Inspection on 21/08/05 for Earls Lodge Care Home

This inspection was carried out on 21st August 2005.

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

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

Other inspections for this house

Earls Lodge Care Home 13/03/07

Earls Lodge Care Home 03/10/06

Earls Lodge Care Home 13/06/06

Earls Lodge Care Home 28/11/05

Earls Lodge Care Home 14/07/05

Earls Lodge Care Home 24/03/05

Earls Lodge Care Home 15/10/04

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Abbey The

Snydale Care Home

Hawkhills

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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 Earls Lodge Care Home Queen Elizabeth Road Wakefield Yorkshire WF1 4AA Lead Inspector Tony Brindle Key Unannounced Inspection 21 August 2007 08:15 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 Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Earls Lodge Care Home Address Queen Elizabeth Road Wakefield Yorkshire WF1 4AA 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) 01924 372005 01924 372011 earls.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Ms Amanda L Bennett Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing arrangements for a maximum of 25 nursing and 25 personal care places Daytime 1 RN and 4 care assistants (upstairs) 4 care assistants (downstairs), one of whom is a senior care assistant Night-time 1 RN and 2 care assistants (upstairs) 2 care assistants (downstairs), 1 of whom is competent to administer medication Maximum of 25 nursing at any one time Can accommodate one named service user who is under 65 years of age 13th March 2007 2. 3. Date of last inspection Brief Description of the Service: Earls Lodge Care Home was purpose built to provide personal and nursing care for 50 older people. The home is situated in close proximity to Pinderfields Hospital on Queen Elizabeth Road, Wakefield, close to main bus routes from Wakefield town centre. The home is surrounded by gardens that provide a pleasant environment for service users to sit in. It is a two storey building with nursing care provided on the first floor of the home. There are pleasant lounges and dining areas on both floors. All rooms are single and most have en suite facilities. A team of qualified nurses, care assistants and ancillary staff work at the home and the local doctors and their Primary Health Teams support them. The proprietor is Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited). The manager informed the Commission for Social Care Inspection on 21/8/07 that fees range from £370 to £420 per week. Additional charges include hairdressing, private chiropody and newspapers. A small charge is made for some activities such as Bingo and trips out. Information about the home is available to people via the Statement of Purpose, Service User Guide and the last inspection report, all of which are available in the home’s reception and are given to both people who enquire about living at the home, and those who currently live at Earls Lodge. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the last inspection in March 2007, placements to the nursing section of Earls Lodge were suspended for a time, following concerns that were raised by visiting healthcare professionals. The concerns centred on issues linked to the need for better pressure area care by the staff. Following strategy meetings with the Local Authority, an analysis of the way pressure area care is provided in the home was undertaken by visiting healthcare professionals. The analysis led to being given to the manager and staff about how to improve pressure area care practice and procedures. Placements have since been restarted. This unannounced visit started at 08.15 hours and ended at 12.45 hours. This was a very positive and enjoyable visit where a number of improvements to the quality of services provided were noted. There was the opportunity to speak to people living at the home as well as the operations manager, care staff, kitchen, office and domestic staff and the handyman. Four people’s records were seen and included assessments, care plans, daily and medical records and the record of activities. Six staff records were also seen and included application forms, references, police checks, training and supervision records. A sample of people’s medications and finances were checked and a tour of the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance Assessment and returned Commission for Social Care Inspection surveys. From the 9 surveys that were sent to people living at the home, 2 responded. 7 relatives were sent surveys and 3 responded, and 4 out of 6 healthcare professionals. The feedback received was positive. The inspector would like to take the opportunity to thank the manager and her staff team for their hospitality, and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: People who use the service have the information they need to make informed decisions about moving into Earls Lodge. Individuals are involved in decisions about their lives, and play a role in planning the care and support they receive. People who use services are able to make choices about their lifestyle, and are supported to maintain their life skills. People are encouraged to express their concerns, and have access to a robust, effective complaints and safeguarding procedure. The physical design and layout of the home enables people to live Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 6 in a safe, well maintained and comfortable environment. The management and administration of the home is based on openness and respect, and there are effective quality assurance systems in place. An appropriately qualified and competent manager operates these systems. 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. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have the information they need to make informed decisions about moving into Earls Lodge. EVIDENCE: All of the people’s files seen on the day of the visit included a comprehensive pre admission assessment based on activities of daily living, which included past medical history as well as current needs. Feedback from people who completed our survey indicated that they were satisfied with the information they had been given about the home prior to moving in and were happy about the way their move had been carried out. People living at the home said that when they moved into Earls Lodge everything had gone well, and that the staff had been very supportive. Earl’s Lodge does not provide intermediate care. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play a role in planning the care and support they receive. An improvement in which the daily records are written would ensure that a full picture of a person’s daily life is recorded. EVIDENCE: The way that the staff completed care plans and risk assessments has improved ensuring that people’s needs are clearly identified and the ways in which the staff need to support people is now clearly stated. The records show that people’s plans of care are generated from a comprehensive assessment which is drawn up with each person that provides the basis for the care to be delivered. People’s plans set out in detail the action that needs to be taken by the care staff to make sure all aspects of people’s Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 10 health, personal and social care needs are met. The records show that care staff maintain the personal and oral hygiene of people living in the home and, following discussions with staff, it is clear that support is given to people to enable them to care for themselves if possible. Feedback from people who completed our survey indicated that they were happy with the way their care was arranged, and people living at the home said that the staff talk to them about their care, and discuss ways in which their care can be best provided, taking into account their individual wishes. Feedback from people who completed our survey indicated that they were satisfied with the ways in which their healthcare needs were supported; people living at the home said that the staff are very caring and always ask them how they would like to be looked after. Also, they said that the staff are very good at making sure that doctor’s appointments and district nurse visits are arranged. The records confirmed this. The records held by the Commission and by the registered manager show that concerns were recently raised by local healthcare professionals about the way in which staff at the home dealt with preventing pressure sores. As a result of these concerns, placements to the nursing section of the home were suspended. The records show that, following a strategy meeting with the local council and other interested parties, an analysis of the way the staff dealt with pressures was undertaken by healthcare professionals. This concluded an improvement in the way the recording of pressure sores and skin integrity was needed. Advice was given to the registered manager and staff by local healthcare professionals about how to maintain proper records relating to maintaining people’s skin integrity. The records show that people are properly assessed in relation to developing pressure sores or skin problems and the documentation relating to the appropriate intervention that is required has improved. The records show that the incidence of pressure sores, their treatment and outcome, is now well recorded in people’s individual plan of care and this is reviewed on a continuing basis with the support of external healthcare professionals. Placements to the nursing section of the home have now resumed. The records show that the manager has in place a policy and procedure relating to the receipt, recording, storage, handling, administration and disposal of medicines. On checking a sample of the medication, all the records and quantities were found to be in good order. The system operated by the staff was seen to be very good, with medication quantities being checked for errors everyday. One member of staff said that people can take responsibility for their own medication if they wish, following a risk assessment. Feedback from people who completed our survey indicated that they were satisfied with way they were supported with their medication; people living at the home said that they get their tablets on time and that the staff always make sure that they don’t run out. The records confirmed this. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their lifestyle EVIDENCE: Observations on the day showed that the routines of daily living and activities made available are flexible and varied to suit people’s preferences and capacities. People were seen to be given the opportunity to exercise their choice in relation to leisure and social activities, and food, meals and mealtimes. Feedback from people who completed our survey indicated that they were satisfied with the way that the staff supported them with making choices about meals, activities and the ways they can spend their time. People living at the home said that they are able to have visitors at any reasonable time and one member of staff said that links with the local community are good. The records confirmed this. People living at the home said that they can handle own financial affairs for as long as they wish to and one member of staff added that people’s ability to Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 12 manage their own affairs is monitored so that they can be fully supported in this area. Feedback from people who completed our survey indicated that the relatives and friends of people living at the home are informed of how to contact external advocates and other advisory organisations. People living at the home said that were encouraged to bring their personal possessions with them when they moved into the home. Looking at people’s bedrooms confirmed this. Menus are on display showing that people have a choice of meals and snacks. The records show that the manager and staff make sure that people receive a varied, wholesome and nutritious diet, which is suited to people’s individually assessed requirements. The food was seen to be very appealing, and meals are taken in a pleasant setting. One member of staff said that meals are usually taken altogether but the times can be flexible depending on a person’s preferences. People living at the home said that they enjoy the meals that are provided; they confirmed that there is a good choice of hot and cold drinks, meals and sandwiches. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The effective management and provision of people’s care must be maintained to ensure that people get the support they require, thus ensuring that their rights are protected and their wellbeing promoted. The service has a complaints and safeguarding procedure, which staff work to and put into practice. EVIDENCE: The records show that there is a simple and clear complaints procedure, which includes the stages and timescales for the process. The Commission was recently informed that the management of the home had not acted upon a complainant’s request that their complaint be taken to the second stage of the procedure. Following correspondence from the Commission and the Local Authority complaint’s officer, the complaint is now being dealt with at the second stage. Feedback from people who completed our survey indicated that they were fully aware of who to complaint to over issues at the home, and that they were confident in approaching either individual staff members or the manager with issues they would like to raise. The records show that complaints are usually responded to and progressed within the appropriate timescales. The records show that there are appropriate Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 14 procedures for responding to the suspicion, or evidence of, abuse or neglect. One member of staff said that allegations and incidents of abuse are followed up promptly and the action taken by the staff is recorded. The records confirmed this. Feedback from people who completed our survey indicated that they were satisfied that the staff at the home were aware of how to respond to incidents of alleged abuse. People living at the home said they felt safe and comfortable and knew who to speak to if they were unsure about a situation or the way someone was behaving. The outcome of the recent strategy meetings has been to resume placements to the nursing section of the home, and to offer advice to the manager about how to improve the recording of incidences of poor skin integrity. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well maintained and comfortable environment. EVIDENCE: People living at the home said that it is accessible and well maintained. A tour of the home showed that its location and layout is suitable for its stated purpose, and that it is accessible and well maintained. Feedback from people who completed our survey indicated that they think that the home is kept clean and hygienic. A look around the building confirmed this, and it was noted that the home was free from offensive odours throughout and that there are systems in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 16 where food is stored, prepared, cooked or eaten. Appropriate hand washing facilities are located throughout the building. The records show that there is an appropriate infection control policy and procedure in place. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained and in sufficient numbers to meet the needs of people who use the service. The work that the staff are doing in relation to undertaking NVQ qualifications will ensure that at least 50 of them have this qualification over the next 12 months. EVIDENCE: The rota shows that the staffing numbers and skill mix of qualified and unqualified staff on duty are linked to the assessed needs of the people living in the home. The records show that the number of care staff trained to NVQ level 2 or equivalent is currently below the 50 target. The records show that the registered person operates a comprehensive recruitment procedure based on ensuring the protection of the people living at the home. Two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The operations manager said that new staff are confirmed in post only following completion of a satisfactory police check, and satisfactory check of the Protection of Vulnerable Adults register and Nursing register. The records supported this. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 18 Feedback from people who completed our survey indicated that they believed that the staff were well trained. People in the home added that they thought the staff were well trained, and that they were very caring in what they did. One member of staff said that they had received training on the principles of care, safe working practices, the organisation and safeguarding people. The records show that staff receive good levels of training in the areas of caring for older people and the records show that staff receive training in areas such as health and safety, fire safety, movement and handling, safeguarding, and food hygiene. One member of staff said that they also get specialised training to help them with their job in areas such as dementia care and care planning. The records confirmed this. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 This outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There are quality assurance systems in place that help to put people at the centre of the process. A qualified and competent manager operates these systems. EVIDENCE: The records held by the Commission show that the registered manager is qualified and has the experience to run the home. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 20 The records show that the manager and staff meet the aims and objectives of the service by ensuring that there are effective quality assurance and quality monitoring systems in place to measure success in relation to the care people receive, the training staff receive and how people feel about the way the home is run. Further to this, the records show that the manager has safety systems in place that help to make sure that people’s wellbeing is promoted. The way in which people’s movement and handling needs are assessed has improved. The records show that risk assessments are carried out for key working practices and that significant findings of those risk assessments are recorded and acted upon. Feedback from people who completed our survey indicated that they feel safe living in the home, and that they believe it is well run. One member of staff said that the movement and handling training and practice within the home had improved since the last inspection, and that all the staff now receive appropriate training, and are fully aware of how to put this into practice. Observations made on the day, and a review of the training records, confirmed that improvements had been made, and that a safer system for moving and handling people than that seen at the last inspection, was now in place. Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP7 Good Practice Recommendations Members of staff should make sure that the content of the daily records accurately reflects the care and support, decisions and choices people have received and made. Doing this will make sure a full picture of a person’ s life is recorded. The work that the staff are doing in relation to undertaking NVQ qualifications will ensure that at least 50 of them have this qualification over the next 12 months. 2 OP30 Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 23 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 Earls Lodge Care Home DS0000044498.V339780.R01.S.doc Version 5.2 Page 24 - 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. 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