Inspection on 05/08/05 for Grove Road (45)

This inspection was carried out on 5th August 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grove Road (45) 29/11/07

Grove Road (45) 26/01/07

Grove Road (45) 08/03/05

Grove Road (45) 01/10/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Grove Road (45) 45 Grove Road Sutton Surrey SM1 2AW Lead Inspector Rin Saimbi Unannounced 05/08/05 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 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 Stationary 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 Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grove Road (45) Address 45 Grove Road, Sutton, surrey, SM1 2AW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8642 2899 020 8642 2899 john@theregardpartnership.com The Regard Partnership Limited Anna Maria Nazareth Care Home 9 Category(ies) of Learning Disability (9) registration, with number of places Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: Grove Road is a care home that is for upto nine younger adults who have learning difficulties. The home is a large semi-detached Victorian house which is within walking distance of Sutton town centre. There are plenty of shops, pubs and post office near by. There are good bus and rail routes into London and other shopping areas. From the outside, the home looks like any other house in the road and people would not know it was a care home. The home itself has nine single bedrooms which all have their own sink, wardrobe and bed. The service users have their own keys to their bedrooms, and service users are able to come and go as they please. On the ground floor there is a large lounge/diner, and a separate dining room, kitchen and a laundry room in the basement. There is a small garden at the back of the building, and the front is paved for car parking. The home is owned and managed by Regard Partnership Limited. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection for the year 2005/06; it was an unannounced inspection which started at 9.30 a.m. The inspection took approximately six hours during which time the inspector had a tour of the building, discussions with service users and staff, looking through the documentation relating to service users and to the running of the home. The homes last two inspections were in March 2005, which was part of the previous year’s inspection programme, and at the end of April 2005. Some of the requirements made in the April inspection are still outstanding although they are within the allotted timescales. The home had not received at the time of the inspection, a draft report from this visit. The requirements from the April inspection nonetheless appear in this report. What the service does well: There is an overall ethos within the home that all aspects of daily living should be accessible to service users. So many of the forms and policies are in a format that is easier for service users to understand, either written in plain English or in Makaton symbols. All the paperwork that was seen was up to date, well written and thorough. The home itself is pleasant, clean and well furnished; it is maintained both internally and externally to a high standard. It was positive to note the degree of personalisation in the service users bedrooms, and the individual touches throughout the home of framed photographs of service users at particular events. The home has a group of staff that bring a genuine warmth and affection to the home, which in turn provides a pleasant atmosphere. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 6 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. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 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 standard(s) 2,3,4 and 5 Much information is gathered prior to any new service users coming into the home. Only if everyone is happy for the placement to continue, in particular the service users that it would do so. In this way, service users feel that they are making positive choices about where they live, rather than just being slotted into vacancies. EVIDENCE: One new service users has been admitted to the home in recent months. The referral manager had gathered a lot of information beforehand and completed a personal profile which had information about the person’s general health, communication needs, what household tasks they could do and what help they needed with personal care. This information was completed with the parents and the care manager to make sure that it was correct. It was only at the point that the manager is satisfied that the new service users might fit into the home and that they could meet his needs that the introductory visits were started. The new service users came for a number of visits to the home including overnight stays before there was a meeting to decide if this was the right home. The service user’s point of view was very important in deciding if this was right or not. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 9 Since the last inspection much work has been undertaken with regard to the ‘new’ service users. There has been a second review with the service users, his family and the care manager; a psychologist has been involved and completed an assessment; various activities have been arranged; risk assessments are in place. Each service users has a completed contract, the originals were completed when service users first came into the home. These documents do meet the standards as set in the Care Standards Act 2000. However, they are not in a format that is suitable or appropriate to the service users. The home is therefore in the process of completing new contracts with service users. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 10 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 standard(s) 6,7,9 and 10 Service users are involved in making major life decisions as well as every day choices. Service users are encouraged to be involved in all activities of daily life, even if this might be thought risky for them. EVIDENCE: Each service users had a plan, which came from the original assessment. All the paperwork showed what the service users assessed needs were, and there were sections including ‘me and my life’, ‘my day’, ‘my time line’ and ‘health information about me’. There were spaces to add information or photographs. The service users did all this work. There were also places for service users to write down what they liked doing, what they do not like doing and what new activities they would like to try. For the ‘new’ service user activities were being arranged that would be appropriate to his needs and wishes. For example, he was active and enjoyed sports therefore trampolining and swimming were on offer, and he was on the waiting list for horse riding. Another service user enjoyed looking after pets and eating peanut butter and ketchup on toast, both of which she was allowed to do. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 11 The service users plan is looked at least every six months to make sure that it is up to date, and that service users get the chance to say what they want for themselves and for the future. When the plan is looked at, this is called a review meeting and involves all the important people in the service users life. The manager of the home is in the process of devising another service users plan, which was even more appropriate to the service users. Currently, there is only one completed plan, which is very pictorial with spaces for photographs and pictures, details of important people, money agreement and complaints form. The company may adopt this plan more formally. Service users are encouraged to be as independent as possible and that this sometimes means taking risks. There were numerous risk assessments in place for service users within the community, within the environment of the home or specific to individuals such as ironing. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 12 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 standard(s) 11,12,13,14, 16 and 17 Service users are supported to live fulfilling lives both within the home and in the community, dependent upon their needs, interests and wishes. This ability to participate in the community is for the service users the starting point of living as independent a life as possible, and a feeling that they belong. EVIDENCE: Service users are encouraged to participate in a range of activities both within the home and outside. As already stated there is one service users who likes animals so she has a pet rabbit and birds. She was able to tell me about one of her rabbits that died recently, and how there was a ceremony and the rabbit was buried in the garden; she also has a photograph of the rabbit so that she can remember it. Birthdays are clearly an important time for the service users and treated with a sense of occasion. On the day of the previous inspection, the home was getting ready for a birthday party; on this occasion one of the service users Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 13 had chosen to have a barbeque and invited service users and their family’s to attend. Service users all attend day centres depending upon their needs and wishes. One of the service users had just started volunteering as a gardener for older people. Another of the service users had started attending a day centre, was doing lots of sports, went to church regularly and was about to start at an educational facility in September. The home is located very near Sutton town centre, and the home makes good use of it. It is used for shopping, going out for a coffee, for one service user to see a private chiropodist or there is an arrangement for one of the service users to use the swimming pool at the local hotel. During this year, service users have gone on four different holidays, two separate holidays to Spain, one to Greece and one to Euro-Disney. One of the service users is still to go away, and he has chosen to go to the Isle of Wight, as he does not like aeroplanes. One of the service users goes on a holiday with the home, and then has at least a further two holidays with her family. Meals are decided by all the service users on Sundays. Meals are all freshly prepared, and on Saturdays there is a choice of take-away food. An alternative is always available if the service users do not want what is on offer. Service users were observed moving freely around the kitchen and helping themselves to drinks and fruit. Service users weight is monitored on a regular basis, and for at least two of the service users, the actual amount of food eaten is recorded for health reasons. A meal was taken with the service users in the dining area, there was a congenial atmosphere, relaxed and unrushed. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 14 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 standard(s) 18,19 and 20 Service users are supported wherever possible to manage their own health care needs. They also generally have access to NHS facilities thereby ensuring that service users have good quality physical care. EVIDENCE: Each service user has a clear record of the health appointments that have been kept and, that are in the future. If the service user wants a member of staff to go with them for an appointment, they will; the member of staff then writes down what the appointment was for and how it went. At least once a year, a doctor will go through all the medication that someone is taking to make sure that it is still right for them. Although the home keeps clear records of future health appointments, there is no overview of key appointments. For example, if a service user does not wear glasses, where is it recorded that they should have an optician’s appointment and when? A requirement has therefore been made in this regard that service users must have regular access to healthcare facilities. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 15 No one at the home takes responsibility for their own medication; instead staff have been trained to give it. Medication arrives into the home in ‘dosette’ packs via the Pharmacist. Medication and records pertaining to it were all checked and no errors were found. Boots the Chemist completes regular audits of medication, the last was dated 4.3.05. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 16 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 standard(s) 22 and 23 Service users feel that what they think about the home, and the service that they receive, is listened to. This will contribute to them feeling able to speak up if there were any issues that made them feel unsafe. EVIDENCE: The home has a complaints policy, which says what should happen when if someone is not happy about something or someone at the home. The complaints policy is written in a way that the service users would understand, and they all have a copy, which is available to them. There is a ‘speaking up’ form and a complaints log, although the home has not had a complaint since 2002. Service users were able to say what they liked about the home and some were able to say who they would talk to if they had a problem. The home has its own internal policies and procedures regarding vulnerable adults; in addition they have a copy of Sutton’s policy and procedures. The home has not had to make any referrals to Social Services regarding vulnerable adults. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 17 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 standard(s) 24,25,26,27,28,29 and 30 The home is pleasant, well furnished and is maintained to a high standard. Each of the service users has their own bedroom, which is personalised showing what they are interested in. EVIDENCE: The accommodation at Grove Road is over four floors of a semi-detached Victorian house. On the ground floor there are four bedrooms, a large lounge/diner, separate dining room and kitchen; the first floor has three bedrooms, a small office and staff sleeping in room; there are a further two bedrooms on the second floor and a laundry in the basement. All the bedrooms are single and with a wash hand basin in them. The bedrooms all feel homely; service users have chosen how to decorate their rooms; what furniture they want; and to choose their own pictures and photographs. One of the service users had recently had aeroplanes suspended from his bedrooms ceiling and was delighted by the results; he now wanted them highlighted with different light bulbs. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 18 The home is kept in good decorative order both inside and outside. It was clean and hygienic. Staff and service users are reasonable for cleaning the home. The home allows for service users privacy and dignity; all the bathrooms and toilets are lockable from the inside. Service users all have their own keys to their bedrooms and a lockable space in their bedrooms. Service users are able to move around the home freely and to leave if they so wish. The laundry facilities are situated in the basement of the building, well away from the storage and preparation of food. There is an outstanding requirement that the home must provide hand-washing facilities in the laundry room for hygiene reasons. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35 and 36 The staff team within the home have a range of experience and expertise. They are well supported in what they do, which in turn enables them to help service users live fulfilling lives. EVIDENCE: Grove Road has an establishment of sixteen members of staff; of these, three members of staff have completed their National Vocational Qualification (NVQ) Level 3, and a further seven are in the process of completing NVQ Level 2 or 3. Therefore the home are on target to meet the ratio of 50 of care staff qualified to Level 2 or 3 by the new target date of 2007. Documentation was checked regarding the recruitment of employees within the home. In general, there was a job description, application form, two references, evidence of identity and a Criminal Records Beaux (CRB) check. However, for some of the employees within the home there was no valid CRB check or a reference number indicating that one had been undertaken. This situation had arisen, as the recommended practice was that the original CRB check was destroyed on the grounds of Data Protection. The recommended practice also states that a reference number must be recorded so that the information could be verified at a later date. This has not been done. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 20 A requirement has therefore been made that the home must obtain CRB checks for all those employees where no current check exists. This must be completed with immediate effect. The home has extensive training opportunities available. There is an induction programme that new staff are expected to attend and a series of statutory training that is undertaken with regular refreshers. The home in general keeps a record of training undertaken by staff, however, for one member of staff there is no evidence that the individual has undertaken the statutory training required. A requirement has therefore been made that all staff are able to fulfil the aims of the home and to meet the changing needs of service users, and that an individual profile is kept of all staff. The management of the home try to make sure that staff are well supported, and to this end, staff receive regular supervision and there are fortnightly staff meetings. The duty rota was checked randomly and indicated that there were sufficient numbers of staff on duty. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,40 and 41 EVIDENCE: The manager of the home has been in post as the manager, for some two and half years, prior to that she had seven years experience in the field of learning difficulties; She has recently gained the Registered Managers Award. As Regard Partnership Limited runs the home, all the policies and procedures about how to run the home are written and agreed centrally. These policies and procedures are looked at and reviewed on an ongoing basis to make sure that they keep up to date with new legislation and research. A random selection of policies and procedures from Appendix 3 of the National Minimum Standards for Care Homes for Adults (18-65) seemed to indicate that all were available and appropriate. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 22 The home keeps all its records up to date and in good order. Service users are encouraged to add to the information that is held about them. Service users files are stored confidentially. With regard to quality assurance, the home completes very thorough Regulation 26 visits, copies of which are made available to the Commission. Internally, the home consistently reviews the service that it is offering to its service users. However, there is still no formal annual review of service users and their representatives. This is a requirement from the previous two inspections and remains so. Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 23 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 x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove Road (45) Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 3 3 x x G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 24 yes 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 19 Regulation 12(1)(a) Requirement The home must ensure that there is an overview of all service users health appointments The home must ensure that hand washing facilities are available in the laundry room The home must ensure that all staff have an appropiate and up to date CRB check The home must ensure that it has a record of all staff training, and that staff have completed statutory courses The home must ensure that an annual review is carried out of the opinions of service users, family, and stakeholders Timescale for action 5.9.05 2. 3. 4. 30 34 35 16(2)(h) 19(1)(a) 18(1)(a) 1.9.05 Previous inspection 5.9.05 Immediate 5.10.05 5. 39 24(1)(2) (3) 1.9.05 Previous inspection 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 Good Practice Recommendations Grove Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 Page 25 Commission for Social Care Inspection CSCI 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Road (45) G53-G53 S07131 groverd V199901 110805 stage 0.doc Version 1.40 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!