Inspection on 20/01/06 for Dovecott Care Home

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Dovecott Care Home 28/05/09

Dovecott Care Home 02/12/08

Dovecott Care Home 12/03/08

Dovecott Care Home 29/01/07

Dovecott Care Home 11/05/06

Dovecott Care Home 23/06/05

Dovecott Care Home 27/01/05

Dovecott Care Home 28/06/04

Dovecott Care Home 11/02/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Dovecott Care Home 83 Weelsby Road Grimsby North East Lincs DN32 0PY Lead Inspector Theresa Bryson Unannounced Inspection 20th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dovecott Care Home Address 83 Weelsby Road Grimsby North East Lincs DN32 0PY 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) 01472 878133 Mr Stuart Peter Farmery Mrs Rita Ethel Farmery Mrs Rita Ethel Farmery Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Shaft lift must be completed to the first floor extension within two months of the date of this notice. A safe and secure garden area accessible and suitable for the number and category of service users accommodated must be provided within 3 months of registration. Care plans and risk assessments must reflect the specific needs of the service users accommodated under the category of registration DE(E) and be maintained up to date. 23rd June 2005 3. Date of last inspection Brief Description of the Service: Dovecott provides care for 20 people in the category of old age and dementia. The accommodation is set over two floors. The home has completed a first floor extension providing a further 7 single ensuite rooms and reconfiguration of an existing double bedroom into a single ensuite bedroom. The extension will also provide an assisted shower and a separate Jacuzzi bath. The home is set close to the centre of Grimsby and local parks and other amenities. There is parking to the rear of the building and in side streets next to the home. The owners are developing the garden area and courtyard for service user use. The home has 3 communal areas including a dining room and service users can smoke in a designated area. There are ample toilet and bathroom facilities. Staff training is undertaken by the owners and other agencies and some staff have worked very hard to obtain their NVQ care awards at different levels. Domestic and kitchen staff and a handyman support the care staff. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in January 2006. Records were seen to ensure that people who live in the home were safe to work with the people living there and were trained to do their job. Paperwork was seen to ensure that the home was safe and all checks had been completed. Since the inspection in June 2005 a number of additional visits had also been made to the home to ensure that requirements outstanding were being met and that the people living there were safe. A number of staff were spoken to during the course of this visit, 6 people who live there and a relative. The inspector was accompanied through out the visit by the Manager, Mrs.R.Farmery. What the service does well: What has improved since the last inspection? The paperwork telling people about the home is now fully in place and they can see clearly what services are on offer before deciding on coming to the home. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 6 The supervision given to staff has improved and now takes place on a regular basis to ensure they are doing their job safely. The mandatory training of staff has improved and gives them the knowledge base to enable them to deliver the care to the people who live there. The electrical cupboard is now locked to ensure it is safe for the people who live there to use other parts of that room. What they could do better: The manager needs to ensure that all staff have received training in conditions and needs of the current people who live at the home. This will enable them to give the correct practical care at all times. The records kept on the people who live in the home need to be accurate and the staff need to understand when they may need to seek other health care professionals’ assistance. There also needs to be better accident recording to ensure the people living at the home have their needs assessed correctly and live in a safe environment. The religious needs policy needs to be reviewed to show how the people who live there can exercise their legal and civic rights. The owners must produce a planned programme of maintenance and renewal to show that they are providing a comfortable environment for people to live in. This should include renewal of carpets and furniture. The owners need to complete an assessment of each person living in the home whose bedroom radiators does not meet the required standard and show how they are going to action renewal. This is to ensure each person is free from harming themselves on a hot surface. The owners must ensure that the home is free from odorous smells and show how it is going to achieve this aim, both generally and for individual people living in the home. The manager must ensure that all staff employed have been checked to ensure they are safe to work with the people who live there. This must include Criminal Investigation Bureau checks and written references received, which need to be open for inspection. The manager must ensure that the correct closing devices are obtained for the main sitting room doors and these can be activated by the fire alarm system. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 7 As the doors seen were propped open this could lead to a risk of fire sweeping through these areas of the home and the people who live there being put at risk. 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. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. The home provides comprehensive documentation to enable prospective service users to make informed choice before entering the home. There was a lack of evidence to support that staff had received service specific training. EVIDENCE: The home provides a comprehensive document in the Statement of Purpose and Service Users guide to enable prospective service users to make informed choice before entering the home. The documents list the services the home provides and the organisational structure. Each person has a contract of terms and conditions of the home, the majority are funded by the local Social Services Department of North East Lincolnshire and those contracts are in place. The manager was unable to show sufficient evidence to support what service Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 10 specific training had taken place for staff. This was confirmed by discussions with staff members. This needs to be in place and evidence produced of which staff have attended. There was evidence of service users being able to make choices in their daily lives concerning where they wanted to be each day, types of clothes to wear, what activities they took part in and choices of meals. There was ample evidence in the individual bedrooms that they can personalize them to their individual tastes and needs. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8. The company provides comprehensive documentation to enable the delivery of care to be recorded, this was found not to accurate and decisions on events which had occurred had to be questioned. EVIDENCE: The inspection had been prompted by an adult protection referral of the care given to a named service user. The records for that person were found to be incorrect. Sections were not dated, accident reports had not been correctly completed and staff had failed to respond to an accident in an appropriate manner. There was also little evidence to support how the staff were monitoring bowel movements and food and fluid intake, especially as the person was a diabetic. During the course of the visit a further 2 care plans were tracked in depth. One of those also had inaccurate recording and the home had failed to respond to the needs of a particular service user in an appropriate manner. An immediate requirements notice was issued asking that this person’s care be reviewed and Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 12 immediate medical assistance sought. The matter was also refereed back to the protection of adults investigating officer to ensure that an urgent case review was requested for this named individual. There was no evidence in the care plans seen that the manager is auditing the care plans on a regular basis, which was requested at the last visit. Staff questioned during the course of the visit were able to give good recall of the incidents for both service users, but appeared unaware of the urgency of dealing with accidents in an appropriate manner. The manager was remained that all records for service users need to be accurate and that accident reporting needs to be followed through on the correct documentation. Failure to complete records and keep them up dated could result in service users being put at risk from incorrect care being given and lack of care due to no medical assistance being sought at appropriate events. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14. The home ensures that service users can access the local community and that they can make informed choices in their daily lives. EVIDENCE: There was evidence that some service users have regular visitors and other friends who visit. They can be seen in any of the sitting rooms or service users own rooms. A small number of people also go our shopping or the local pub on occasions. Also some church visitors come to the home, as well as entertainers and visiting health professionals. This was documented in the care notes and verified by staff spoken to on duty at the time. There were also a number of visitors in the home at the time of the visit who were interacting with others as well as their loved ones. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 and 18. There was insufficient evidence to show that service users legal and civic rights could be met. EVIDENCE: The policy and procedure manual was very brief in the section on religious rights. This needs expanding to show how service users legal and civic rights can be expressed and how permanent residents are ensured they are included on the local electoral role. This inspection was prompted by an adult protection referral, which was still on going at the end of the visit. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. There was insufficient evidence to show on going maintenance and renewal planning. Some areas of the home had an odorous smell, which was not conducive to a well maintained environment in which to live. EVIDENCE: In the last year the owners of the home have completed an extension, which includes bathrooms, toilets and individual service users rooms. Two sitting areas have been redecorated and a new floor covering placed in the dining room. The areas not yet tackled have some heavily stained carpets and ill maintained furniture. There was no evidence that a maintenance and renewal plan is in place for the remainder of the building to be tackled in the forth-coming year. This is not providing a good environment in which to service users can live. Some radiators had loose duvet type covers thrown over them to protect service users from their heat, as they were hot to the touch. These did not cover all the surface area of the radiators in some rooms and service users Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 16 could be put at risk from touching them. The inspector was assured by the manager that service users in those rooms cannot fend for themselves and therefore the risk was low. An assessment is required in each service users plan to monitor the risk fact until such time as the situation can be rectified. The garden areas were currently being attended to, but the owners have created a secure area, in which service users can sit, in the last year. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30. There was no robust system in place to ensure newly recruited staff were safe to work with service users. EVIDENCE: It was identified during the course of the inspection that 2 new members of staff had been recruited since the last visit. On inspection of their personal files, it was noted that a number only was in place for a criminal investigation bureau check for one person, no actual record was seen and the second person did not have any record that a check had been obtained. There were no references in place for either person or interview check forms. It was necessary for an immediate requirement notice to be issued and the manager informed that they should not be working until such time as these checks had been completed. One of the staff, a male, had been allowed to work with male service users, giving personal care. It was stressed to the manager that this was a very unsafe situation to allow to happen and she assured the inspector it would be rectified. As stated in NMS 4 there was insufficient evidence to show that service specific training had taken place, so therefore the training records were incomplete. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,37 and 38. There was no robust system in place to ensure that quality checks had been completed throughout the home and that service users and stakeholders had been asked to contribute to the running of the home. EVIDENCE: The manager still has not enrolled on the Registered Manager’s Award course. She stated she has not been able to provide a local provider, but could not produce any evidence to support who she has approached. She is aware that she needs to complete this course and was aware of her own training needs not being met by not seeking guidance. She could not produce evidence to support that she regularly interacts with service users, families and other agencies using the home. The care plans show no involvement by the manager or owner and each time the inspector visits no minutes of meetings can be produced, even though the manager Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 19 states events have taken place. Previous time scales for a quality assurance tool being in place have also not been met and the home has failed to produce an annual development plan. The owners need to ensure that all systems in the home are audited on a regular basis to ensure they are safe and that the needs and wishes of service users and other stakeholders are taken into consideration when completing their business. The owners have consistently failed to meet these requirements. By talking to staff and service users families the inspector was made aware that the inspection reports are not offered for reading and all parties were not aware of the issues which need to be addressed in the home. The staff are always very friendly, willing to learn and were knowledgeable about the service users they care for at the home. They would be willing to work more closely to correct issues within the home, if they were allowed to see the reports, as many do not have internet access, and move the home forward, which would be a help to the manager. The CSCI local office is now in possession of a company business plan, but not a financial plan. The Commission needs to ensure that the home is financially viable. It was necessary to look at the policy and procudre manual during the course of the inspection and this does not cover all aspects of running the home, or practical guidance for staff over a number of issues. The owners need to have a complete overhaul of the manual, ensuring the policies contained in it meet current legislation and staff have processes to cover all aspects to be able to deliver the care to service users. It also needs to include all other aspects of running the home from work in the kitchen to safety of the environment. This will make for a safe environment in which to live and work and ensure staff are safe to work with service users. During the course of case tracking case notes it was seen that the accident reporting process had not been followed. Also no action had been taken for 2 service users who had suffered injuries, for which one had been reported as part of an adult protection referral and another reported after this visit, for which an immediate requirements notice had also been issued. Failure for staff to follow the process and the manager to audit the process could lead to service users being put at risk from being in unsafe situations. The two main sitting room doors still did not have the correct closing mechanism attached and were being propped open with chairs, ornaments and pieces of paper. Advice was sought from the local Fire Officer, which has been the second time in 6 months and it was agreed that the inspector would check on the next visit and feed back to the local Fire Brigade officer. It is necessary for the home to obtain a proper system for keeping these doors open, which is linked to the fire system to ensure the safety of the service users, staff and other visitors. Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 20 Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 2 3 N/A 2 X X X X X X 2 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 2 18 2 STAFFING Standard No Score 27 X 28 X 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 1 1 2 X X 1 2 Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP4 OP7 Regulation 18.1.c.i. 13.1.b and 15.2. Requirement The registered person must ensure that all staff have received service specific training. The registered person must ensure that all care plans show accurate recording, where advice has been sought from other health professionals and are audited by the manager. The registered person must ensure that service users can exercise their legal and civic rights and the correct polices are in place. The registered person must produce a planned programme of maintenance and renewal. This to include replacement carpets and furniture. The registered person must ensure that all radiators are safe and that a risk assessment has been completed for all service users in the rooms where there are unprotected radiators. The registered person must ensure that the home is free from odorous smells and put a system in place to combat DS0000002852.V278350.R01.S.doc Timescale for action 30/03/06 28/02/06 3 OP17 16.2.m. 30/03/06 4 OP19 23.2.b. 28/02/06 5 OP19 23.2.b. 28/02/06 6 OP26 16.2.k. 30/03/06 Dovecott Care Home Version 5.1 Page 23 7 OP29 18.1.a. 8 OP31 10.3. 9 OP32 21.1. problem areas. The registered person must 28/02/06 ensure that all staff have received criminal investigation bureau checks and all references are in place before commencement of employment. The registered person must 30/03/06 ensure that the manager has commenced training to achieve NVQ level 4 in management. (Previous time scale of 01/04/05 not met.) This time scale remains from additional visit on 20/12/05. The registered person must 30/03/06 provide evidence of the consultations with the service users and staff on the development of the home and the services provided. (Previous time scale of 01/05/05 not met previous time scale of 28/01/06 not reached.) New time scale offered as extension. The registered person must 30/03/06 develop a system to monitor the quality of care provided and provide a report to service users and the CSCI. (Previous time scale of 01/05/05 not met.) This time scale remains from additional visit of 20/12/05. The registered person must 28/02/06 complete a business and financial plan, which is open for inspection. (Previous time scale of 01/05/05 and 20/01/06 not met). The registered person must develop and review all policies and procedures relating to safe working practises in line with DS0000002852.V278350.R01.S.doc 10 OP33 24.1.a, b. 11. OP34 25.1. 12. OP38 12.1.a, b. 30/03/06 Dovecott Care Home Version 5.1 Page 24 relevant legislation particularly food hygiene. (Previous timescale of 01/04/05 not met previous time scale of 30/01/06 not reached). New time scale offered as extension. 13. OP38 23.4.a. The registered person must ensure that all adequate fire precautions are maintained through out the home. The registered person must ensure that all accident records are correctly recorded and audited on a regular basis and assistance sought from other health professionals where necessary. 28/02/06 14. OP38 13.1.b. and 13.6. 28/02/06 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 Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 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 Dovecott Care Home DS0000002852.V278350.R01.S.doc Version 5.1 Page 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!