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Inspection on 02/03/09 for Carnalea Residential Home

Also see our care home review for Carnalea Residential Home for more information

This inspection was carried out on 2nd March 2009.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Over the last two years the owners have made considerable improvements to the environment. They have worked hard to ensure that the people who live there enjoy comfortable, homely surroundings. The home and gardens are well maintained. The owners and manager provide clear leadership within the home and are committed to providing a good quality service. The staff are well trained to make sure they have the skills to do their jobs well. Comments made at the time of the inspection are very complimentary to the management and staff. These have been included throughout this report. The people who use the service comment `I don`t want for anything in this place, it is clean and homely. The carers are out of this world`. `The food is very good, you can`t fault it`. `Staff help you in anyway they can`. `There is nothing to complain about, this place is a hundred per cent`. `I would definitely recommend this home`. Relative`s comments: `Thank you everyone for the way you made my relative so well and happy`. `A very special thank you for the kindness and devoted care given to my relative`. When asked what the staff feel the home does well the comments are as follows: `We include families at all our events. We care for the residents, we very family orientated and always ensure they welcome at anytime`. The owners are very good at improving the home`s environment with good maintenance and providing new flooring and furniture.` ` We care very well, from when the residents come to live in the home until they leave`.

What has improved since the last inspection?

There have been substantial improvements to the environment since the previous inspection. New carpets have been laid in the lounges, various rooms have been redecorated and three en suite bedrooms are now completed. A new bathroom and hoist is now fully operational on the first floor. New furniture has also been purchased in the dining room and at the time of the inspection one lounge was being redecorated. Non slip flooring has also been laid on the ground floor.

What the care home could do better:

To provide further detail in the care plan as to what `assistance` and support` mean to the individual. To ensure that moving and handling risk assessments have clear written guidelines to follow to move people safely. To implement protocols for `as and when required` medication. To ensure that staff present when carrying out fire drills is recorded to ensure they are clear of what to do in an emergency.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Carnalea Residential Home 5-9 London Road Faversham Kent ME13 8TA     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: Penny McMullan     Date: 0 2 0 3 2 0 0 9 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. that people have said are important to them: They reflect the things 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 Older People 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. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 Older People Page 3 of 25 Information about the care home Name of care home: Address: Carnalea Residential Home 5-9 London Road Faversham Kent ME13 8TA 01795532629 Telephone number: Fax number: Email address: Provider web address: eldercare@carnalea.com Name of registered provider(s): Type of registration: Number of places registered: Mrs Betty Florence Wake care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 43 The maximum number of service users who can be accommodated is: 43 The registered person may provide the following category of service: Care home only (PC) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category; Old age, not falling within any other category (OP) The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Date of last inspection 0 Over 65 43 Care Homes for Older People Page 4 of 25 Brief description of the care home Carnalea is a privately owned 43-bedded residential care home for older people. The property is a large detached Victorian building, which has undergone substantial conversion. The main building provides accommodation for 34 residents and an annexe attached at both ground and first floor level, accommodates a further 9 residents. The home has a passenger lift and a stair lift, which gives step free access throughout. All of the bedrooms have wash hand basins, television and telephone sockets. There is call bell system in operation, with a call point located in each bedroom for residents to summon assistance. To the rear of the property there is a large and attractive walled garden with seating for residents use. The home is located on the main A2 road approximately one mile from Faversham town centre and railway station and near to a bus route. A number of local shops are within walking distance. There is ample parking for visitors. The home employs care staff working a roster, which provides 24-hour cover. Ancillary staff for catering, maintenance and domestic duties are also employed. Current fees range from £334.47 to £575.00 according to assessed personal need. Care Homes for Older People Page 5 of 25 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was carried out over a period of time and concluded with an unannounced visit to the home on 2 March 2009. The Registered Manager assisted throughout the visit. The last key unannounced inspection was carried out on 5 February 2007. The care of three people was tracked to help gain evidence as to what it is like living in the home. Various records were viewed during the inspection. The home returned the Annual Quality Assurance Assessment (AQAA) within the required timescale. Information within the AQAA was very detailed to give a good indication of what the home has achieved or how they intend to improve their service. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 7 of 25 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 Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 arrangements in place to assess the needs of the people are in place and they can feel confident their needs will be met. Evidence: The Statement of Purpose and Service User Guide have been reviewed. The management team complete an audit checklist each month to ensure that these documents are updated with the current information about the home and the service they provide. The Registered Manager is responsible for carrying out the care needs assessments for people who wish to come and live in the home. This ensures that peoples care needs are identified and they can feel confident the home can meet their individual needs. When required further information is also obtained from relevant health care professionals. One assessment did not have the date and signature of the Registered Manager or prospective resident. The Registered Manager told us that this would be Care Homes for Older People Page 10 of 25 Evidence: amended to include this information. We are confident that this will be implemented therefore no recommendation will be made in this report. The people spoken to at the time of the visit told us that they had received lots of information about living in the home before they made the decision to move in. In some cases relatives had received this information and were involved in the assessment process. The AQAA states that the home has introduced a resident/relative questionnaire to review the quality of information provided and their experience of moving in to the home. Intermediate care is not offered at Carnalea. Care Homes for Older People Page 11 of 25 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Further detail in the care plans and moving and handling risk assessments will ensure that staff have clear written guidelines to move the people safely and meet their care needs. The medication systems in place support the people with their medication needs. The people using the service can be confident their privacy and dignity will be maintained and their independence is promoted. Evidence: Each person has a care plan in place and a moving and handling risk assessment. The care plans are signed and reviewed on a regular basis. The plans cover all aspects of the care to be provided, however, there are instances where the word prompt and supervise are used with no explanation of how to achieve this for the individual. The people are being weighed on a regular basis and there are ongoing assessments in place for skin integrity and monitoring of falls. All health care appointments are clearly recorded and the people spoken to at the time of the inspection told us how well they Care Homes for Older People Page 12 of 25 Evidence: are looked after when they are not feeling very well. A person comments: The staff are marvellous when you are not feeling very well, they always inform my relative of any information he needs to know. Moving and handling risk assessments are kept in a separate file for staff to access at all times. The Registered Manager is a moving and handling risk assessor and trainer and is involved in providing direct care on a daily basis. She is able to monitor staff competence when moving and handling and update staff on a regular basis. Staff also demonstrated their knowledge and understanding of providing a safe service. The risk assessments identify the number of carers to be used and equipment required but do not state how to manoeuvre the person. Further detail is therefore required to make sure that staff have written guidelines in place to move people safely. The Registered Manager acknowledges this shortfall and told us that she would start to revise the risk assessments the following day. A recommendation will be made in this report. Daily notes are also separate from the plans. The notes were dated and initialled by the carer. The notes outlined the detail of the care provided at that time, however, the full name of the member of staff providing the care is not recorded. This ensures that the person who is completing the care that day can be clearly identified. We are confident that this will be addressed and therefore no requirement or recommendation will be made at this time. Discussion took place with regard to the benefit of keeping residents records in one place to ensure that staff have access to one working document. The Registered Manager told us that she would consider this option. The people told us that the staff respect their privacy, dignity and try to make them as independent as possible. Staff were seen taking time to talk to the people in a respectful manner. The home has incorporated the 10 tests of the Dignity in Care Campaign into their policy and will be developing this further with the staff. A monitored dosage system is place to administer medication. Storage facilities are in good order and the home has purchased a medication trolley to transport and administer the medication safely. There are systems in place to ensure that controlled drugs are recorded and administered appropriately. The recording of the temperatures is in place for both for the medication room and cold storage facilities. A separate and largely well-organised medication storeroom was seen. The medication administration sheets are in good order and the Registered Manager carries out an audit of the medication on a monthly basis. All carers administering the medication have received Care Homes for Older People Page 13 of 25 Evidence: training and new senior carers are shadowed to ensure competence. The placing of tablets on the table for the people to take needs to be reviewed in line with infection control procedures. When people who may at times be confused or lack the capacity to make a decision to have, as and when medication, for example pain relief, protocols should be in place as to how they may exhibit pain and be given pain relief. This information needs to be agreed in their care plan to ensure consistency and effectively manage the pain for the individual. Care Homes for Older People Page 14 of 25 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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 activity programme ensures that the people who use the service have the opportunity to enjoy social activities. They are supported to make decisions and have choice in their daily lives. Visitors and relatives are welcome in the home. Evidence: A new Activity Co-ordinator has been appointed and has been in post for two weeks. Since the appointment each resident has completed a questionnaire with regard to their preferences and choices of activities to be provided. She is in the process of planning an activity programme around the outcomes of the survey. The people who use the service confirm that they can choose to join the activities or they can decide to do something different. The home has outside entertainment, including two musical sessions and armchair exercises. Relatives are actively encouraged to become involved and support the home to hold quizzes and barbeques in the summer. The people confirm that they go to bed when they wish, can choose alternatives at lunchtime and are supported to make decisions in their daily lives. The atmosphere in the home was friendly and relaxed. Some residents are able to go out and the garden is well kept and secure should they wish to go for out for some fresh air. One person Care Homes for Older People Page 15 of 25 Evidence: comments: Yes, I can go to bed when I like, sometimes I stay up if I want. I choose to go to my room to watch television. The people who use the service told us that their visitors and relatives are always made welcome. The people living in the home have expressed a wish that visitors are received in the visitors rooms or bedrooms as they find it can be intrusive in the lounge if they wish to listen to music or watch the television. People are therefore asked what their preference is when their visitors arrive. Meals provided in the home are planned on a four weekly menu. The peoples choices and preferences are recorded in the kitchen and in the care plan to ensure that they receive the meals they like. All of the people spoken to at the time of the visit told us that the meals are good. The meal served at the time of the inspection looked appetising with ample portions. The cook demonstrated her knowledge of ensuring that special diets are catered for and when required additional food supplements are included with the meals. One person comments: The food is very good, they always ask what you would like, I can not fault the choice. The environmental health office visited the home in January and has issued the home with a clean food award. This shows that the cleanliness and procedures in the kitchen are of a high standard. Care Homes for Older People Page 16 of 25 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 people can be confident that any complaints will be listened to and acted upon. Arrangements are in place to protect the people from abuse. Evidence: People spoken to at the time of the inspection all said they had no complaints. One person said that she had no reason to complain but would let them know if she was not happy. All concerns, no matter how minor, are recorded and resolved, resulting in no formal complaints since the previous inspection. The people can feel confident that any issues raised will be listened to and acted upon. The complaints procedure is on display and this information will also included in the information pack in each residents bedroom. This will enable them or their relatives to clearly understand the procedures should at any time they are not satisfied with the service. The home has a copy of the Kent & Medways Adult Protection Policy and all staff have received the protection of vulnerable adults training. Staff spoken to at the time of the visit demonstrated their understanding of safeguarding and the importance of reporting any concerns. The recruitment practice in the home ensures that people are receiving care from staff that has been checked to ensure they are safe to provide the service. Care Homes for Older People Page 17 of 25 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, 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. 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 people who use the service benefit from a home, which comfortable, homely and well maintained. Evidence: The home and gardens are well maintained. There has been a phased improvement plan for the building and phase two is nearly completed. There are eight new en suite bedrooms and at the time of the inspection one lounge was being redecorated to complete the phase. Substantial replacement of the carpets has been done, including the two lounges and new non slip flooring has been installed on the ground floor. The new bathroom has been completed with a new hoist installed. There has been new furniture in the dining room and a new small cooker installed in the small kitchen. The owner is committed to improving the environment and the home is comfortable and homely. There may be a phase three of the building to complete the overall plans of the home to provide a new extension with additional accommodation. The home employs a laundry person to ensure that the people receive a good service. The laundry facilities are satisfactory and were in good order. Infection control procedures are in place and all staff have received training. Care Homes for Older People Page 18 of 25 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are receiving care from staff that are well trained, skilled and have the competencies to meet their needs. Evidence: The people who use the service told us that there is always enough staff on duty in the home. The provider and her daughter are on the premises during the week, together with the Registered Manager. There is a senior carer on each shift and three other carers. In addition there is an activity co-ordinator, a cook, general assistant, two cleaners, a housekeeper and laundry person. At night, there are three waking care workers on duty. Recruitment practices in the home are robust and all the necessary checks have been carried out on the staff to ensure they are safe to provide the service. Application forms, proof of identity, together with two written satisfactory references are also in place. Over seventy five percent of care staff have achieved NVQ 2 or above, two are completing the course and three are signing up to commence in March. By the end of the courses, commencing in March, all of the staff in the home will have achieved the award. There is an ongoing training programme in place and all staff have received mandatory training and some are completing a long distance course in dementia, food Care Homes for Older People Page 19 of 25 Evidence: hygiene, equality and diversity, palliative care and health and nutrition. Each member of staff has an individual training record and all training is summarised in the matrix. Staff told us that they had received a thorough induction and this is evidenced on file. The induction training includes the use of competency tests to ensure that the staff have the skills to carry out their work. Staff supervision and appraisal was seen to take place on a regular basis. Care Homes for Older People Page 20 of 25 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 well managed and run in the best interests of service users. The home provides a safe environment for service users, staff and visitors. Evidence: The Registered Manager is qualified and experienced. She provides hands on care with the people and is a moving handling assessor and trainer. As she is directly involved in the care of the people on a regular basis she is able to monitor the care practice being provided. Staff told us that they feel supported by the management team and the Registered Manager or Provider is always available for support or guidance. It is evident that the Registered Provider and Manager are committed to providing a good quality care service. The Registered Manager told us that the home is not responsible for any of the peoples finances. If required solicitors or the family, deal directly with the individual. Care Homes for Older People Page 21 of 25 Evidence: The last quality assurance questionnaire was sent to the people in May last year. The outcomes were summarised and displayed in the home. Although relatives have been included in the past, other stakeholders such as Care Managers or health care professionals have not been included. The Registered Manager told us that she would be including everyone in the next assessment. A recommendation will be made in this report. There are advocacy services available but no one has used this service at this time. Resident meetings are held on a regular basis and relatives are encouraged to participate in the homes activity plans. All of the necessary checks on equipment in the home have been completed. Accident reporting is in place and any action taken is recorded. The fire book was in good order, with weekly tests and drills taking place. Although the drills are recorded, the names of the staff on duty have not been listed. In order to ensure that all staff have a clear understanding of what to do in the case of a fire, the names of the staff attending must be recorded. This will ensure that all staff are clear of what action to be taken in the event of an emergency. A recommendation will be made in this report. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Older People Page 23 of 25 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 Requirement 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 Requirement Timescale for action 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 improving their service. No Refer to Standard Good Practice Recommendations 1 2 7 7 To provide further detail in care plans as to what assistance and support mean to the individual To review the moving and handling risk assessments to ensure that staff have clear written guidelines to follow to move people safely. To develop the quality assurance programme to include relatives and other stakeholders. To record names of staff on duty when carrying out fire drills to ensure all staff are indluded in the drills and understand what to do in an emergency. 3 4 33 38 Care Homes for Older People Page 24 of 25 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 © (2009) 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 Older People Page 25 of 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!