Inspection on 13/09/05 for Ashleigh [Wimborne]

This inspection was carried out on 13th September 2005.

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

Ashleigh [Wimborne] 20/04/07

Ashleigh [Wimborne] 24/02/06

Ashleigh [Wimborne] 22/03/05

Ashleigh [Wimborne] 19/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashleigh 7 St Johns Hill Wimborne Dorset BH21 1BX Lead Inspector Jo Palmer Unannounced 13 September 2005 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 Older People. 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. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashleigh Address 7 St Johns Hill, Wimborne, Dorset, BH21 1BX 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) 01202 883314 01202 883314 Mr C Dodla-Bhemah Mrs J R Dodla Bhemah PC Care Home only 10 Category(ies) of OP - 10 registration, with number of places Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 March 2005 Brief Description of the Service: Ashleigh is a care home registered to provide accommodation to a maximum of 10 service users in the category OP (Old Age). The home usually accommodates 9 service users as one double room is generallyused for single occupancy Ashleigh is a detached older style property located approximately one mile from Wimborne town centre. The house retains many of its original features and stands within its own, well maintained gardens. Off road parking is provided. A three storey building, accommodation is provided to service users on ground and first floor levels whilst the owners occupy the top floor as private accommodation. Access to the first floor is by means of a central stairway with chair lift. There are four bedrooms on the first floor and a bathroom and separate toilet. Two of these first floor bedrooms are reached by a further four steps without lift assistance. The ground floor comprises of five bedrooms, a communal lounge and a dining room, a bathroom and a toilet. The kitchen and laundry are also on the gorund floor.Wimborne offers the amenities of a market town with high street shops, post office, banks and building societies as well as GP surgeries, a cottage hospital and various places of worship. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection on 13th September 2005 lasted for two hours, Mr DodlaBhemah was present who assisted with the inspection process, Mrs DodlaBhemah and a member of staff were also working in the home carrying out domestic duties, catering and general care and attention to those residents who required it. The purpose of this inspection visit was to monitor progress in addressing requirements of the last inspection and to review practices in relation to some of the National Minimum Standards. This was a positive inspection, which concentrated on the outcomes of care and services for residents, measuring against some of the standards. Nine residents were accommodated at the time of inspection although two were out for the day. The inspector spoke with the seven remaining residents, one staff member and Mr Dodla-Bhemah, took a tour of the home and examined relevant records. There were no visiting relatives to speak with at the time of this visit. What the service does well: Residents at Ashleigh enjoy high degrees of self-determination and relatively good levels of independence; Mr Dodla-Bhemah recognises the home’s limitation in caring for people with greater needs and residents are aware of the need to move on to a more suitable home should their needs increase beyond that which Ashleigh is able to manage. When residents first move to Ashleigh, they do so for a contracted trial period following assessment of their needs. Mr Dodla-Bhemah ensures that after initial assessment, a plan of care is established in order that staff are aware of how needs are to be met. Records evidence, and residents confirmed, that they are involved in the care planning process. Residents spoken with confirmed that they are treated respectfully by staff, who always knock before entering their rooms, do not interfere in their private lives and offer assistance with personal care as required in a manner that respects their dignity and privacy. Mr Dodla-Bhemah ensures that some activities and social occasions are organised at ahs including sing songs, a regular service by a local minister, visiting hairdresser and birthday parties. Residents are able to exercise choice in their daily routines and social lives organising their own activities and leisure pursuits including going out, either alone or with friends and family, taking part Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 6 in community activities as preferred, or stating at home enjoying books, television, music and each others company. All residents complimented the meals confirming that they are home cooked using a range of fresh produce. Residents are protected by policies and procedures in the home that are available for staff reference and are taught as part of Mr Dodla-Bhemah’s supervision and training programmes. Policies and procedures in respect of complaints and adult protection are held in accordance with local guidance. No complaints or incidents have been reported. Ashleigh is a clean comfortable home that is suitable for its purpose, residents are able to bring some of their own furnishings and items to compliment the décor and make them feel more at home. There are sufficient bathrooms and toilets sited around the home and five of the bedrooms have en-suites. A pleasant lounge are provides a comfortable space for residents to come together and an attractive dining room looks out over the mature and well maintained gardens. There is a steady, reliable staff group employed at Ashleigh, all of whom have been working at the home for a length of time, staff turnover is very low. Staff undertake a range of duties including resident care as and when required, domestic duties and catering. Residents spoken with confirmed that there are always sufficient numbers of staff on duty who respond appropriately as required by residents. Mr Dodla-Bhemah has devised a comprehensive training programme that meets the requirement of the National Occupational Standards for care staff. No staff have yet undertaken this training however as it is designed for new staff, Mr Dodla-Bhemah is in the process of recruiting for another carer. All staff have received training in areas appropriate to their work and to ensure that residents remain in safe hands; courses undertaken include infection control, food hygiene and medication management. Mr Dodla-Bhemah manages the home well and ensures that residents and staff are kept abreast of any changes or significant issues, record keeping is in accordance with good practice and legislative requirements and that health and safety practices are promoted. Mr Dodla-Bhemah has recently completed an NVQ level 4 managers award. What has improved since the last inspection? Requirements and recommendations of the last inspection have been addressed in a competent and timely fashion. Mr Dodla-Bhemah responds well to constructive criticism to ensure Ashleigh continues to operate in accordance with expectations of the regulations and in the best interests of residents. This inspection evidenced that the process of assessment has improved and residents are informed by letter that Ashleigh is suitable for meeting their needs. Staff rotas are now available in advance indicating which staff will be on Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 7 duty throughout the week and Mr Dodla-Bhemah demonstrated his awareness of good principles of employment practice. Mr Dodla-Bhemah has developed a good training programme for new staff that meets the prescribed induction and foundation standards. Mr Dodla-Bhemah also discussed his proposals for encouraging staff to undertake NVQ training to level 2 in care. A new contract has been produced for residents that outlines the Terms and Conditions of their stay at Ashleigh. 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. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 & 5. Standard 6 is not applicable. All admissions are for an initial trial period of four weeks; residents are issued with a contract describing Terms and Conditions of occupancy, including the fees at the point of admission to the home. Prior to admission, the needs of each prospective resident are assessed, following which they are assured in writing that based on the assessment; the home can provide the appropriate care and services. EVIDENCE: A copy of the contract the home enters into with the residents was seen; this described the terms and conditions of occupancy including the fees for the specific room, the accommodation and services, the residents rights and obligations and the legal liability of the home. Residents are invited to visit the home prior to admission and on deciding to move in, they are provided with a contract detailing a four-week trial period to establish whether the home is suitable. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 10 One care file for a resident who has been admitted to the home since the last inspection provided details of a pre-admission assessment identifying the resident’s health and welfare needs. A copy of the letter that Mr Dodla-Bhemah writes to the resident was seen stating that based on the findings of the assessment, the home is able to meet the identified needs. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 There is a structured approach to planning how resident’s care needs will be met; consultation with residents in respect of this was evident. Medical and health needs are met by community medical services. Residents spoken with confirmed that they are treated with respect and kindness. EVIDENCE: Residents at Ashleigh generally retain high levels of independence and as such are able to meet many of their own personal and social care needs. Care plans are written for each resident following assessment, and contain basic information about the support needed for residents to maintain their levels of independence. Although basic care plans are written in a manner that respects the individual’s rights to choose, maintain their own lifestyles as far as practicable and respect for their emotional and psychological needs associated with living in a care home. Residents spoken with confirmed that their health care needs are met by their GP, some stated that the home will arrange appointments on their behalf as needed, some residents confirmed that they are able to make their own Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 12 arrangements. Three comment cards were returned from GP’s who have patients resident at the home and two cards from district nurses. All responded favourably to questions asked confirming that staff at the home communicate well, there are sufficient numbers of staff who demonstrate a good understanding of residents needs and that they had no complaints regarding their patients care at Ashleigh. Three comment cards were returned from residents for the purpose of this inspection and all identified that they felt well cared for, staff treat them well and their privacy is respected. Seven residents spoken with confirmed that staff treat them respectfully during personal care routines which are in the main, limited to bathing as residents are generally able to wash, dress etc for themselves. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, & 15 Social, cultural, and recreational activities are dependent on individual preferences. Residents are supported in maintaining contact with their friends, family and the local community and in making decisions about their lives in the home. A wholesome, appetising diet is provided that residents enjoy. EVIDENCE: All seven of the residents spoken with confirmed that they are able to engage in activities of their choice. Two residents were out for the day, others spoken with confirmed that they were able to go out with friends and family or independently, one resident stated that she did not get out often due to failing mobility although she enjoyed sufficient stimulation in the home. Books are provided from the local library, newspapers and magazines, a visiting hairdresser provides a social outlet and there are frequent ‘sing-songs’ in the lounge and religious services held by a visiting minister. The kitchens and records relating to provision of meals was not examined although residents spoken with confirmed that the food was very good, one stating that it was ‘second to none’, another that it was ‘excellent’. Residents confirmed that fresh produce was used including a range of fresh vegetables and home cooked meals. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home’s complaints procedure is available to residents and their visitors. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively EVIDENCE: Mr Dodla-Bhemah confirmed that no complaints have been received; a complaints log was seen evidencing that should any complaints be made, these will be appropriately documented. Adult protection procedures are in place. Staff training programmes seen (see std 30) evidenced that all staff would have the opportunity to learn the correct ways of managing any incident should one ever arise. Mr Dodla-Bhemah confirmed that during staff supervision (standard 36) he ensures staff are kept abreast of policy reviews and updates. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 23, 24 & 26 Residents live in a safe, comfortable, clean environment with their own belongings around them. Bedrooms, bathrooms and communal areas provide sufficient room for residents and communal space is sufficient for the size of the home. EVIDENCE: During a tour of the premises to meet with residents, most areas of the home were seen. All were clean, well maintained and decorated to a good standard. Resident’s bedrooms are personalised to varying degrees with residents that were spoken with confirming that they were able to bring in many items of their own to make their rooms feel more homely. Communal areas of the home also have a personal feel with appropriate furnishings, carpeting, decoration and personal touches such as pictures, ornaments etc. The dining room was pleasantly laid for lunch with each table provided with napkins, condiments and small displays of flowers. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 16 There are sufficient numbers of toilets and bathrooms around the home; bathrooms provide sufficient equipment to enable appropriate assistance. Five of the bedrooms have en-suite facilities. A laundry area has two domestic style washing machines capable of reaching high temperatures and one domestic style tumble dryer. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Mr Dodla-Bhemah is aware of the principles of good recruitment practice. Staff training programmes demonstrate a commitment to ensuring a skilled and effective workforce is in place. EVIDENCE: Staff rota’s seen evidence that there are sufficient staff to meet the needs of the current resident group. During the mornings there are three staff on duty until mid-morning providing sufficient staff time for domestic and catering duties and residents care needs as required, two staff cover the afternoon shift and Mr & Mrs Dodla-Bhemah are present in the homes during the evening and night to provide any assistance as required to residents. There is no wakeful night shift although low levels of dependency among the residents do not require night workers. All staff have recently attended various training events necessary to ensure that residents remain in safe hands at all times such as food hygiene, infection control and medication management. One member of staff is currently undertaking, and soon due to finish, an NVQ level 2 in care. Whilst standard 28 prescribes that 50 of staff should have attained NVQ level 2 by 2005, of the three staff employed at the home, one will complete shortly, one will start the course shortly and one is disinclined to train. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 18 A requirement of the last inspection is disregarded as the member of staff this referred to left employment and Mr Dodla-Bhemah gave his assurance that the home’s recruitment procedure is robust and that he holds all relevant documentation on file for current staff employed. Mr Dodla-Bhemah has devised a comprehensive induction and foundation programme in accordance with the expectations of Skills for Care (formerly TOPSS) and the National Occupational Standards for care staff. No staff have been employed since the last inspection however so the training programmes have not been used. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 37 & 38 The management arrangements of the home support good care practices in the best interests of residents. Residents rights are protected by sound principles of record keeping and promotion of effective health and safety practices. EVIDENCE: Mr & Mrs Dodla-Bhemah are registered as the care providers at Ashleigh; Mr Dodla-Bhemah manages the home effectively using good administrative procedures in accordance with a small family run business. As a small home, the administration is not as onerous as one would expect of a bigger organisation but Mr Dodla-Bhemah has ensured that resident’s care records, accident records, staff records and records relating to other aspects of the home are well kept, regularly reviewed and up-dated and held securely to protect resident confidentiality. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 20 Mr Dodla-Bhemah has recently attained an NVQ level four in management, as part of his course work, Mr Dodla-Bhemah has revised some of the home’s documentation to ensure it is held in accordance with good practice. Mr Dodla-Bhemah has taken the opportunity of his studies to develop a method of measuring and reviewing the quality of the services provided at Ashleigh. Resident feedback is sought and other aspects of the home are audited including staff turnover, accidents, medication, staff training and residents activities. A report of the review was available for inspection. A monthly newsletter is provided to residents, which includes details of staff news (including a recent staff wedding and external staff news with details of the gardener, hairdresser, visiting minister etc.) and a review of the home’s activities and leisure opportunities. Non confidential resident news is also included such as one resident recently reaching a 101st birthday. Health and Safety procedures are promoted and all staff have recently attended various training updates in subjects such as infection control, moving and handling and first aid. The home fire fighting equipment, fire doors, alarms and emergency lighting are tested at the recommended intervals by Mr DodlaBhemah and by a contracted engineer to ensure they remain in working order. Records evidenced also that all staff receive fire safety and awareness training at the recommended intervals. Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION x 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x 3 3 Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 22 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. 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. Refer to Standard Good Practice Recommendations Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole BH17 0NF 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 Ashleigh D55 S26758 Ashleigh V243551 130905 Stage 4.doc Version 1.40 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!