Inspection on 30/11/07 for Meadowcroft Residential Care Home

This inspection was carried out on 30th November 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadowcroft Residential Care Home 20/12/06

Meadowcroft Residential Care Home 02/12/05

Meadowcroft Residential Care Home 01/07/05

Meadowcroft Residential Care Home 07/03/05

Meadowcroft Residential Care Home 12/01/05

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 09/07/2008.

CARE HOME ADULTS 18-65 Meadowcroft Residential Care Home Steam Mill Road Bradfield Manningtree Essex CO11 2QY Lead Inspector Neal Cranmer Unannounced Inspection 30th November 2007 09:30 Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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 Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowcroft Residential Care Home Address Steam Mill Road Bradfield Manningtree Essex CO11 2QY 01206 393879 01206 390376 shirley.bendall@longfurrows.com 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) Ms Jacqueline Louise Volf vacant post Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates 6 people with learning disabilities who may also have physical disabilities 20th December 2006 Date of last inspection Brief Description of the Service: Meadowcroft is a purpose built care home for people with a learning disability and physical disability. The home accommodates six service users; currently the six service users living at the home have high dependency needs. Meadowcroft is situated on the outskirts of the village of Bradfield near Manningtree, situated approximately eight miles from the historical town of Colchester. The home consists of six bedrooms on the ground floor and also has two lounges and a dining room. All bedrooms have en-suite facilities. The base fees for staying at the home are £850.00 per week, additional charges may be made for assessed 1.1 hours; these additional charges are levied on an individual basis. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced key inspection of the service, which was undertaken over the course of one day in November 2007. The inspection included discussion with three service users, three members of staff, and the senior care officer. Due to the complex needs of the remaining service users it was difficult to gain a clear view of their opinions of the home. However, observation of service users and the interactions witnessed between them and the staff supporting them indicated a positive view of the home and the way in which it operates. Service users were observed to be happy, relaxed and at ease within their environment. During the course of the visit a tour of the premises was undertaken, which included viewing of service users rooms, and communal areas, all of which were homely and decorated to a good standard. In addition to the above a range documentary records were sampled, including the home’s Annual Quality Self Assessment Audit (AQAA). The information included in the annual quality assurance form (AQAA) which had been submitted to the Commission for Social Care Inspection, was also used in compiling the inspection report. This form gives homes the opportunity of recording what they do well, what they could do better, and what has improved in the previous twelve months as well as future plans for improving the service. What the service does well: The home provides support to service users in a home that is homely and well maintained, and which is equipped to meet the needs of the service user group. Staff are well supported by the management team to enable service users to lead as fulfilling and rewarding lives to the best of their individual abilities. Staff are provided with a good level of training to enable them to carry out their roles safely and effectively. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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 Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that a comprehensive assessment of their needs will be undertaken by a representative of the home, prior to a service being offered. EVIDENCE: There have been no new admissions to the home for a number of years. However, there is a comprehensive pre-admission process in place, which covered all of the identified areas listed under National Minimum Standard 2, and from which a detailed care plan would be developed. Discussion with the person in charge of the home indicated that they were aware of the process that would be undertaken in assessing the needs of any proposed new admission to the home. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that their assessed needs will be reflected within their individual plans of care, and that they will be supported to make decisions and take risks, with assistance as required. EVIDENCE: Each service user’s care plan is developed from their comprehensive preadmission assessment. Care plans are based on the principles of Person Centred Care Planning, and included sections on ‘How I’m Cared For’ which covered issues like: how I like to be supported to get up in the morning, how I like to be supported with my personal hygiene, how I like to be supported to eat my meals, how I like to communicate. Objectives and guidance to staff on how the service user wished to be supported, was comprehensive. Discussion with key workers indicated that they are involved in the writing and evaluation of care plans, in consultation with their managers. As mentioned previously each service user has an allocated key worker, who wherever possible is of the same gender, and who where possible the service users have Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 10 been involved in choosing. Two service user spoken with confirmed that they were aware of who their key worker was, and of having a good relationship with them. For those service users unable to make this choice the decision has been based upon observation of interactions. The needs of the service users residing in the home are complex, however observation of staff interactions indicated that staff made a lot of effort to support service users to make decisions to the best of their individual abilities. The home has in the past accessed advocacy services on behalf of the service users, however at the time of the inspection no advocates were providing a service to any of the service users. None of the service users residing in the home are able to manage their own financial affairs, and the registered manager/area manager for the home’s sister home is the appointee for benefits. Two service users finances were sampled as part of the inspection, and both were found to be in order. There was a clear audit of expenditure in place. Care plan files sampled evidenced that risk assessments were in place, which identified the nature of the risk, the likelihood of the risk presenting, including the risk level, and also included were the steps to be followed by staff to minimise the impact of the risk. Assessments in place included: supporting people with eating, supporting people with mobility. The care plans sampled all contained evidence of regular reviews taking place with the placing authorities, and key workers spoke of attending reviews. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be assured that they will be supported to take part in activities that are of their choosing, and to maintain links with people that are important to them. Service users can be assured that they will be provided with a varied and nutritious diet. EVIDENCE: One service user has a part-time job working at two of the home’s sister home’s, carrying out some gardening duties. Five residents attend an adult education college where they partake in sensory cooking classes, office skills and preparing light snacks. Each service user has an activity plan which showed service users accessing the community for the following activities: Trampolining, shopping, swimming, going to car boot sales, and having breakfast out. In addition to the activity plans each service user has an activity file which contained photographic evidence of activities including: physical Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 12 workouts, cooking sessions, karaoke sessions, as well as records of holiday’s that service users had been on. The home and its two sister homes hold weekly coffee mornings, taking it in turn to host them. On the day of the inspection it was the turn of Meadowcroft to play host. During the course of the coffee morning session karaoke was heard to take place. A service user spoken to later in the course of the day said how much they enjoyed these coffee mornings. Service users are supported to maintain links with family and friends through visits, letter writing, and the sending of cards and telephone contact. They are supported to maintain this contact by their key workers. Viewing of the homes visitors book indicated regular visitors to the home. Discussion with the person in charge of the home indicated that service users are free to choose where to receive their visitors. Observation of interactions between staff and service users were positive and respectful, with staff referring to service users by their chosen form of address. Staff interacted with service users and not exclusively with each other. Meals are provided three times daily, at least one of which was provided as a hot meal. The menus are four weekly rotational, and those sampled were varied and nutritious, and indicated that fresh fruit was to be made available at each mealtime. Supper snacks were also available and drinks were provided throughout the day. Discussion with three of the service users indicated that meals were good. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported in a way that ensures their physical and emotional needs are met in a way that is appropriate to their needs. Service users can further expect to be protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Observation of practice on the day of the inspection indicated that service user’s personal care needs are met in a way that ensures their privacy and dignity. Key workers are of the same gender as the service users, and night cover wherever possible includes at least one female member of staff, where on occasions that this is not the case, then any intimate care that may involve a female service user is always carried out by two persons. Discussion with the person in charge of the home indicated that times for going to bed and getting up in the morning are flexible, although dependent upon day time commitments. All of the service users are registered with a General Practitioner, and professional healthcare input is provided into the home from the following Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 14 healthcare professional: Dieticians, Physiotherapists, Occupational therapists, Chiropodists, and Dentists. Sampling of records indicated that staff support service users to attend out patient appointments, records kept were detailed and concise. None of the service users residing in the home are able to self medicate. Medication is dispensed directly from the General practitioners practice in blister packs or named containers. All staff with the exception of two have received training in medication administration from a pharmacist. Records sampled were in order with no errors or omissions. Medications no longer in use are returned to pharmacy via a medication returns book. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home has in place robust policies and procedures for ensuring that they are protected from harm and or abuse. EVIDENCE: The home has in place a detailed policy for investigating and responding to complaints, which is also available in pictorial format for ease of use by service users, which included timescales for responding to complaints received. The policy included the contact details of the Commission for Social care Inspection and advocacy services. The home maintains a log for the recording of any complaints received, and there have been no complaints received since the previous inspection. A copy of the home’s complaints policy and procedure was available in each service users plan of care. The home’s adult protection policies and procedures are comprehensive and robust, and included the forms of abuse that may occur, and how these may present. Guidance to staff was clear about how they should respond in the event of an allegation. There have been no Adult protection referrals since the last inspection. All staff with the exception of new recruits have received training in adult protection. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported in an environment that is homely, comfortable and safe, and which is kept free from any unpleasant odours. EVIDENCE: The home is fit for its stated purpose, being safe, comfortable and well maintained, and was free from any unpleasant odours. The home is in keeping with the local community, and is situated reasonably close to local amenities, which can be accessed by transport provided by the home. All areas of the home, including the garden were accessible to the service users, with corridors wide enough to facilitate service users who required the use of a wheelchair. The outside patio area was raised and provided wheelchair access around the building and down onto the lawn area, and service users were seen coming and going in the home. Furnishings and fittings were domestic in nature, and were of a good quality, and were compatible with fulfilling their purpose. Staff spoken with described the home as being homely. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 17 The home’s laundry facility is situated well away from areas where food preparation is undertaken, and was equipped with industrial style washing machines and dryers Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported by a team of staff who are competent, appropriately qualified and well trained. They can further expect to be protected by the home’s robust recruitment practice. EVIDENCE: The home employs eleven care staff, of who four are qualified at National Voluntary Qualification (NVQ) level 2. In addition to this a further three staff are working towards level 3. The home does not employ any staff under the age of eighteen, and staff providing intimate care to service users are all aged over eighteen, and those left in a position of being in charge of the home are all aged over twenty-one. Observation of staff during the course of the day indicated that they were accessible and approachable, and were at ease in the company of the service users. Interactions observed indicated that staff communicated well with the service users, and listened and responded to any issues that they had. The home’s duty roster was sampled, and showed that four staff were on duty in the morning, made up of one senior care officer, one senior and two carers, Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 19 with afternoons made up of a senior carer and three care staff. Nights are covered by one waking night staff and one sleep-in staff. Staff have access to on-call support, which is provided by the senior care officer and seniors from 10.00pm to 07.00am. The home does not use agency staff, and discussion with the person in charge of the home indicated that staff turnover is low. Three staff files were sampled in respect of the home’s recruitment practice, and included all of the required documentary evidence including: application forms, two written references, criminal records bureau checks (CRBs), evidence of induction, supervision and training and development. The three files sampled showed evidence of staff having undertaken the following training: medication administration, appraisal and supervision, food hygiene, infection control, basic life support, moving and handling, adult protection and health and safety. Discussion with staff indicated that they receive formal supervision every four to six weekly, and their performance is reviewed annually against their job descriptions. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect that they will benefit from having their needs met in a home that is well run and managed, and in which their views and those of their representatives will be sought. They can further expect that the home’s working practices will protect and promote their health and welfare. EVIDENCE: Since the previous inspection of the home, the registered manager has moved on. Management of the home in the interim is on a daily basis, currently undertaken by the senior care officer, who has significant previous experience of working in the care sector and who is in the process of completing their National Vocational Qualification (NVQ) level 3 in care and is hoping to soon undertake the level 4 managers award. The senior care officer is supported Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 21 closely by the registered provider and manager/area manager of a sister home. Discussion with staff indicated that the management ethos of the home was good, and that they were provided with a clear sense of leadership and direction. The home has a comprehensive process in place for reviewing and keeping under review the quality of its service provision, which is based on the views of interested stakeholders. The day to day management of the home is currently being undertaken by the senior care officer. Therefore as mentioned in the previous report the registered provider needs to undertake monthly Regulation 26 visits in accordance with Regulation 26 of the Care Homes Regulations. Staff and team meetings are held on a monthly basis, and minutes of these meetings were made available at the time of the inspection. The home’s safe working practices were sampled through the viewing of the following safety certificates: Fire appliances, Gas safety certificate, Electrical installation certificate, and Hoist inspection report, all of which were in order. Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 2 X X 3 x Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 8 Requirement The registered provider must make provision for the appointment of a person to manage the care home. Timescale for action 31/03/08 2. YA39 26 The registered provider must 31/03/08 make provision to carry out Monthly Regulation 26 visits to the home. This is a second repeat requirement, the requirement from the 31/03/07 was not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadowcroft Residential Care Home DS0000017881.V355934.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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