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Inspection on 23/10/08 for Fellowes Way (49)

Also see our care home review for Fellowes Way (49) for more information

This inspection was carried out on 23rd October 2008.

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

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

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

What the care home does well

Feedback from people who use the service was positive. They said that they were being supported by their keyworkers so that they can looked after themselves when they move to their own place. One resident said that `with the help of the staff, I have been offered a flat and will be moving next week`. Another said that ` I am well looked after, I attend college, I go out everyday and I like my bedroom`.Care plans were `person centred` and provided up to date information that reflected the changing needs of the residents. These were detailed and the plans of care showed how individual`s were being supported and their needs were being met. Each resident has a weekly activity programme that includes accessing local community amenities and facilities as part of their development for social and independent living skills. Residents are supported to take part in a wide range of activities and courses at the local college that indicates that they are benefiting from the support they received from staff in optimising and developing their skills. There is a competent, skilled and qualified staff team that support the residents. People using the service said that it was a homely and comfortable place to live in and that they were happy with the quality of care and support they received. In relation to Equality and Diversity, as stated in the AQAA, the home has a policy and procedures that ensure that no person suffers any form of discrimination and should any residents need support in this area, the home would use outside agency to support the residents.

What has improved since the last inspection?

There was no requirement or recommendation made in the last inspection report. As stated in the AQAA, there has been improved communication with the families and other professionals. The home now uses outside agencies in assisting and supporting residents with their personal development. There is better liaison with the advisors at the local job centre who also visit the home to support the residents in preparing for employment.

What the care home could do better:

The home should ensure that the procedure to control the spread of infection is adhered to by providing hand paper towels in both the upstairs bathroom and the downstairs staff toilet so that residents and staff are not put at risk. It should also ensure that night staff participate in the fire drills so that they are kept up to date with fire safety practices.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fellowes Way (49) 49 Fellowes Way Stevenage Herts SG2 8BS The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Bijayraj Ramkhelawon Date: 2 3 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Fellowes Way (49) 49 Fellowes Way Stevenage Herts SG2 8BS 01438726886 01438726887 fellowes@robinia.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Robinia Care Group Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 5 5 0 0 learning disability mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home 49 Fellows Way is a home for five younger adults who may have a learning disability or mental disorder. The home is a modern detached house sited in a residential area of Stevenage Town. The house has two floors but no passenger lift and there are bedrooms on both floors. There is a lounge, dining room, kitchen and laundry and all rooms are spacious. The staff office is easily accessible on the ground floor. There is some parking available on the front drive and parking Care Homes for Adults (18-65 years) Page 5 of 31 available in the road outside. There is also a garden at the back of the house. The nearby town has good bus and rail links and provides a wide range of facilities and entertainments. A copy of the homes Statement of Purpose, Service Users Guide and the last inspection report is available on request from the care home. Current fees range from £ 1629.76 to £ 1680.84 per week (as at 23/10/08). Care Homes for Adults (18-65 years) Page 6 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 31 How we did our inspection: This is what the inspector did when they were at the care home This unannounced key inspection was carried out on the 23rd October 2008 and took one whole day. It included talking to residents and staff; examining care plans, staff files, Health and Safety and Fire Safety procedures; the management and administration of medicines; all relevant records and documents including policies and procedures and a tour of the premises. Care Homes for Adults (18-65 years) Page 8 of 31 The home has completed an Annual Quality Assurance Assessment (AQAA) and information from this assessment has been reflected in this report. The AQAA is a self assessment document that looks at how the service is meeting outcomes for people using the service and also provides us with some numerical information. What the care home does well Feedback from people who use the service was positive. They said that they were being supported by their keyworkers so that they can looked after themselves when they move to their own place. One resident Care Homes for Adults (18-65 years) Page 9 of 31 said that with the help of the staff, I have been offered a flat and will be moving next week. Another said that I am well looked after, I attend college, I go out everyday and I like my bedroom. Care plans were person centred and provided up to date information that reflected the changing needs of the residents. These were detailed and the plans of care showed how individuals were being supported and their needs were being met. Each resident has a weekly activity programme that includes accessing local community amenities and facilities as part of their Care Homes for Adults (18-65 years) Page 10 of 31 development for social and independent living skills. Residents are supported to take part in a wide range of activities and courses at the local college that indicates that they are benefiting from the support they received from staff in optimising and developing their skills. There is a competent, skilled and qualified staff team that support the residents. People using the service said that it was a homely and comfortable place to live in and that they were happy with the quality of care and support they received. Care Homes for Adults (18-65 years) Page 11 of 31 In relation to Equality and Diversity, as stated in the AQAA, the home has a policy and procedures that ensure that no person suffers any form of discrimination and should any residents need support in this area, the home would use outside agency to support the residents. What has got better from the last inspection There was no requirement or recommendation made in the last inspection report. As stated in the AQAA, there has been improved communication with the families and other professionals. The home now uses outside agencies in assisting and supporting Care Homes for Adults (18-65 years) Page 12 of 31 residents with their personal development. There is better liaison with the advisors at the local job centre who also visit the home to support the residents in preparing for employment. What the care home could do better The home should ensure that the procedure to control the spread of infection is adhered to by providing hand paper towels in both the upstairs bathroom and the downstairs staff toilet so that residents and staff are not put at risk. Care Homes for Adults (18-65 years) Page 13 of 31 It should also ensure that night staff participate in the fire drills so that they are kept up to date with fire safety practices. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Bijayraj Ramkhelawon CSCI CPC1 Capital Park Fulbourn CB21 5XE 01223771300 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. Care Homes for Adults (18-65 years) Page 14 of 31 You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 31 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 . People who would like to use the service are able to make an informed choice and be sure that their identified needs would be met by a competent and qualified staff team. Evidence: Information about the home was available to current and prospective individuals including the Statement of Purpose and Service Users Guide. Care plans examined and information gained from people using the service and members of staff indicated that individuals were only admitted to the home after assessment of needs has been carried out. As stated in the AQAA, the manager will within the next twelve months ensure that good communication with residents previous placement is maintained so that a clear and holistic understanding of support required could be planned earlier. Care Homes for Adults (18-65 years) Page 17 of 31 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 . People using the service can be confident that their identified needs would be met appropriately and that they would be enabled to live the lifestyle they chose. Evidence: Care plans were detailed, comprehensive and person centred which reflected the identified needs of people using the service and how these needs were being met. Regular reviews of individuals care needs were also carried out and details of their changing needs were reflected in their care plans so that staff are kept informed of these changes. People using the service said that they are given the opportunity to make choices about their lifestyles and to be treated as individuals. Staff members spoken to demonstrated a good knowledge of the needs of individuals. Care practice observed appeared to empower people using the service and their rights to decision making were also being proactively encouraged and upheld, as appropriate. This was done by engaging the individual in verbal communication at each step of an activity i.e what would you like to do today or what are you having for lunch? Up to date risk Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: assessments were in place covering a wide range of activities to ensure that identified risks are minimised and managed. Evidence gathered suggests that staff treated information given by people using the service and significant others in confidence. Records regarding the residents are compiled and stored in accordance with the organisations written procedures and the Data Protection Act 1998, and in their best interests. People using the service said that they are involved in their care planning and attend the review meetings. A key worker system was in place and residents spoken to said that they found this system helpful and supportive because they are able to discuss about themselves and their future with their own keyworkers rather than talking to different people. Care Homes for Adults (18-65 years) Page 19 of 31 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 . People using the service can be assured that they would have opportunities for personal development and encourage to enhance their daily living skills so that they would be enabled to lead as near normal a life as possible. Evidence: A wide range of social and recreational activities was being provided (college, cinema, bowling, cycling, swimming, meals out, day trips etc) for people using the service, based on their identified needs and interests. Each resident has a weekly planned programme of activities that is displayed in the office notice board. Details of social history, previous interest and hobbies were reflected in each persons care plan. All residents either attend college or are looking towards preparing for employment, with employment advisors. Individuals spoken to said that they received excellent support from members of staff in facilitating to access indoors and outdoor activities. People using the service are encouraged to develop and maintain social, emotional, communication and independent living skills where appropriate. Staff actively promote Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: the rights of individuals to make informed choices e.g. staff have retrieve information via the internet about a medical condition which the resident was recently diagnosed with so that the resident would be able to understand the illness better. Other information also retrieve was on healthy eating, obesity and Irritable Bowel Syndrome. Information gained from staff, residents and examination of care plans and menus indicates that people using the service are consulted regarding their culinary likes and dislikes. Residents expressed satisfaction with respect to food available to them. As stated in the AQAA, the manager will ensure that within the next twelve months that individuals hobbies and interests are the basis for the arrangements for activities and planned group day trips. Care Homes for Adults (18-65 years) Page 21 of 31 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service can be confident that their personal and healthcare needs would be met appropriately and that they would receive a good quality of care. Evidence: Records showed that residents health care needs were being met and monitored and referrals to other professionals were made where appropriate. Individuals received personal and healthcare support using the person centred approach with support given by staff based upon identified needs including the rights of dignity, privacy, choices and respect. Care plans examined showed that people using the service are registered with a General Practitioner. Most of the residents are able to maintain their own personal care but sometimes require prompting. Records examined showed that the ordering, storage, administration and disposal of medication were kept in good order that indicates there is a robust system in practice to safeguard the residents well-being. Care Homes for Adults (18-65 years) Page 22 of 31 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 . People using the service can be assured that their concerns and complaints would be listened to and acted upon and that they would be safeguarded from abuse, neglect and harm. Evidence: The home has a complaints procedure and information on complaints is also included in the Service Users Guide and the Statement of Purpose. Residents spoken to said they are aware of how to go about making a complaint and expressed confidence that their concerns and complaints will be listened to and acted upon. The home maintains a record of complaints but none has been received since the last inspection. The home has a copy of the Hertfordshire County Council Joint Agency procedures on safeguarding adults. Staff spoken to confirmed that they are familiar with the procedures and staff records showed that they have received training on the safeguarding adults. An element of adult protection is also covered in the induction programme for all new staff members and those people undertaking the NVQ assessment. Care Homes for Adults (18-65 years) Page 23 of 31 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 . People using the service are cared for in an environment that is homely, comfortable and safe. Evidence: The home is attractively decorated and well maintained. It has a welcoming atmosphere and residents said that it was comfortable and homely. Residents bedrooms are spacious and were full of their personal possessions. The dining room has a music centre and a snooker table and the lounge has a television with SKY channels. Repair works carried out are recorded in the maintenance book and there are regular visits from the maintenance person who also maintains the garden. Domestic tasks are shared by the residents and staff and the home was kept clean. However, it was noted that fabric towels were used in the bathroom that is shared by residents. It was also noted that fabrics towels were used to dry hands in the staff toilet. These should be provided with hand paper towels so as to control the spread of infection and not to put residents and staff at risk. As stated in the AQAA, the manager will within the next twelve months ensure that residents bedrooms will be re-decorated with their input. Care Homes for Adults (18-65 years) Page 24 of 31 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 . People using the service do benefit from the care and support they receive from a competent and qualified staff team and that they feel protected by the homes recruitment policy and practices. Evidence: Adequate levels of staff are rostered on duty to support the number of residents in the care home. 6 staff files were examined and these were found to have all the necessary documents including two written references for each staff and Criminal Records Bureau (CRB) checks were carried out before employment so that residents would be safe and protected. New staff undergo a programme of induction and all staff are provided with training relevant to their work so that they are well equipped to perform their tasks in supporting the residents. Staff spoken to confirmed that they received one to one formal supervision on a regular basis. They also said that they received support from the management team and that senior members of staff were approachable and available for advice as and when needed. Staff members have the necessary skills and they receive appropriate training to meet the varying needs of the people using the service. Staff were very knowledgeable about the needs of individuals whom they were supporting and caring for. Currently, 3 care staff have completed their NVQ Level 2 and 4 Level 3. Two staff are currently undertaking this course. This represents 78 of the care staff have successfully Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: completed the required NVQ Level and above, thus indicating that the majority of staff are qualified in supporting to meet the needs of the residents. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 . People using the service can be assured that their health, safety and welfare are protected by the systems and practices in place and the support they receive from an open and transparent management team. Evidence: People using the service have commented positively on the good practices and quality of care and support they received. The management communicate a clear sense of leadership within the home and has an open door policy where staff could see them at any time with any issues or concerns they may have. The effective implementation of a number of systems including assessment and admission process, care planning and review, consultation and communication, recruitment, induction, training, supervision and appraisal of staff ensures that the home operates in an efficient manner. Fire safety Regulations were maintained and regular testing of fire alarm system and fire drills were carried out. However, fire drills for the night staff have not been done. This should be carried out on a regular basis so that night care staff are kept up to Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: date with fire safety practices. All statutory records were available for inspection and maintained in accordance with legislation. Records inspected were up to date and accurate and were held securely. Staff spoken to were aware that people using the service can access their records and information held about them in accordance with the Data Protection Act 1998. There were policies and procedures in place to ensure that the health, safety and welfare of people using the service and staff are promoted and protected. These records were accessible to all staff. All accidents and injuries are recorded in the accident book and RIDDOR forms have been completed where applicable. A valid insurance certificate was displayed in the notice board and this offered cover of no less than Five million. This certificate expires on 16/09/2009. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes  No  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 Adults (18-65 years) Page 29 of 31 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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 30 Hand paper towels should be provided in upstairs bathroom and in the staff toilet so as to control the spread of infection. Fire drills should include night staff so that all staff have regular drill practice. 2 43 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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!