Inspection on 11/10/05 for Grove House & Grove Lodge

This inspection was carried out on 11th October 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grove House & Grove Lodge 15/05/07

Grove House & Grove Lodge 26/09/06

Grove House & Grove Lodge 08/02/06

Grove House & Grove Lodge 23/11/04

Grove House & Grove Lodge 29/07/04

Grove House & Grove Lodge 24/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Grove House/Grove Lodge 13 & 14 Norton Close Borehamwood Hertfordshire WD6 5DW Lead Inspector Mrs Jan Sheppard Unannounced Inspection 10:00 11 October 2005 th Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 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 Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grove House/Grove Lodge Address 13 & 14 Norton Close Borehamwood Hertfordshire WD6 5DW 0208 953 6443 0208 953 6443 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) Royal Mencap (Housing & Support Services) Ms Simone Boatwright Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2004 Brief Description of the Service: Grove House and Grove Lodge, known as numbers 13 and 14 Norton Close, are a pair of semi-detached houses situated at the end of a cul-de-sac in a residential area about one mile from Borehamwood Town Centre. Each House is self-contained with its own kitchen, dining room, lounge and bathroom. The home has a garden to the rear of the building, accessible via a ramp and including a patio area with barbeque, and a parking area to the front. Grove House accommodates six service users and Grove Lodge accommodates three service users who each have their own single room. The service users residing in the Lodge are more independent than those in the house. The service users receive care and support according to their assessed needs in a homely environment where they are encouraged to live as independently as possible. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of this inspection year and took place over day when residents and the staff on duty were spoken with, records examined and a tour of the building and garden undertaken. The detail of this report reflects the findings at that time and also takes into account the comments made by the residents. The inspector was welcomed into the home and many of the residents remembered her previous visits. The home had a very relaxed atmosphere, the residents most of whom returned to the home mid afternoon having attended their various day care activities all appeared to be happy and were obviously very at ease with the staff to whom they were making their wishes and plans for the evening known in a very empowered manner. What the service does well: What has improved since the last inspection? What they could do better: The provision of more staff hours at the weekends would enable a wider range of activities and more spontaneous outings to be undertaken by the residents especially those who are not able to leave the home unaccompanied. The general state of cleanliness of the home should be improved. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 6 Repairs are required to a ceiling following a leak. The kitchen flooring and work-surfaces need replacing, so to improve hygiene standards. 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. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 5. The home has appropriate information in the form of the Statement of Purpose and Service Users Guide which are available to prospective residents and to their families concerning how the home operates and what procedures are in place to meet their care needs. EVIDENCE: The home has a pre-admission policy and assessment procedure that meets the requirements of this standard. As no new residents have been admitted since the last inspection it has not been possible to examine the operation of this admissions procedure more fully. However the records evidenced that the most recently admitted resident settled quickly into the home where she remains happily living. The contract statement of Terms and Conditions given to every service user gives details of their room, the fees payable, the care and services that they will receive and the terms and conditions of their occupancy including their rights and obligations in the event of any breach of contract. At the time of this inspection the home was found to have a peaceful and relaxed atmosphere with the staff member anticipating and meeting the care needs of the residents in a caring and understanding manner. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 9 and 10. The service users all have care plans, which are kept confidentially, in the office in locked cabinets. The care plans are well maintained and give good detail as to how the care needs of each resident should be met. EVIDENCE: The care plans were found to be well organised and to give clear and concise instructions as to how care should be delivered. Evidence of the involvement of the residents in the compiling and review of these plans was also found. Good summaries and minutes of multi disciplinary review meetings are also kept. The records relating to the residents meeting evidenced that they are involved in as many of the decision making processes concerning the running of their home as it is safely possible for them to so be. Detailed risk assessments are kept for all residents, these were found to make particularly good detail for the residents who are able to move around in the community alone and who there by may be exposed to greater risks. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The residents day centre and college activity programmes offer them the opportunity for personal development and recreation alongside peers of a similar age and ability. Weekend and evening events are undertaken but more staff hours available at the weekends would enable these weekend activities to be more comprehensive and this would be beneficial for the residents who are not able to go out unaccompanied. EVIDENCE: All the residents have day activity programmes ranging from one to five days each week these planned to meet their individual needs and interests and also to help them maintain and develop further their daily living skills. One resident told the inspector that now she had retired she had chosen to attend the day centre only one day each week. Staff explained that other activities more appropriate for her age and abilities were being explored. The residents maintain close relations with friends and relatives to whom they often make day and weekend staying visits. One resident showed the inspector photographs of her recently born niece and another spoke of her weekend staying visits to see her elderly Mother. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 11 The sister of another resident continues to make weekly visits to the home and was seen to be enjoying tea with the residents. All the residents had enjoyed at least one holiday during the summer months and some had arranged to take another shorter break during the autumn. One resident showed the inspector photos of her visit to Great Yarmouth. There have been no changes to the homes menu arrangements since the last inspection. The fridge was seen to be very well stocked with a variety of fresh foods demonstrating that a healthy living diet is being followed. Bowls of fruit were seen in the lounge and dining rooms which residents, when they returned home from their day activities, were seen to help themselves to as they wished. The dietician and the diabetic nurse continue to visit the home to monitor the dietary health of some of the residents. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. The personal and health care offered to these residents is of a high standard and is very well personalised to meet their individual needs and takes account of their wishes and preferences. The home has a robust medication storage and administration procedure. Only trained staff administer medication. Appropriate procedures are in place to ensure their safety where residents administer their own medication. Medication stored in the fridge must be kept in a locked container. EVIDENCE: Individual personal care practice observed was commendable. The needs of the residents were seen to be being individually met by kind and sympathetic staff who were seen to intervene as little as possible thus ensuring the greatest level of self-determination for the residents. A number of these residents who are more able require assistance with monitoring of their delivery of their own personal care and also have particular emotional needs, which have to be addressed. These requirements were seen to be well documented in their individual care plans. Residents spoken with confirmed that they feel themselves to be well cared for. One said “ staff are always there to help me if I want this if I don’t they just leave me alone to get on with my things and that’s how I like it to be” Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 13 There have been no changes to the homes medication system since the last inspection. The medication was seen to be appropriately store in an approved drugs cupboard and the MAR sheets, (Medication Administration Record sheets) were with two exceptions found to be accurately recorded. A manager surveillance routine for these records was seen to be in operation but did not appear to have identified these omissions in recording. Medication that was kept in the kitchen fridge was in a closed and clearly marked box but this was not a lockable box. A requirement is made. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The required complaints policy and procedures are in place a copy of which is given to all residents and where possible to relatives and families as well. Policies and procedures concerning Adult Protection and Whistle Blowing are in place, which follow the guidelines given in the Hertfordshire Adult Protection Joint agency procedures. EVIDENCE: There have been no complaints nor any incidents concerning adult protection since the last inspection. Staff spoken with were familiar with the requirements of the Adult Protection procedures and confirmed that they had received training in this subject. The appropriate literature concerning these procedures was seen to be displayed on the staff notice board. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26 and 30. This home, comprising a pair of semi-detached houses, is comfortable and well furnished. It provides suitable accommodation to meet the needs of the individual residents in a homely manner. On the day of this inspection the home was found not to be maintained to a satisfactory level of cleanliness or in some areas to be very hygienic. The safety of the home was also found to be compromised because of the use of a door wedge in a residents bedroom door. Repairs were also seen to be needed in specific areas of the home. EVIDENCE: The arrangement of the accommodation in this home is domestic and homely and is comfortably furnished. The residents bedrooms seen were all, except one, clean and tidy and were well personalised with items that reflected the individual tastes and interests of each resident. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 16 The rooms seen were attractively decorated and appeared to be well maintained. One resident pointed out an area of the ceiling that needed repair and redecoration having been affected by a leak from the flat roof above and also demonstrated that her bed mattress was old and sagged in the middle in a very uncomfortable manner. Another bedroom was found to be very foul smelling to a completely unacceptable degree. The staff explained their dilemma being unable to discover how such a smell occurred and discussed with the inspector the various ways of eradicating this smell that had already been tried but without success. As this smell is beginning to pervade to the communal area beyond this bedroom it is imperative that this problem is tackled urgently. Requirements are made. The communal areas of the home, the entrance hall ways, the lounge and dining rooms and the kitchen in the House and the lounge furniture in the Lodge were found to be dirty and were clearly not subject to a sufficiently thorough routine cleaning process. The carpeting in both the entrance hallways were un-swept with considerable amounts of dust and debris, leaves etc that had blown in from the front garden. These areas did not appear to be being regularly swept. The provision of suitable coir matting at all the homes entrances particularly, those leading straight from the dusty pavement outside, might prevent some of this dirt then being carried further into the home. Adjoining on to the entrance area of the House, the carpeting in the dining room was very dirty with large stain marks and areas of the adjacent lounge carpet were similarly affected giving the whole area a very unkempt and distasteful appearance. This was very disappointing to see considering that this area was fully refurbished with new carpeting and furniture less than two years ago following the major refurbishment works to the whole home. A routine cleaning programme of a sufficiently robust nature must be established to ensure that adequate cleanliness of these areas is consistently maintained. The sofa in the lounge of the “House” was seen to be covered with hairs from the cat. The sofas and cushions in the lounge in the” Lodge “ were also very dirty with large brown stains on the cushions which gave a very distasteful and unhygienic appearance. This lounge was very bare not being well furnished or homely and staff reported that the room was not often used by the three residents in that house. In the kitchen of the” House “various works of repair are needed. The plastic work surfacing has several broken areas caused by burning, the floor covering is badly torn around the fridge freezer area exposing bare boards and the seals under the kitchen window are cracked and broken. All these areas will allow dirt and debris to collect in a manner, which is not acceptable in any kitchen environment. It was noted also that the homes pet cat, which has a suitably designated feeding area in the lobby of the rear entrance, was in fact being fed in the kitchen immediately in front of the fridge freezer. This unhygienic practice must cease. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 17 The individual doors of the home except for one bedroom door all have fire door guards to ensure the fire safety of the residents and of the home at all times. On the day of this inspection this one bedroom door was found to be held open with a door wedge staff said that this was because the resident liked to have her door open and had refused to have a door guard fitted. The resident who was in the room at the time said that this was her choice. This unsafe practice, which puts in jeopardy the whole home, its insurance cover and all the residents must cease immediately. Staff immediately discussed this with the resident and had removed the door wedge during this inspection. The garden whilst having been greatly improved by the provision of the large flat area of decking which had residents said been very well used during the summer for eating el-fresco, in most other areas looked unkempt and neglected and is clearly not subject to a regular garden maintenance programme. Old and dirty garden chairs were heaped against a wall and none of the garden beds had been cleaned of weeds brambles and other long accumulated debris. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this inspection. EVIDENCE: Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 The home is well run by competent and dedicated staff who have a good knowledge of the residents health and care needs and of how these needs should best be met. Staff encourage the residents to be constantly aware of their personal safety whilst both in and out of the home. EVIDENCE: The home ascertains the views and wishes of the residents through their regular residents meeting and on a daily basis being a small home the general talk in the kitchen and dining room at meal times is another effective and spontaneous method of gathering information and opinions. On the day of this inspection in the afternoon as the residents returned from their various day activities it was noticeable that each came to find the staff on duty to report their days activities and to inform of the plans that each had for that evening. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 20 One reminded the staff that he was attending a Mencap Meeting and another that he was going to play snooker so would not be taking his supper in the home that evening. He explained that he had had an extra large cooked lunch to make up for this. These service users who all spoke with the inspector confirmed their satisfaction with the home and the life style that this afforded them. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x x 2 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove House/Grove Lodge Score 3 3 x 2 Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x DS0000019398.V249412.R01.S.doc Version 5.0 Page 22 no Are there any outstanding requirements from the last inspection? 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 Standard YA20 Regulation 13(2) Requirement Timescale for action 31/10/05 2 YA30 23(2)(d) 16(2)(k) 3 YA24 23(2)(b) The MAR sheets must be accurately recorded and medication stored in the fridge must be kept in a locked container. It is a requirement that a good 31/10/05 standard of cleanliness is maintained throughout the home and that a) the foul smell in one residents bedroom is eliminated. b) the dirty and badly stained carpeting in the hallways, dining room and lounge of the house are cleaned. c) the very stained soft furnishings in the lounge of The Lodge are cleaned. and that for (b) and (c) a routine cleaning programme is established. It is a requirement that the 31/12/05 house is well maintained and that a) repairs are made to the ceiling area in the residents bedroom defaced from a water leak from the flat roof and that DS0000019398.V249412.R01.S.doc Version 5.0 Page 23 Grove House/Grove Lodge 4 YA24 the mattress in that room is replaced. b) In the kitchen repairs are needed to the burnt holes in the work surfaces, to the unsealed areas under the window and to the torn floor covering around the fridge freezer. 23(4)(c)(iii) Door wedges must not be used as these compromise the fire safety of the whole home. The one bedroom door without a door guard must either have one fitted or must remain closed at all times. 31/10/05 Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 24 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 YA13 Good Practice Recommendations It is recommended that the health and hygiene routines of the keeping of the homes cat in respect of the prevention and spread of infection and toxic conditions, are reviewed this to ensure the safe health of all the residents at all times. Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Grove House/Grove Lodge DS0000019398.V249412.R01.S.doc Version 5.0 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!