Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/08/07 for Cartref Residential Care Home

Also see our care home review for Cartref Residential Care Home for more information

This inspection was carried out on 9th August 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.

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

People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service they will receive. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people`s expectations. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. The physical design and layout of the buildings enables people to live in a safe, maintained and comfortable environment, which encourages independence. The completion of the extension and building work would further enhance this. Staff in the home are trained, skilled and are provided in sufficient numbers to support the people who use the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system.

What has improved since the last inspection?

Statement of Purpose - The document has been updated to include details of the qualifications of the registered provider, manager and other staff, and consideration has been given to provide the document in a more accessible format. Care plans - Care plans have been prepared for all service users including those receiving respite care. Risk assessment - The processes have been reviewed and where necessary prepared for individual service users, particularly in relation to swallowing, choking, mobility, road safety and behaviour. Medication - Medication is now signed in as it is received into the home on the medication administration record sheets. Staff files - Two references are now in place for all staff, including one from the previous employer. The arrangements for fire safety - Fire drills are now carried out on a regular basis. Fire training is carried out twice in every twelve-month period. The emergency lighting is tested monthly. Records are maintained of the training and testing. A fire risk assessment has been completed.

What the care home could do better:

Completion of the building work at the rear of the building would further enhance the living environment at Cartref.

CARE HOME ADULTS 18-65 Cartref Residential Care Home 1a Church Mount South Kirkby Pontefract West Yorks WF9 3QT Lead Inspector Tony Brindle Key Unannounced Inspection 9th August 2007 03:00 Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 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 Cartref Residential Care Home DS0000006238.V361936.R02.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 Adults 18-65. 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. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cartref Residential Care Home Address 1a Church Mount South Kirkby Pontefract West Yorks WF9 3QT 01977 643592 01977 643592 david.h.hall@dsl.pipex.com 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) Mr Hall Mrs Hall Mrs Joyce F Hall Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2006 Brief Description of the Service: Cartref is a residential care home providing personal care and accommodation for six younger adults with learning disabilities. The home has four permanent service users with two places for short stay care. The enterprise is privately owned and the owners live on the premises. The accommodation is an adapted detached house situated in a residential area of South Kirkby, near Pontefract. All the service users accommodation is single bedroom and there is a large living room and a dining kitchen. The building is in the process of being extended and there is a car park to the front of the building and a sitting area and garden to the rear. The inspection report is kept in the office and is available upon request. The fee for staying in the home in August 2007 is £374. Service users pay for their own hairdressing. Individuals needing specific care arrangements would be subject to assessment to establish the fee required. An extra charge may be made for transport arrangements. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to Cartref, which began at 3pm. While there records were looked at, and a discussion about the progress of the services provided at Cartref took place with the management team. Prior to the visit, the manager was asked to complete an annual quality assessment document. This she did, and the document provided the Commission with a lot of information about the home. Prior to the visit, a number of surveys were sent to people who use, live or have contact with the home. In addition, health and social care professionals were sent a survey, to find out their experience of the service. 7 out of the 12 people who were surveyed responded to, and the feedback the Commission received about Cartref agency was positive. The Commission would like to thank all the people who gave feedback about this agency, and would like to thank the agency manager and staff for their co-operation throughout the inspection process. What the service does well: People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service they will receive. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. The physical design and layout of the buildings enables people to live in a safe, maintained and comfortable environment, which encourages independence. The completion of the extension and building work would further enhance this. Staff in the home are trained, skilled and are provided in sufficient numbers to support the people who use the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 6 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. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service the will receive. EVIDENCE: At the last key inspection a requirement was made relating to improvements that were needed in relation to the Statement of Purpose produced by the manager. The records show that the document has been updated to include details of the qualifications of the registered provider, manager and other staff, and consideration has been given to provide the document in a more accessible format. The records show that the manager and staff have a very good approach to making admissions right for people, and they are clear when they feel the home might not be able to meet the needs of a person. The manager explained that decisions are based upon a wide range of evidence and the records show that person and their relatives are kept informed and involved in the decision making process as much as possible. The records show that people are given Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 9 the chance to visit the home, talk to the staff, have a look round, talk and most importantly, according to the manager, spend time with people already living in the home. The manager explained that admissions are not made to the home until a full needs assessment has been undertaken. The records show that assessment is conducted sensitively and involves the person, and their family or representative, where appropriate. The manager explained that where the assessment has been undertaken through care management arrangements she always receives a summary of the assessment and a copy of the care plan. Feedback from people who completed our survey indicated that they were very happy with the way their relatives had been introduced to the home, staff and other people living there. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: At the last key inspection a requirement was made relating to improvements that were needed in relation to care planning, risk assessments and medication. The records show that progress has been made in relation to meeting this requirement. The records show that care plans have been prepared for all service users including those receiving respite care. The manager explained that the care plans are developed with the people living in the home. The management and staff sees the care plans as belonging to the people living in the home. The records show that the plans are based on a full and up to date assessment, and the plans are written in a person centred way and focus on people’s strengths and personal preferences. The records show that risks are identified through an assessment, and that people are involved in this process. One person living in the home said that Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 11 they are helped to make decisions about how to spend their time, and helped to decide on where to go on holiday, who to spend time with, how to spend their time, what to eat and what clothes to wear. Feedback from people who completed our survey indicated that they were satisfied with the ways in which their relatives were supported to make daily decisions. The manager explained that the processes relating to assessing risks have been reviewed and where necessary risk assessments for individual service users, particularly in relation to swallowing, choking, mobility, road safety and behaviour have been produced. The records confirmed this. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. EVIDENCE: Feedback from people living at Cartref, and from the relatives who responded to our survey, indicated that people are given the opportunity to develop and maintain important personal and family relationships. Discussion with the manager showed that individual rights and choices are promoted, and the records confirmed that people are supported to make informed choices about things such as lifestyle choices, relationships and activities. The manager explained that the service has a strong commitment to enabling people who live at Cartref to develop their skills, including social, emotional, communication, and independent living skills. The records show that individuals are supported to identify their goals, and work to achieve them. The manager said that the staff in the home help people Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 13 to identify opportunities to develop personal relationships, participate in their community, increase control over their own lives, and develop the skills and abilities needed to achieve these goals. It is clear from reading some of the information held in people’s files and from talking to people that people do take action to make sure that the ways of supporting people discussed in planning meetings are implemented. People living in the home explained that they are involved in a range of activities such as attending day services, going out for meals, shopping, pub visits, holidays and day trips. The records show that the service provides transport for this, and some people access community transport. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service good excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Feedback from people who use the service and from feedback from people via our survey indicated that people believe the service does deliver care and support of high quality care and support based on individual needs. The records show that the manager and staff ensure that people receive effective and individualised personal and healthcare support using a person centred approach. This was supported by the views of relatives who responded to our survey. At the last key inspection a requirement was made relating to improvements that were needed in relation to medication recording. The systems relating to the safe keeping and administration of medication were found to be in good order. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The home has a complaints procedure. The records show that the home has not had any complaints since the last inspection. People who responded to our survey indicated that they know how to complain and who to complain to. The records show that regular training and supervision takes place to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the rights of people living at the home. Observations made on the day indicated that the views and experiences of people living at the home are valued. The records that there have been no Safeguarding referrals made since the last inspection. The records show that the training of staff in the area of protection is regularly arranged by the manager. Other training around dealing with physical and verbal aggression is also made available to staff as needed. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical design and layout of the buildings enables people to live in a safe, maintained and comfortable environment, which encourages independence. The completion of the extension and building work would further enhance this. EVIDENCE: Discussions with the people living at the home showed that they are happy with their house and that the living environment is appropriate for their particular lifestyle and needs. Discussions with people indicated that they are encouraged to see the home as their own. The manager explained that she and the staff ensure that the physical environment of the home provides for the individual requirements of the people who live at Cartref with adaptations made to the environment as and when required. One person living in the home confirmed this saying, “The home to very pleasant”. Another person living in the home said that that they are Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 17 encouraged to personalise their bedrooms. This person added that people can meet their relatives or friends in private if they so wish. The manager explained that the proposed extension to the building is taking shape. The extension was seen to be progressing well, and that work to complete this does not impact detrimentally on the people living at the home. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff in the home are trained, skilled and are provided in sufficient numbers to support the people who use the service. EVIDENCE: At the last key inspection a requirement was made relating to improvements that were needed in relation to improving the checks made on staff prior to them starting work in the home. The records show that two references are now in place for all staff, including one from the previous employer. The records show that the service has a well-developed recruitment procedure that has the needs of people who use the service at its core. Staff files contain the correct checks, such as a Protection of Vulnerable Adults and Criminal Records Bureau checks and appropriate reference, before a person starts work in the home. The manager explained that the recruitment of good quality staff is seen as really important to the delivery of an excellent service, and continued saying that the recruitment of the right person for the job is always seen as more important than the filling of a vacancy. She added that people who use the service are encouraged to talk to people who come to the home for interview and their views are sought in relation to whether they feel they would be a good addition to the staff team. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 19 The records show that staff members undertake external qualifications beyond the basic requirements. E.g. National Vocational Qualifications (NVQ). Accurate job descriptions and specifications were found on file, which clearly define the roles and responsibilities of staff. One person living in the home said that the staff are “lovely, with caring and even though they are busy, still make time for you”. The manager explained that there are always enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The records show that the staff receive relevant training that is focussed on delivering improved outcomes for people using the service. One member of staff spoke about receiving induction and foundation training, and added that they regularly received training in different aspects of care work. The records supported this. Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system EVIDENCE: The records show that spot checks and quality monitoring systems are in place which provide the management with evidence that systems are working and that the health and safety of people are promoted. The records held by the Commission show that the manager has the required qualifications and experience to run the home. The manager and home owner said that they had recently been involved in providing leadership and management training to some of the staff with a view to them taking on more of a leadership role within the home. One staff member said that their had helped them in their Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 21 work and it had developed their confidence in being able to make management decisions in the best interests of people living at Cartref. The records show that the home works to a clear health and safety policy. Discussions with staff showed that they are aware of the policy and the records show that they are trained in health and safety issues. The manager undertakes checks such as fire safety, risk assessments and audits to ensure they there is safe living and working environment. The records show that the fire alarms are tested on a weekly basis, and that a fire risk assessment has recently been completed. People living at the home said that they take part in fire drills from time to time. Cartref Residential Care Home DS0000006238.V361936.R02.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 Adults 18-65 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 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Cartref Residential Care Home DS0000006238.V361936.R02.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 Cartref Residential Care Home DS0000006238.V361936.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Cartref Residential Care Home DS0000006238.V361936.R02.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!