Inspection on 28/02/07 for Beaufort House

This inspection was carried out on 28th February 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

Beaufort House 24/02/09

Beaufort House 14/03/06

Beaufort House 25/05/05

Beaufort House 25/01/05

Beaufort House 24/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Beaufort House Rectory Road Burnham-on-sea Somerset TA8 2BY Lead Inspector Stephen Humphreys Unannounced Inspection 09:30 28 February 2007 th X10015.doc Version 1.40 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 Beaufort House DS0000015977.V327375.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 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. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaufort House Address Rectory Road Burnham-on-sea Somerset TA8 2BY 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) 01278 786320 01278 786320 The Royal Agricultural Benevolent Institution Mrs Christine Rowe Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. REGISTERED FOR 32 PERSONS IN CATEGORIES OP AND PD (OVER 50 YEARS OF AGE) 14th March 2006 Date of last inspection Brief Description of the Service: Beaufort House is situated in a pleasant residential area of Burnham-on-Sea. It is set in its own grounds and is surrounded by large and attractive gardens with ample car parking spaces to the front and side. Within the grounds is a block of flats set to the rear of the main home. Beaufort House is owned and run by the Royal Agricultural Benevolent Institution for its patrons. The main care home is a large Victorian building that has been converted into single room accommodation and also contains a few self contained one bedroom flats The accommodation is of a high standard, comfortable and very well maintained. There are four large sitting rooms (one with bar facilities) and a spacious dining room. All bedrooms have en-suite facilities and call bells. There is a passenger lift and facilities for assisted bathing. The home benefits from experienced staff, who have been at the home for many years. Beaufort house offers personal care only to service users. General Practitioners and district nurses visit service users in the home to provide professional nursing and health care. The management and staff at the home assist service users to live as independently as possible. There is an interesting range of activities within the home and links to the wider community. The current fee charged is from £356 to £ 450 per week. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection for 2006/2007 carried out by an inspector from the Commission for Social Care Inspection. The visit to the home was unannounced. The inspector used the Inspecting for Better Lives methodology which included talking to people receiving care, care staff, catering staff and the registered manager. The inspector was able to have detailed discussions with service users during the day. The Commission for Social Care Inspection sent out service user surveys prior to the site visit and also comment cards to health care professionals. All the returned surveys contained very positive comments. All the respondents indicated that the staff were always there if they needed them. This was confirmed during conversations with service users and observing the staff during a tour of the home. The inspector was able to tour the home and visit service users rooms. Talk to staff and service users on a one to one basis and take lunch with service users in the dining room. The inspector also reviewed statutory records and service user care plans during this visit. What the service does well: The registered manager, who has been in the home for twenty plus years, has created a very warm and service user orientated care home environment. The staff team are stable and have detailed knowledge of the service users care needs. The activities co-ordinator is very experienced and organises social and recreational activities that service users want to do. She is able to support service users to participate either in a group or one to one. The cook has a detailed knowledge of the service users likes and dislikes and produces meals that are enjoyed by all. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 6 The management of the home is very efficient and supportive to staff and service users. The registered manager and her deputy have developed a team of staff who are respectful and deliver a high standard of care. Service users are actively supported in the development of a variety of lifestyles and daily routines that suit them individually. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good. The registered provider and registered manager have produced clear information to help service users understand what services are available and can be delivered. Admissions to the home are only agreed after a full care needs assessment is carried out. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which is made available to service users, prospective service users and their representatives. The registered manager has recently reviewed and updated Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 9 the service user guide. Service users spoken to confirmed they had received and in most cases read the service user guide. The inspector received eight service user survey replies prior to the site visit. Six respondents felt they always received sufficient information about the home to make a decision. One respondent commented, “Beaufort house always keeps me informed”. One relative commented, “I rarely receive information about the home, however information is provided to my relatives”. The inspector reviewed copies of the registered provider’s terms & conditions that had been signed by the service user or relative. The manager ensures that prospective service users are fully assessed prior to admission. Detailed assessment documents are produced that include psychological and social histories. The manager stated that a service user is visited if possible and information from other health professionals and for example hospital care notes are taken into account. Service users are invited to visit the home whenever this is possible. The assessment period extends to one month trial in the home during which time in-depth assessments and observations are made. Documentation relating to pre-admission assessments was seen in the three care plans examined and contained discharge and transfer information. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good Service users can be assured that their individual health and personal care needs will be met and they will be treated with respect at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of three service users were reviewed in detail and four other care plans were checked for content. The care plans reviewed in detail were of service users with personal care needs. The care plans were very detailed and person centred. The comprehensiveness of the care plan provides staff with all the personal and health care information needed to provide a quality service. The outcomes for service users are the assurance of their well-being. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 11 The plans give clear information about people’s preferred routines including the times that they like to get up, go to bed and small details about how they like their care to be carried out. This enables staff to deliver person centred care to each individual. There is excellent liaison between the home and health care professionals in the area. All service users have regular health care checks with the GP and medication is reviewed on a regular basis. All appointments with medical professionals are clearly documented and the records show that service users are accessing GPs, district nurses, chiropodists, opticians and dentists. Families and friends are able to visit at any time of the day however there are service users in the home that have relatives who live considerable distances and only get to visit occasionally. Service users said the staff provide comfort and support to them. The inspector observed service users in the home talking to each other and supporting each other. One service user commented that the balance of genders is biased toward females and they would like an opportunity to talk to more males. Running records are maintained which highlight any significant events or changes in mood or physical health although two care plans did not reflect the current assessed state of the service user. All service users spoken to were happy with the way that they were assisted with personal care. Everyone asked, stated that their privacy was respected and that they were comfortable with the staff that assisted them with intimate care. One comment received stated, “I get all I want and I’m happy here, I wouldn’t want to be moved” another said, “They are very kind and thoughtful”. Other comments included “the staff are always helpful”. The receipt, storage, administration and disposal of medicines were reviewed at this visit. The inspector checked the Controlled drugs in stock and found that the medicine should have been returned to the pharmacy. The inspector observed a carer administering the medicines. This was carried out as per the homes procedure. All staff that administer medicines have received appropriate training from an accredited trainer. This promotes good practice and resident safety. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 12 Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Quality in this outcome area is excellent. Service users are able to enjoy a full and stimulating life style with a variety of options to choose from. There are a wide range of social and leisure activities available with family and friends able to visit at any time. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The daily routines in the home are flexible and service users are able to make choices on how they spend their day. Visitors are made welcome at any reasonable time in accordance with the wishes of the service user. There is a choice of communal areas ensuring there is always “a quiet spot”. Some service users prefer to meet visitors in their rooms that were seen to contain sufficient seating. Relatives are able to stay at the home. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 14 Service users were able to describe how they spent their days. Some enjoyed crosswords and reading. Others enjoyed the activities such as quizzes and arts and crafts and social events in the communal rooms. There is a library in the home. At the time of the visit the inspector observed a group of ten service users painting plaster ornaments they had made. The activities co-ordinator said that she was arranging a brass rubbing session in the coming weeks that service users enjoy. Service users can enjoy reflexology once week at reasonable costs. Service users were smartly dressed and have the regular services of a hairdresser. The inspector was able to take lunch with service users and also to spend time talking on a one to one basis during the afternoon. One service user told the inspector they were going out to play bridge that afternoon. Other service users were enjoying the company of each other sitting chatting in the sun drenched reception area. Another service user was enjoying quiet time reading her newspaper. The inspector observed staff providing service users with drinks and asking them if they required any assistance during the afternoon. Meals are taken in the large dinning room or if preferred in their room. The inspector took lunch with the service users in the dinning room. Tables were laid to silver service standard. It was evident that service users enjoyed their meal times and made them into social occasions. Only one service user was observed to have a glass of wine with their meal, others had water or squash. A member of the care staff assisted one service user with their meal. This was done sensitively and respectfully. The service user said after lunch “they look after me very well”. All service users were offered a choice from the menu. The main dishes were home made chicken pie or ham salad. A selection of deserts followed by tea or coffee. The inspector spoke to the cook and did a tour of the kitchen. The meals are based on a five-week revolving menu. Unfortunately there did not appear to be very much service user involvement in the production of the menus. The meals are well balanced and nutritious. Service users are offered three cooked meals a day, with snacks and drinks available through out. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 15 Breakfast is three course which includes fruit juices, cereals and a full English is available seven days a week. The inspector toured the kitchen with the cook. The catering staff all have catering qualifications with the cooks qualified to advanced food hygiene level. The kitchen was very clean and tidy and the food stores well stocked. Fresh meats and vegetables are bought in from local suppliers. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Service users can be assured they are protected by robust recruitment procedures and staff awareness of vulnerable adult issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed and copies available in the statement of purpose and service user guide. The Commission for Social Care Inspection has not received any complaints or concerns regarding this care home in the last twelve months. The inspector reviewed the complaints book. No concerns or complaints have been received since 20/10/2006. None of the service users spoken to had any concerns about their care or the home. Service users can be assured that the registered manager would investigate any concerns and the outcomes managed effectively. Service users were able to say who they would take their complaints to however all said they did not have any reason to complain. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 17 The general consensus amongst the service users in the home was “we have no complaints”. Respondents to the surveys received by the inspector commented “we have never had reason to complain”. “I feel that all our needs are met” The policies and procedures regarding vulnerable adults are clear and staff confirmed they had received training in abuse. Staff were aware of the whistle blowing procedure and who to contact if an incident occurred. The registered manager ensures through supervision and quality monitoring that care staff comply with policies and procedures in relation to vulnerable adults. The inspector checked the staff files to ensure the recruitment procedure was being followed. Although no new staff have been started in the last six months the required security checks and information had been obtained prior to staff commencing employment. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is excellent. Service users can be assured of warmth and a safe environment to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has developed the home so that service users see the home as his or her own. The home is well maintained, safe and comfortable. All the necessary equipment is available to meet the service users needs. The rooms are furnished to a high standard with a number of communal rooms for service users to choose where they wish to sit quietly or with others. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 19 On the day of the visit the home was clean and warm. The registered manager and staff observe a high standard of infection control. All bathrooms and toilets were clean with appropriate hand cleaning materials available in each. The home was well lit and tidy, no malodours were noticeable. Service users informed the inspectors that they were very satisfied with their rooms. Some appreciated the views from the bedroom windows across the gardens. There is a choice of sitting areas and the standard of decoration and furnishing exceeds the minimum standards. The home has a lounge, a dining room and a conservatory. There is a large reception area that provides good views over the front garden with the large window letting in plenty of sun. Several service users liked sitting in this area. The reception, stairs and landing carpets have recently been replaced. Service users have a choice of where to spend the day. Some prefer to spend time in their bedroom especially after lunch for a nap. Overall the home is pleasantly decorated and well maintained. The standard of housekeeping is very high and the domestic staff on duty were satisfied with the time provided to carry out their duties. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Service users can be assured of trained and experienced staff to meet their care needs. The home’s recruitment practices are robust and designed to protect the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager ensures that there are sufficient staff on duty to meet the service users needs at all times. The staffing team is stable with no new members joining in the last six months. Service users have confidence in the staff that care for them. The inspector reviewed copies of the staffing rotas. The rotas are well planned and ensure a good skill mix of experienced staff on duty in the home. Staff spoken to, and observed, appeared committed to providing a high standard of care. They were well motivated and confident in their roles. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 21 Staff commented that all staff work as a team and that there is good communication. The registered manager places a high priority on training and provides opportunities for all staff. Staff files reviewed contained all the required checks and information. The registered manager carries out staff supervision every two months. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36,38 Quality in this outcome area is good. The registered manager provides a clear sense of direction to the home and offers ongoing supervision and support to staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in the home for over twenty years and is very experienced in her role. All the service users commented on how approachable and supportive she is. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 23 Measures are taken which ensure the needs and well-being of service users takes priority and that staff are appropriately supervised. Comments from health professionals indicate complete confidence in the registered manager and her team. Comments from service users and relatives confirm the statements. The registered manager ensures staff follow the procedures and policies and all have a staff handbook. Staff confirmed they can be open and attend staff meetings. They felt that the supervision sessions were open and could voice any concerns they had. They felt the registered manager would support and provide assistance for them if needed. There is an experienced administrator responsible for managing the finances of the home and maintaining appropriate records. On the day of the visit the administrator was not in the home however the inspector reviewed three records and monies held on service users behalf. All records and monies were correctly accounted. At the time of this inspection, the home was taking appropriate steps to ensure the health & safety of service users, staff and visitors to the home. The following records were examined: Fire logbook – Records indicated that appropriate checks were being carried out on the home’s fire detection and fire fighting equipment. Regular training is conducted for all staff. Servicing schedules indicated that hoists are serviced according to LOLER. . The home maintains appropriate records relating to accidents at the home. The accident records include action to be taken and evidence of analysis. Bath hot water outlets are thermostatically controlled to reduce the risk of scalding. The hot water temperature checks although recorded are not being recorded at the required intervals. The inspector discussed this with the maintenance person. First aid training is provided for staff. Beaufort House DS0000015977.V327375.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 3 X 3 X 3 3 X 3 Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. OP9 Standard Regulation 13(2) Timescale for action The registered person shall make 01/04/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This refers to ensuring all controlled drugs are disposed of appropriately when service users have passed on. Requirement 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 OP38 Good Practice Recommendations The registered manager should ensure the temperature of the hot water is recorded monthly from all hot water outlets used by service users. Beaufort House DS0000015977.V327375.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Beaufort House DS0000015977.V327375.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. 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