Inspection on 06/10/08 for Derriford House

This inspection was carried out on 6th October 2008.

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

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

Other inspections for this house

Derriford House 09/10/06

Derriford House 10/10/05

Derriford House 05/04/05

Derriford House 20/09/04

Derriford House 15/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Derriford House Pinewood Hill Fleet Hampshire GU51 3AW     The quality rating for this care home is:   three star excellent 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: Kathryn Emmons     Date: 0 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Derriford House Pinewood Hill Fleet Hampshire GU51 3AW 01252627364 01252629481 derrifordhouse@farthingscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Carolyn Denise Lunn Type of registration: Number of places registered: Derriford House Limited care home 34 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 34. 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 Brief description of the care home Derriford House is a privately owned and operated care home offering care and support for up to 34 persons accommodated in the OP [older persons] category. All residents live in single rooms provided with en-suite toilet and washing facilities. The home is located in the North Hampshire town of Fleet, adjacent to public transport local facilities/shops, the nearby towns of Aldershot and Farnborough (within 5 miles) and the towns of Guilford, Basingstoke and Reading within 30 minutes travelling time by car. The current fees are #600 to #720 per week. This information was obtained on Care Homes for Older People Page 4 of 26 Over 65 34 0 Brief description of the care home the day of the inspection. There are additional charges for hairdressing, chiropody, newspapers/magazines, toiletries and excursions. Care Homes for Older People Page 5 of 26 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: three star excellent 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: The visit to the service was undertaken by one inspector who spent six hours at the home. The care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records a range of general records and staff details. This forms part of a key inspection and focused on the standards in the key areas that most affect the quality of life for the residents. Information already held such as a service history and the providers self -audit which is called an AQAA (Annual Quality Assessment Audit) were used to plan the visit. During the visit the inspector spoke to the two directors of the company who own the service . One of these is also registered as the Responsible Individual.The deputy manager, administrator, and four other staff, seven residents and a relative were also spoken with. We also sent comment cards for staff and residents to complete and we also Care Homes for Older People Page 6 of 26 considered the comments these contained when writing the report. 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 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 26 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 26 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. Through pre admission assessments and receiving written confirmation,residents can be confident that their needs can be met by the service. Up to date information enables residents to make an informed choice regarding living at the service. This information being provided in different formats enables more opportunities for resident to receive relevant information. Evidence: We looked at three residents admission details including the newest person to be admitted to the service. We could see that information regarding the residents needs had been obtained before the resident had been offered a place at the service. An assessment is undertaken by either the manager or assistant manager. One of the providers showed us a copy of a letter which is sent, confirming assessed needs can be met. This means that residents can be confident that if they move into the service their needs are known. Care Homes for Older People Page 10 of 26 Evidence: We spoke to a visitor who told us they had visited the service with, other family members, and had been able to ask a lot of questions before they decided if they were going to place their relative at the service. We saw documents in place called the service user guide and statement of purpose. These two documents are available to residents and their relatives and inform them of the service they can expect to receive if they choose to live at Derriford House. Details also included who the staff were and what qualifications they held. These documents are updated by the manager when needed. A complaints procedure was also included in the service user guide. In addition to the written documents there is a TV channel in all of the bedroom called Derriford TV . This provided information on what services are offered at the home, how to make a complaint who staff are and current menus and activities. This means that those residents who have difficulty with written information are able to receive information in a more appropriate format. We were told by 4 residents that they had signed their contract . The AQAA we received confirmed that all residents have a contract and this was confirmed in the service user surveys we received back. Care Homes for Older People Page 11 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments are regularly reviewed and give residents confidence that their individual needs are known. Medication systems keep residents safe. Systems in place provide good access to health care professionals. Residents dignity and privacy is respected. Evidence: Using case tracking we looked at three residents service user plans . These contained admission information details including pre admission assessments. There were records detailing medication, care needs ,weight and nutritional needs. We could see the residents had been included in the production of their care plans and reviews were taking place. We could see that daily records were maintained which staff are able to use to monitor the progress and welfare of the residents. Residents we spoke with said that they were treated with respect and that their dignity was maintained. Examples of this were the way they were given privacy when they met with visitors and bedroom doors always being knocked on before staff entered. Care Homes for Older People Page 12 of 26 Evidence: We saw many interactions between staff and residents. All of these interactions were appropriate and valuing of the resident. Care was given in a discreet way and the assistance we saw given by staff assisting residents to move around the home in preparation for lunch was given in a patient and encouraging manner. Staff had an awareness of individuality and ensured that residents were treated individually and given time to make their own choices such as what programmes they wanted to watch on television and when they had a bath. We spoke with seven residents during the visit and most said they recalled being involved with their care plan. We could see that reviews were taking place and that the manager and assistant manager were responsible for writing the care plans and reviewing them with the resident . This means that staff are using care plans to assist them with their work which contain accurate and current information for care to be delivered safely. We could see from admission details and the AQAA that all residents are registered with the local doctors surgery. Residents we spoke with were happy with this arrangement and a resident told us they were always visited promptly by the doctor if they had requested to see them. We could see evidence of regular visits from the doctors. District nurses visited the service when needed. A relative we spoke with said they thought the access to health care professionals was very good. A chiropodist visits the service every six weeks and dental needs are met by a visiting dentist or residents visit their own dentist in the local community. Support is provided to attend hospital appointments and either a taxi or the house car is used for this. The AQAA informs us that the services provided to the residents are good and service user surveys indicate that residents are always satisfied with health care arrangements. Medication records were seen for all of the residents. All medication is administered by the same person during the week for morning and lunchtime medication and all other medication is administered by people who are trained to do this. Medication records are regularly reviewed by the manager as part of the service quality audit system. Residents we spoke with confirmed they received their medicines safely and on time. Care Homes for Older People Page 13 of 26 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. Residents are able to lead a lifestyle similar to what they had before living at the service. Appropriate activities are provided and individuality is respected. Dietary choices and preferences are catered for and residents benefit from nutritionally balanced meals being provided. Evidence: We read in service user surveys that resident were always satisfied with the activities that are provided by the service. There is an activities coordinator who works five afternoons a week and there is also a house car to take residents out on a one to one basis. Residents we spoke to told us they could chose if they joined in activities. One resident said they liked going to the library in the home to watch the weekly film. This is also shown on Derriford TV channel so those residents who chose to stay in their room are still able to join in activities. We could see from care plans that residents previous hobbies were known and opportunities made available for them to continue to participate in these. There is a well stocked library and we could see board games, bingo and quizzes took place. One resident had recently visited the seaside.One resident spoke about the physio and exercises which took place in the morning. We spoke to staff who said they had enough time to sit and talk with residents and would Care Homes for Older People Page 14 of 26 Evidence: help with activities such as discussing the daily newspaper and writing letters and cards. Residents are able to attend local clubs if they chose and the service has good community links which enable the service to be seen as part of the local community and included in any events.Residents meetings are held monthly and the minutes for these are on display. Cultural and religious needs of residents are respected and clergy from various denominations visit the service to provide worship services. Residents are also assisted to attend local worship in the local community of their choice. Residents we spoke with gave many examples of how they were encouraged to have a lifestyle they followed before they came to live in the service. Staff were able to tell us how important it was for residents to make as many choices as possible and for them to lead how their care was delivered. Residents told us that they could chose when they received visitors . There were areas around the home for residents to meet with visitors if they didnt want to use their rooms. We saw visitors being welcomed into the home. A relatives spoke with us and told us the staff are wonderful and I am so glad my husband lives here You are always welcome no matter when you visit. Comment cards we received indicate that residents are always satisfied with the food provided. We spoke with the chef and saw the lunch being served. There are at least two choices for each meal and residents told us they could always change their minds at the last minute and chef would always accommodate their preferences. We saw baskets of fresh fruit around the home and saw that all food was homemade and made with premium brand foods. Chef was able to say what kind of specialised diets were avalible and these included sugar free and high fibre. Birthdays and holidays are celebrated with buffets and celebration cakes. Care Homes for Older People Page 15 of 26 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. A complaints policy enables residents and visitors to the service to raise any issues. They can be confident that their concerns will be listened to and dealt with. Staff receive safeguarding adult training which enables residents to be confident that they are safe. Staff know how to deal with any complaints that are made. Evidence: We looked at the complaints procedure and saw that this was also on display. The procedure is also included in a hotel style brochure which is located in each of the bedrooms and advises residents on the services available. There is also information on Derriford TV regarding how to raise a concern or make a complaint.Since the last inspection no complaints have been bought to our attention. The registered individual and the deputy manager confirmed no complaints had been raised at the service. We spoke with residents and a relatives who told us that if they had any concerns they would speak with the manager or deputy manager. One resident said I have been here a long time and i have never had to complain as the owners are always checking everything is as it should be.. One relative said I have peace of mind that my husband is here they care for him in the right way. Staff told us they were aware of how to deal with a complaint and that they had been instructed to report any concerns or complaints straight to whoever was in charge at the time. Care Homes for Older People Page 16 of 26 Evidence: Two staff spoken with told us they had received training in safe guarding adults and we saw evidence of this in staff training records. Staff were clear on what constituted abusive practice and were very clear on how they would deal with any practice they thought was unacceptable. Staff told us that they felt confident in raising any issue with the manager or owners and felt that there was an open and inclusive culture within the home. There is a safeguarding adults policy in place and also a copy of the current social services policy. These are available for staff to read. Care Homes for Older People Page 17 of 26 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. Residents live in a clean and pleasant service. Decor and furnishings are residents choice and specialized equipment enables then to be as independent as possible. Robust infection control systems minimize the spread of infection. Evidence: We took a tour of the premises and found them to be clean and tidy and in a very good decorative state. Rooms had been personalised and all were decorated with matching soft furnishings. Systems are in place to ensure no adverse odours are present in the service and residents said they thought the service smelt fresh. Residents said they thought the home was Always lovely and clean the staff work so hard to keep it niceand Its so lovely to have a big room where I can put my own furniture.There is a designated laundry assistant during the week and residents told us that the service was good and that their clothes were well washed and ironed. A maintenance person is employed and any repairs are reported to the manager or deputy manager and are addressed promptly. We saw the gardens are well maintained and are located to the rear and sides of the home with car parking towards the front. Visitors are able to enter the home only by the front door. This has a video camera in place so staff in the office can monitor who is arriving at the service. This means that residents can be confident that only authorized people are entering their home. Care Homes for Older People Page 18 of 26 Evidence: Bathrooms were clean and tidy and adaptations had been fitted to enable staff to assist residents with bathing in a safe way. Staff told us they had received training in moving and handling and equipment such as hoists had been serviced. We saw that the communal areas had a variety of furniture and this was all in good repair. Corridors were clear from possible hazards and there is a passenger lift and stair lift in place so residents can be independent when mobilising around the service. The AQAA we received indicated that fire safety tests and training take place regularly and the fire system is serviced regularly. We could see staff working to good infection control guidelines and that they were using gloves and aprons when delivering personal care and serving food. Care Homes for Older People Page 19 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An enthusiastic and trained care team cares for residents. The organisations recruitment procedures are robust and protect residents. Staff are provided in sufficient numbers to meet care needs Evidence: We saw from reading completed service user survey cards that residents thought there was always enough staff on duty. Since the last inspection more staff have been recruited and extra staff are on duty during busier times of the day such as the morning. Agency staff are used as little as possible but when this happens a record is kept of who attended the service so they can be requested again. This means that residents benefit from continuity of staff who know their care needs. We could see that staff from various cultural backgrounds had been employed. All were supported to attend English lessons if their first language is not English. We spoke to residents regarding the staff group and we received comments such as I couldnt ask for anything better they are all very good, marvelous and so hard working and They always find a few moments to come and have a chat with you and they are always dedicated to helping you. We looked at three staff recruitment files. We could see the necessary checks such as written references, application forms and criminal record bureau checks had been completed. Two staff spoke about their Care Homes for Older People Page 20 of 26 Evidence: recruitment process and how they were recruited. An induction process is in place and a new member of staff spoke to us about their induction process and how they worked alongside another carer for their first few shifts so they could learn how to deliver the correct level of support to each of the residents. We looked at training records and could see that training had been delivered in various areas such as basic food hygiene, nutrition, infection control ,moving and handling and fire safety. Each time a carer completes training they receive a certificate which is in their training file. Staff were supported to gain their NVQs in Care (National Vocational Qualification)and the service has ensured that as many staff as possible gain their NVQ. This means that they have an increased skill and knowledge base which may mean they are able to deliver an increased quality of care. Staff told us they have staff meetings and we could see that minutes were in place for these meetings. Care Homes for Older People Page 21 of 26 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. Residents live in a service which is managed by an enthusiastic and experienced manager, Quality assurance systems are in place to improve the quality of the service. Supervision sessions enable staff training needs to be identified and met. Health and safety arrangements keep residents, staff and visitors to the service safe. Evidence: The registered manager for the service is Mrs Carolyn Lunn. Mrs Lunn has been the registered manager for the past 5 years and has gained the Registered Managers Award and is an experienced trained nurse. There was evidence in the AQAA and in training files to see that Mrs Lunn keeps herself up to date with current care practices. This means that staff receive information which improves how they support residents. Recently the job roles for the manager and deputy manager have changed with the deputy manager taking responsibility for all staff training records and duty rotas. Residents we spoke with made comments regarding the manager such as She is lovely always friendly to you and will have a chat, She is very nice and knows whats Care Homes for Older People Page 22 of 26 Evidence: going on. Staff made comments such as She is approachable and will has time to listen to you and I get on well with her she is a easy person to work with. The service is operated by Derriford House Limited which is a company operated by Mr and Mrs Pope. They were both present for the inspection visit and we able to talk about the plans they have in place for improving the service. These include providing an individualized brochure for each room to advise residents on the services available at Derriford house and making an application to increase the size of the home to include more bedrooms and communal space. A quality assurance programme is in place with monthly audits taking place in areas such as medication administration, Staff training files and recruitment files, catering and housekeeping arrangements.These include a record being made, by either Mr or Mrs Pope, reporting on the conduct of the service when they visit. There are management meetings and staff meetings and resident forums taking place so that Mr and Mrs Pope can find ways to continually improve the service they offer. We could see from files and staff told us that supervision sessions take place and all staff have been receiving regular supervision. Where possible the service do not look after any monies for any resident but will invoice for items such as chiropody and hairdressing. This is dealt with by the homes administrator who has a background in financial management . We spoke with the administrator who explained the audit trail for managing residents monies and we saw how monies were kept safe. We could see from the AQAA we were sent and from discussion with the deputy manager that safety tests such as fire alarm testing were being carried out regularly.This means that residents are living in a safe environment. Care Homes for Older People Page 23 of 26 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 24 of 26 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 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!