Inspection on 03/11/08 for Aspen House

This inspection was carried out on 3rd November 2008.

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

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

Aspen House 28/11/06

Aspen House 06/01/06

Aspen House 25/04/05

Aspen House 26/01/05

Aspen House 05/05/04

Aspen House 01/12/03

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Aspen House 277 Wellingborough Road Rushden Northants NN10 9XN The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ansuya Chudasama Date: 0 3 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: Aspen House 277 Wellingborough Road Rushden Northants NN10 9XN 01933419345 01933419456 manager.aspen@CommunityCareSolutions.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Community Care Solutions Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 10 Number of places (if applicable): Under 65 Over 65 10 4 1 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: No person who falls within the category of Physical Disability (PD) may be admitted to the home when one person who falls within category PD is already accommodated in the home No person who falls within the category of Mental disorder (MD) may be admitted when four persons who fall within category MD are already accommodated in the home Any service user admitted to the home who falls within category PD or D must also fall within category LD ie. dual disability Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Aspen House is situated in a residential area of Rushden in Northamptonshire. The home caters for ten people who have a learning disbaility It is near to the town centre. Each person has their own bedroom. Fees range from 1082 to 1853 pounds per week Care Homes for Adults (18-65 years) Page 5 of 34 according to residents assessed needs. Care Homes for Adults (18-65 years) Page 6 of 34 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home We spoke to the people who were at home, the service manager and the staff on duty. We looked at the policies and procedures, which tells the staff how to do things in the home. We looked at the training that they do to look after the service users living in the home. We looked at the care plans that gave us information about how care needs are being met Care Homes for Adults (18-65 years) Page 8 of 34 We sent some questionnairres about the service and the service users where happy about the service Care Homes for Adults (18-65 years) Page 9 of 34 What the care home does well They like the food. Have regular holidays of their choice. They have lots of choices in activities that are on offer. Care Homes for Adults (18-65 years) Page 10 of 34 The staff are provided with tarining to meet the service users needs. What has got better from the last inspection New bathing facilites have been put in to the home. A full training programme is in place and they have been given an award for this. Care Homes for Adults (18-65 years) Page 11 of 34 What the care home could do better Ensure staff have at least six regular supervisions to monitor their practice. The menus need to provide more choice for the needs of the service users. Ensure that the service users are involved in meal preparation to increase their independent living skills. Relevant agencies should be informed of all incidents and copies of the reports kept at the home Care Homes for Adults (18-65 years) Page 12 of 34 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ansuya Chudasama CPC1 Capital Park Fulbourn Cambridge CB21 5XE If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 34 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 34 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service users and their representatives are provided with information and encouraged to visit the home prior to making a decision to stay Evidence: The home has a Statement of Purpose and a Service User Guide and a copy is given to the service users and their families. This is so that they are aware of the services being offered by the home and they are able to find out if their needs can be met by the home. The service users spoken to stated that they had visited the home with their family and with their social worker. They stated that they liked living at the home and this was confirmed by all the service users surveys sent to the CSCI. Each service user has a contract and a copy seen was signed by the person and their social worker who acted as an advocate. We were informed by the service manager that it was difficult to get advocates for the service users and there was a long waiting list. Staff told us that before a service user is admitted to the home, the home carries out Care Homes for Adults (18-65 years) Page 15 of 34 Evidence: needs assessments and has meetings with the funding authority and the service users families. This is to make sure that the home is able to meet the service users needs. Care Homes for Adults (18-65 years) Page 16 of 34 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Care plans are indivisualised to each service user so there fore the staff know how to meet their assessed needs. Evidence: Evidence showed that all the service users had care planning documents, and risk assessments. Information read in the care plans showed that the service users personal, and health care needs were recorded in detail. Information on potential restrictions on choice, freedom, and services also needs to be recorded in the plan. The plans were being reviewed on a six monthly basis and yearly reviews were being carried out with the funding authority. The care plans seen had been signed by the service user. The home undertook risk assessments for service users when undertaking activities to minimise potential risks. We had a discussion with the service manager to explain that the home could have risk assessments developed in a user friendly format that the service users could understand. This was agreed by the service manager and we were Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: told that they would look into this format. The quality and compliance manager audited the service users care plans and risk assessments. The home needs to have person centered planning (PCP) to meet the service users goals and aspirations. We were told by staff that the home has service users meetings in their individual units and activities and menus are discussed in the meetings. The service users are supported by staff to have their bedroom individualised to meet their needs. We were told by staff that the service users are asked for their views about the colour scheme for when the communal areas are painted and when choosing furniture. Care Homes for Adults (18-65 years) Page 18 of 34 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service users in the home enjoy good healthy food but the menus need to be indivisualised to each unit so they can have more choice in choosing their meals for their unit. Evidence: On the day of the inspection two service users from one unit were on holiday in Spain with two staff supporting them. The other three service users were at college and were accompanied by a member of staff. The other unit, had five service users with three staff working them. There was evidence of staff playing cards with one service user and one was observed playing with beads. The people who had gone to college informed us that they enjoyed doing pottery classes. We were told that all the service users go on day trips and holidays with staff from the home. The organisation paid two hundred and fifty pounds to wards the cost of each service users holidays. Evidence read in the files and staff spoken to stated that the service users attended social clubs, they went horse riding, swimming, snoozelam, shopping and to college. The service Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: manager said that the organisation paid for staff and service users lunch when they went out in the community as part of undertaking service users activities. The comment cards received from the service users stated that some of them would like to go out more often and this included going to the pub or to a social club. The service users told us that they enjoyed living at the home and they liked the staff. One person said that the staff help me to get up in the mornings to go to college. Some said that they helped lay the table and one person said that they sometimes helped staff with cooking in the kitchen. However we were told in the surveys that some of the people want to get more involved in helping out in the kitchen with preparing and cooking meals. We were also told by one service user on the day of the inspection that they too wanted to help out more often in the kitchen with meal preparation. All the service users spoken to said that they like the food. The menus seen were good but discussion with service users in one unit stated that they did not like certain food on the menu but the service users in the other unit enjoyed these food. It was agreed by the service users that it would be a good idea to have their own indivisualised menus for the unit. The home has two vehicles to access activities in the community. We were told by the service manager that the service users money for disability living allowance (DLA) was used to help out with the transport cost. The staff told us that the service users have meetings once a month in their individual unit and these meetings were recorded by staff. The service users informed us that their family visit them at the home and they also visit them at their home. The staff support them with this. The home encourages families to get involved with meeting the care needs of the service users and with any social activities happening in the home. Care Homes for Adults (18-65 years) Page 20 of 34 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service users health care needs are assessed and procedures are put in place to ensure that their needs are met by the home Evidence: All the service users had Health Action Plans and these were good. There was information in the files seen about how the service users needs were being met. Medication reviews with mental health professions was carried out. Records of appointments with the health professionals was recorded. One service user spoken to said that if they felt unwell, they would tell the staff and they would make an appointment for them to see the doctor. We were told that the shift leader on each shift gave out medication and they had received the accredited training in administering medication. The medication records looked at showed that there were gaps where staff had not signed the charts. The coding used also needed to be clearer. The homes needs a controlled drug cupboard that meets the regulation. The home did not have any controlled drugs at the time of the inspection. Staff spoken to explained how they undertook personal care for one of the service Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: users that was being case tracked. They showed that they understood the persons needs well and demonstrated how they maintained their dignity and privacy. Staff told us that one of the service users had their hair cut by staff but it was not known why this person did not go to the hairdressers in the community. The staff said that they would look into this and take the service user to have their hair cut at a hairdressers in the community. Care Homes for Adults (18-65 years) Page 22 of 34 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a clear complaints procedure and the service users know who to speak to if they are not happy Evidence: The home has a complaints procedure and the service users are informed about this. The service manager said that they have not received any complaints and had not made any safe guarding referrals to social services. The service users spoken to, and the surveys received from them stated that they knew how to tell a member of staff or a family member if they were not happy about any thing. The staff spoken to stated that they had done training on safe guarding of vulnerable adults. They gave examples of how they would be able to tell if a non verbal person was unhappy. It was said that this was by understanding the behaviours and the body language displayed by the service user. The daily notes read of the service users being case tracked showed that some of the service users were having falls, bruises and there was evidence of service users hitting each other. The CSCI and the safe guarding team of Social Services were not informed of these incidents and none had been reported since the last inspection. The home was not aware that they had to report these incidents to the relevant agencies. All these incidents were recorded in the accident/incident book and evidence showed that the home had undertaken action to minimise these incidents. The service manager stated that they would report these incidents to the appropriate agencies from today. Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: One service users finances were looked at in detail. Families asked for the receipts for money spent by the home. However the home needs to retain a copy for their evidence. The money checked was correct. The service users money is audited by the organization. Care Homes for Adults (18-65 years) Page 24 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The homes premises were clean and homely and met the service users needs. Evidence: The tour of the home showed that the home was clean and tidy and has two pleasant lounges. The settees in one lounge were being replaced with new ones. However we found the settees in the other lounge were very low and observation showed that both staff and service users found it difficult to get up and this was included the inspector. The service manager stated that these would be replaced with suitable ones. The two kitchens in the two units were domestic in scale and met the needs of the service users. The carpet in one of the service users bedrooms was being replaced with an alternative option to get rid of the odours and meet the persons needs. The toilet and bathrooms also needed modernising in one of the units. The bedrooms seen were indivisualised to the service users needs. We were informed by the service manager that the whole house was being decorated with carpets in some of the communal areas being replaced as they were showing signs of wear and tear. The walls were also being painted. On the day of the inspection the maintenance man had already started decorating in the home. The home had a nice size garden and the information in the AQAA said that the home was going to utilise the garden areas better. This was due to staff and families saying in the survey carried out by the home that the garden could be better. Care Homes for Adults (18-65 years) Page 25 of 34 Evidence: Care Homes for Adults (18-65 years) Page 26 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a comprenhensive staff induction for all new staff to ensure that they have the skills and knowledge to meet the needs of the service users in the home. Evidence: The staff recruitment files were not available in the home. These were stored at the head office. The service manager said that this was agreed with the CSCI that the staf files would be kept at head office. The home did not have any evidence from the CSCI to say when this was agreed. The new staff recently appointed said that they had an interview, and Criminal Records Bureau checks and also had to provide two references and information about their identity and passport before they commenced work. There was also a list of staff names with dates of their pre-employment information recorded before the staff started working at the home. The staff told us that they have monthly staff meetings and they get on well together as a team. They also enjoyed working at the home and told us that the service users get good care and have a good social life. The service users spoken to said that the staff were nice and they helped them to go to college. We observed staff working well with the service users on the day of the inspection. The home has maintained a good staff retention to provide continuity of work and support to the service users. Staff spoken to confirmed that they received good induction training when they start Care Homes for Adults (18-65 years) Page 27 of 34 Evidence: work at the home. This consisted of doing two weeks of induction training. Care Solutions Group were runners up in the category for Best Development and Training company. The staff spoken to said that they have received training on food hygiene, basic first aid, infection control, manual handling, adult protection, medication, challenging behaviour, dementia, continence care, care principles, health and safety and fire training. The AQAA states that the home has 22 staff and 11 staff have NVQ level 2 or 3 training in care. Staff were being provided with supervision but this needs to be undertaken at least six times a year as stated in the standard to monitor staff practices. Care Homes for Adults (18-65 years) Page 28 of 34 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is run in the best interest of the service users living in the home and the service manager had good understanding of the areas that needs improving. Evidence: The manager of the home left in April 08 to undertake another position within the organisation. The home has employed a new manager and they started in September 2008. We were informed that the manager had worked as a Branch Manager for a supported living service, which is part of the Care Solutions Groups. The manager qualified as a Mental Health nurse in 1988 and has experience working with service users with mental health and challenging behavior. The service manager stated that the manager will be putting their application to the CSCI to become the registered manager of the home. We were also told that the manager will be doing their Registered Managers Award. The staff spoken to stated that the new manager was supportive and they were able to speak to them about any concerns. The home had carried out a survey questionnaire in March 2008. The home sent out 47 questionnaires and had received 33 back. Positive feedback was received from the Care Homes for Adults (18-65 years) Page 29 of 34 Evidence: service users and their families about the staff and the care provided by the home. We were told by the service manager that regulation 26 visits were being carried out on a monthly basis to monitor the home, however there were no copies of the report in the home for us to look at. We were told that these were kept at the main office. The fire drills were undertaken on a monthly basis and this was good however the time taken to do the evacuation needs to be recorded. Weekly fire drills were being undertaken and monthly emergency lighting was carried out. A fire risk assessment was also carried out for the home. The staff had training on health and safety and safe working practices. The accidents and incidents that occurred at the home were not being reported to the CSCI under regulation 37 of the Care Standards Act and under safe guarding procedures (see section on concerns and complaints). Care Homes for Adults (18-65 years) Page 30 of 34 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 31 of 34 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 Medication adminstration and 31/12/2008 records for individuals must be complete in full To ensure that medication is given safely and correctly to meet individual health needs 2 42 13 Accidents and incidents must 20/11/2008 be reported in accordance with the homes policy to the relevant agencies and under regulation 37 to CSCI This is to safeguard the service users living at the home from any harm or abuse Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Adults (18-65 years) Page 32 of 34 improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 34 of 34 - 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!