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 X 26 X 27 X 28 X 29 X 30 4 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 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Pavenhill (89) DS0000028555.V324977.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!