Inspection on 01/06/07 for Bodley Community Care Support Centre

This inspection was carried out on 1st June 2007.

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

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

Other inspections for this house

Bodley Community Care Support... 06/07/09

Bodley Community Care Support... 03/11/05

Bodley Community Care Support... 19/04/05

Bodley Community Care Support... 25/10/04

Bodley Community Care Support... 14/04/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

Honeybourne House

12 Orchard Mews

Stallcombe House

Stepping Stones

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

CARE HOMES FOR OLDER PEOPLE Bodley Community Care Support Centre Wayside Crescent Whipton Exeter Devon EX1 3LF Lead Inspector Sue Dewis Unannounced Inspection 1st June 2007 09:35 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 Bodley Community Care Support Centre DS0000033037.V322115.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. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bodley Community Care Support Centre Address Wayside Crescent Whipton Exeter Devon EX1 3LF 01392 462473 01392 461973 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) http/www.devon.gov.uk/adoption.htm Devon County Council Mrs Deborah Mary Bewes Care Home 20 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (20), Sensory impairment (20), of places Sensory Impairment over 65 years of age (20) Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Bodley Community Care Support Centre consists of a day centre (which by law does not need to be inspected by CSCI) and the Intermediate Care unit. It is owned by Devon County Council, Social Services Department and managed by Debbie Bewes. The Intermediate Care unit is for older people who have been discharged from hospital and no longer need medical care, but need some extra time to recover and make decisions about their future. All through their stay in the unit, residents are assessed. This includes visiting their home with a member of staff and an occupational therapist to enable the staff to see what may be needed to help the person to live at home. The home is purpose built and all on one level. There are three separate units which are used as stepping stones as residents become more able. Other health professionals are based at the unit, as are the domiciliary care services for east, south and west Exeter. There is no charge for anyone whilst using intermediate care services. A copy of the most recent inspection report for the home is available in each bedroom. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately nine hours, one day at the beginning of June 2007. The registered manager is currently covering another home and Bodley House is being managed by an assistant manager in her absence. The home had been notified that an inspection would take place within three months and had returned a pre-inspection questionnaire, information from which was used to write this report. During the inspection 3 people who live at the home were case tracked. This involves us looking at the individuals’ plans of care, and speaking with the individual and staff who care for them. This enables the Commission to better understand the experience of people living at the home. As part of the inspection process CSCI likes to ask as many people as possible for their opinion on how the home is run. As part of this, questionnaires were sent out to 15 people living at the home and their representatives, 10 health and care professionals (including GPs and care managers) and 13 staff. At the time of writing the report, responses had been received from 9 people living at the home and 3 of their representatives, 1 health and care professional and 4 staff. During the inspection we spoke with 3 people living in the home individually. We also spoke with 3 staff and the manager, who came to the home when she knew the inspection had started and the assistant manager. A short tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files. The CSCI document ‘Guidance on Intermediate Care within Care Homes’ was also used to assess outcomes for this service, as well as the National Minimum Standards for Care Homes for Older People. What the service does well: The service provides people with a safe and comfortable environment in which to live, work and visit. One individual commented via a card, ‘either my key worker or another member of staff is always available. It is a very safe environment’. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 6 There is a good admissions procedure that ensures the needs of the individual are assessed and ensure people know that the service can meet their needs. The service is able to maximise the independence of individuals and 82 of those admitted, returned to their own homes. Care plans are simple, but detailed and provides staff with the information they need in order to ensure the needs of the individual are met. Medicines are well managed and people are encouraged to self medicate. Individuals are offered choices in all aspects of their lives and staff are well trained and competent to be able to meet their needs. Quality assurance systems ensure the home continually monitors the care that is provided and looks for ways to improve it. Staff are well trained and competent, one care professional commented that ‘Staff are caring, respectful and present themselves in a professional manner. They are sensitive to clients needs’. 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. Bodley Community Care Support Centre DS0000033037.V322115.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 Bodley Community Care Support Centre DS0000033037.V322115.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, 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission procedure ensures that there is a proper assessment prior to people moving into the home. People are helped to maximise their independence and enabled to return home. EVIDENCE: People rarely visit the home prior to their admission due to the need for them to be discharged from hospital quickly. The length of the admission process can vary from a couple of hours to up to 24 hours and involves a range of health and social care professionals both at the hospital and in the home. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 9 The Statement of Purpose for Bodley House clearly details the services and facilities provided and the type of needs that can be met. The document can be provided in a variety of formats so that it is accessible to anyone who may need it. The service ensures that people receive the information they need prior to admission, by supplying health and social care professional with copies of the Statement of Purpose to be distributed to anyone who may be needing to use the service. The three people that were spoken with all said that they had had enough information about Bodley in order that they could make an informed decision. They all said that they had heard many good things about Bodley and were confident that their needs would be met there. One person used to visit a friend at the home, so knew something about it. One person commented via a card that ‘My discharge team talked in depth with me about Bodley and even though I would be a younger care user I was well prepared.’ The home only provides intermediate care and therefore the prime aim of the service is to enable people to regain their independence and return to live at home. Over the last year 82 of people admitted to Bodley House returned to their own homes. Bodley Community Care Support Centre DS0000033037.V322115.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 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care planning provides staff with the information they require to meet the needs of individuals in a safe and respectful manner, while promoting their dignity and independence. All medicines are stored securely and policies and systems provide for safe administration. EVIDENCE: Health care professionals are based at the home to ensure that the rehabilitation needs of the individuals’ are met. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 11 Three peoples’ files were inspected and all contained detailed information on how care staff should meet their day to day needs. They also showed details of how the goal of the individual returning home, was to be achieved. On healthcare professional commented via a card ‘I am always very impressed with how thorough Bodley is by considering all factors when deciding the best way forward for the person, the staff genuinely care here and are discretional at all times.’ There is a team meeting each Monday and a weekly plan is drawn up for each person, identifying any appointments or particular rehabilitation needs. Individuals are taken to their homes and assessed there, to enable the care and services they require to be closely matched to their needs. If any equipment was needed to facilitate their return home, this would also be assessed. The progress notes that were contained on the files were clear and detailed and showed evidence of the individuals’ involvement. These show how goals that have been set by healthcare professionals are being met. There are also daily notes written by care staff that show how the assessed personal and social care needs of the individual are being met. One person commented via a card that ‘My rehabilitation has been well thought out and tailored step by step to my needs.’ People felt that their privacy was respected and staff were seen to knock on doors and did not enter if no response was received. Staff were also observed offering personal care in a discreet manner. Medication is received into the home in the same containers that would be supplied to the individual at home. It was stored securely and records indicated that it is appropriately administered. Individuals are fully assessed with the aim that they will self-medicate. However, this is not always possible and it may be that carers at their home will manage their medication. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Everyone is offered good choices in all aspects of daily living. Social activities are well managed. They provide daily variation and interest for individuals and create opportunities for increasing their independence. Meals are nutritious and balanced and provide individuals with choice and variety. EVIDENCE: We spoke with three people who were all very complimentary about the service offered. One individual said that they had been doing physiotherapy exercises, and that they spend most of her time doing crosswords and reading. They said that there were other activities available but they were not interested in these. One Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 13 individual said that they had been down to a group activity, but had not really enjoyed it and probably wouldn’t go back. One person said they had spent the morning in the day centre at a coffee-morning. One individual spoke about how the service made their relatives welcome, always offering drinks, and had put on a celebration party for a recent anniversary. Another spoke about how the service was enabling them to attend a meeting with a relative. All three people spoke of how much they enjoyed the food, saying it was ‘excellent’ and that there was ‘a good choice’. Anyone can make drinks and snacks for themselves at any time and notices are placed around the home encouraging them to do this. As individuals get closer to returning home they move into a more independent unit, where they are encouraged to cook for themselves, in order they can be assessed as to what help they may need when they leave Bodley House. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and simple complaints procedure that ensures complaints are responded to promptly with satisfactory outcomes. People are protected by staff who know their duty to report poor practice. EVIDENCE: The home has a detailed, clear and simple complaints procedure. There is a detailed complaints log, that showed how any complaint had been investigated and what the outcome was. People said that they felt that they could raise any matter at any time and were sure that it would be dealt with. One person commented via a card ‘- The staff are so friendly I find no problem talking to staff if unhappy.’ One staff said that if anyone wanted to make a complaint they would direct them to the duty manager. Otherwise they would try to sort it out themselves. They were confident that no issue that was raised would ever be ignored. One staff said that hey were always telling individuals that they must tell someone if they are unhappy about something. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 15 No complaints have been received by CSCI since the last inspection. Records were seen showing that staff have received training in Adult Protection issues. A procedure for responding to abuse is available and staff were aware of this. Staff were able to describe differing types of abuse and gave good details of what they would do if they suspected abuse was occurring. They were aware of the home’s ‘Whistle-blowing’ policy and that it would support them in reporting bad practice. They felt confident that they would be listened to if they raised concerns about bad practice. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 16 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, 20, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, safe and enabling environment for those living in, working at and visiting the home. EVIDENCE: The home is arranged over three separate units that people move through as they become more able and reach the end of their stay. Each unit has its own kitchen/diner and lounge and everyone is encouraged to make drinks and snacks throughout the day. People said that they appreciated being able to make drinks and snacks whenever they wanted to, knowing that staff were there to assist if needed. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 17 All rooms have ensuite facilities and are pleasantly decorated, with aids and adaptations as required, including grab rails. Everyone also has a T.V., tea and coffee making facilities and radio/cassette players in their room. People are encouraged to bring some personal items with them, though, as their stay is limited, it is not practical for them to bring in too many. All areas of the home were clean, comfortable and well maintained. Furniture and fittings throughout the home are of a good quality and of a domestic type. Two bathrooms have assisted baths and there are adequate communal toilets throughout the home. The laundry area has been refurbished to provide a dirty/clean flow through system, helping to minimise the risk of infection. Staff said that disposable gloves and aprons were available whenever required, also helping to reduce the risk of infection. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and competent resulting in an enthusiastic workforce that works positively with people in order to increase their independence. Arrangements for staff recruitment are good, ensuring that people are safeguarded from the risk of abuse. EVIDENCE: There are generally five care staff on duty in the morning, four in the afternoon and three each evening, as well as an assistant duty manager throughout the day and night. There are also ancillary staff, including domestics and cooks throughout the day. Agency staff are used on a regular basis, but their use is not excessive and tends to be the same staff each time. A multi-disciplinary team, including an occupational therapist, a physiotherapist and a registered nurse are also based at the home Monday through to Friday. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 19 One person said that staff were helpful and kind and another said that everyone was really lovely. All three individuals that were spoken with said that they had heard very positive things about Bodley, before they had moved in. All felt that the service had lived up to their expectations. However, one person said that they thought that they sometimes had to wait a while for call bells to be answered. This was discussed with the manager and assistant manager, who agreed to speak with the person and staff involved in their care. Three staff files were looked at and all contained the necessary recruitment checks to ensure the protection of residents. These included an application form, two written references, proof of identity and a satisfactory CRB (Criminal Records Bureau) check. The file of the most recently employed staff contained evidence of a detailed induction, in line with the Skills for Care training. Agency staff records contained a staff profile which showed their CRB check number and their training and experience. Staff training records show that they have received training in Fall Prevention, Moving and Handling, First Aid and Fire Awareness. Staff are also undertaking NVQ training, ensuring that they are competent to do their job. Three staff were spoken with and they confirmed that they receive regular and appropriate training that helps them to meet the needs of the residents. One ancillary staff said that she had recently completed her induction and was about to start on a Basic Food Hygiene course. Two care staff gave detailed descriptions of the needs of people at the home and they were able to explain the care that each was given in order to meet those needs. Staff said that they receive detailed information and training before moving and handling any person at the home. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 20 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, 35, 36 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a range of methods in place to check the quality of the services and facilities provided. It is well managed resulting in practices that promote and safeguard the health, safety and welfare of people who live, work in and visit the home. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has many years experience of working with older people in a residential care setting. She has received regular and appropriate training throughout this time. She is currently at the home for only one day each week as she is managing another home while their manager is on long term sick leave. One of the Assistant managers for Bodley is currently acting as manager in Ms Bewes’ absence. Staff and residents commented that they felt there was a warm and friendly atmosphere within the home. There is an internal review (by Devon County Council’s Performance Review Team) of the home every six months, during which staff and service user questionnaires are analysed. One of the main areas of concern highlighted recently was a lack of activities. From this 12 hours each week have been identified for an activities co-ordinator. It is rare that the home manages residents’ money. However, on the occasions that it does, records show that it is handled appropriately, in line with Devon County Council’s procedures. Records were seen and staff confirmed that they receive regular documented supervision and are aware of the policies and procedures for the home. Staff said that they felt able to talk to managers about anything and were confident that any issues raised would be dealt with appropriately. The pre-inspection questionnaire provided evidence that Bodley House complies with health and safety legislation in relation to the maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. The fire logbook, record of fire safety training and accident and incident records were found to be accurate and up to date. Radiator covers are fitted throughout the home and thermostatic valves are fitted to taps, helping to minimise the risks of burns and scalds. Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 22 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 4 X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 3 X 3 Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bodley Community Care Support Centre DS0000033037.V322115.R01.S.doc Version 5.2 Page 25 - 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!