Inspection on 03/02/06 for Parklands

This inspection was carried out on 3rd February 2006.

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

Parklands 21/08/09

Parklands 22/08/06

Parklands 16/05/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Parklands 7 Eldersley Close Redhill Surrey RH1 2AJ Lead Inspector Pat Collins Announced Inspection 3 February 2006 09:35 rd Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parklands Address 7 Eldersley Close Redhill Surrey RH1 2AJ 01737 765 179 01737 765 179 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) Mrs Mary Frances Philpot Mr John W. Musana Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range will be Younger Adults with Learning disability (LD) between 29 - 55 years of age excluding Physical disability (PD) and Mental Health (MH) The Manager to complete Level 4 NVQ management by June 2005 The manager to attend Protection of the Vulnerable Adults training by June 2005 16th May 2005 2. 3. Date of last inspection Brief Description of the Service: Parklands is a care home providing personal care and support for four adults who have learning disabilities. The home is registered to accommodate service users of either gender, aged between 29 years and 55 years. Service provision may include support for people exhibiting mildly challenging behaviours, or who have autistic spectrum disorders and epilepsy. The philosophy of care aims to ensure an enabling environment, which maximises abilities and independence, providing a person centred approach to meeting individual needs and aspirations. Parklands is a modern bungalow situated in a quiet residential area within walking distance of Redhill town centre and its wide range of shopping and leisure facilities. Accommodation is domestic in character and scale, offering all single occupancy bedrooms, which include two with shared en suite facilities. Communal areas include a fitted kitchen, comfortable combined lounge and dining room and bathroom and toilet. There is a large front garden and secure, enclosed rear garden. A registered manager is employed who is responsible for the day-to-day management of the home. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s second inspection for the year 2005/2006. It was announced to management, staff and service users in advance of taking place. The inspection commenced at 09.35 hrs and concluded at 13.00hrs. The provider and manager were present throughout. The inspection process included review of progress for compliance with the requirement made at the time of the last inspection. A tour of the home took place and records were sampled. Discussions took place with the provider and manager and one resident who was present for part of the inspection. Information and feedback in comment cards received following the inspection also formed part of the inspection process. The inspector would like to thank all who contributed information; also to express appreciation to the resident, provider and home manager for their courtesy and cooperation on the day of the inspection. What the service does well: The atmosphere of the home was warm and welcoming. The provider and manager were friendly and supportive towards the one resident who was present for part of the inspection. Their approach was respectful and ageappropriate. It was evident that positive relationships existed between both managers and that individual who expressed a high level of satisfaction with life in the home. She stated, “ I like the home very much, it is good here and I love the staff”. A person – centred planning approach was being developed to ensure resident’s individual needs and aspirations were identified and met. Residents were afforded opportunities for making choices and exerting control over their lives as far as practicable. They were encouraged and supported in maintaining relationships with families and friends. The operation of the home ensured residents’ had access to education and lifelong learning opportunities. Individual independence and responsibilities for taking part in the running of their home was promoted. Support was given to enable residents’ to acquire and practice independent living skills. The importance of self-advocacy and advocacy was evidently well recognised in the operation of the home. The views of residents and their family members were clearly taken account of in decision-making. Links were established between the home and all relevant agencies. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: A homely remedies policy must be produced and a list of homely remedies in use, in consultation with the general practitioner. Attention was drawn to the statutory requirement to have a current photograph of all staff employed on their personnel files. Also to ensure staff are issued with the General Social Care Council Code of Conduct and Practice. Record keeping needs to demonstrate regular review of residents’ personal risk assessments. Recommendations were made for the statement of terms and conditions of residency/contract to be in language and format accessible to residents. The same comment was made in respect of the notes of residents’ meetings. It was suggested additionally that information relating to details of insurance cover for residents’ personal possessions be incorporated into the Service User Guide when next revised. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 7 It was recommended that a system be put in place to ensure ongoing checks on staff’s driving licenses and details of their car insurance. 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. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 8 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 Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 9 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, 3, 5 Prospective residents and their representatives had access to sufficient information, including the recently developed pictorial format service users guide, to enable an informed decision about admission to the home. Preadmission assessment procedures ensure residents’ needs and aspirations could be met. Residents had been each issued with contracts/statements of terms and conditions of residency, which were held on personal files. EVIDENCE: Information about the home had been produced in accessible formats and the latest development had been a good quality service users guide intended to be individually distributed to residents. Residents had an individual contract on their personal file. The need to ensure these were signed was identified. It was suggested these be developed in an accessible format and contain details of the maximum amount of insurance cover included in the home’s policy for residents’ personal property. Since the last inspection a third person had taken up residency and there was now three female residents accommodated. Examination made of care records demonstrated that admission procedures continued to be based on a full assessment of needs carried out by Care Management. There was also an assessment undertaken by the home’s management to ensure needs and aspirations of residents’ could be met. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9 Person centred care plans had been produced based on assessed needs. Residents were consulted on and participated in all aspects of life in the home. They received appropriate support and were encouraged to be independent within individual levels of capacity. EVIDENCE: The care records included pre-admission assessments; risk assessments and person centred care plans. The service aims to enable residents’ to take control of their lives with the necessary level of support needed to promote individual independence were being met. The individual needs and personal goals of residents’ were clearly recorded in the files sampled. These had been established in consultation with residents’, their families and other stake holders/professionals. It was suggested that management increase the frequency of reviewing personal risk assessments and risk management plans. Consultation with the one resident present for part of the inspection confirmed she was very positive about all aspects of her care and support and the operation of the home. She confirmed all residents’ shared responsibility for Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 11 domestic tasks, cooking, cleaning and shopping and were involved in gardening, with encouragement and support of staff. She was observed to independently prepare a sandwich and hot drink for her lunch with appropriate guidance and support. The Comments cards returned from two residents’ following this inspection confirmed their shared opinion that they received the level of support necessary to meet their needs. Both expressed how happy they were living at the home and stated staff were kind. Feedback from relatives also indicated a high level of satisfaction with service provision at Parklands. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 15, 16 Service provision enabled residents’ to lead fulfilling lives. EVIDENCE: It was perceived that management had established positive relationships with individual family representatives to the benefit of residents. The information available confirmed residents had ample opportunities to engage in appropriate educational and recreational activities. Examples of these were attendance at social education centres and colleges where they could develop life skills improve literacy and numeracy skills and socialise with peers. All three residents had evidently very supportive families who they spent time with on a regular basis. Care arrangements ensured that residents had 1:1 support from staff as appropriate used for shopping, swimming, using public transport and visiting places of interest. All three service users spent Christmas with their families by choice and also enjoyed holidays with their families. Additionally two residents went on holiday together last year with the local social education centre. The provider was Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 13 involved in the day-to-day activities of the home and in various excursions including a trip to France and various social occasions. The home’s operation ensured respect for residents’ private space and two residents had keys to their bedroom doors. A key was also available for the remaining resident if desired. At the time of the inspection the provider and manager interacted frequently with the resident at home in an age appropriate, informal manner. The atmosphere was friendly and happy. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20, 21 Service provision ensured appropriate personal and healthcare for residents. EVIDENCE: The information received from residents’ and management, also detailed in records, indicated that staff support was underpinned by residents’ individual preferences and knowledge of needs. Residents described having control over the time they went to bed and when they got up, dependent on the days’ planned activities. Records demonstrated positive partnership arrangement between staff and advocates/ family members and professionals. Risk assessments had been produced where necessary. Records demonstrated health and social care needs were suitably met. They were all registered with a General Practitioner and their health was regularly monitored. It was noted that residents’ wishes had been sensitively explored relating to ageing, illness and death. The management of medication was overall satisfactory. Discussed was the need to develop a homely remedies policy and list of homely medication in consultation with the General Practitioner. It was also recommended that a thermometer be placed in the cupboard containing the metal medication locked storage, to be able to monitor the temperature of drug storage in hot weather. Areas of discussion included effort being made to find suitable medication Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 15 refresher training for the team. The team had initially received training from the pharmacist supplying medication to the home. A monitored dosage medication system was used. Arrangements for safeguarding residents’ personal finances appeared satisfactory at the time of the inspection. Residents had building society accounts and external appointees. Records demonstrated a system in place to account for expenditure and to hand over shift responsibility for money and check money held for safekeeping on residents’ behalf. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 the following standard(s): 22 The operation of the home ensured service users views were listened to and acted upon. A complaint procedure had been produced. EVIDENCE: The complaint procedure had been produced in a pictorial format. There had been no complaints since the last inspection. Residents were able to express their views openly and stated in feedback they were happy and felt safe. Residents had meetings together with staff where issues could be discussed and resolved. A record of what was discussed and agreed at these meetings was viewed. It was recommended these records be produced in a pictorial format to enhance residents’ access to information therein. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27, 28, 29, 30 Overall the physical environment was suitable to meet the stated purpose of the home. A small extension planned for 2006 will further enhance the home’s facilities, ensuring adequate office space and increasing total number of places to five. EVIDENCE: The home was clean and comfortable and met the requirements of the local fire service and environmental health department. Bedrooms were adequately spacious and were personalised, reflecting residents’ tastes and choices. Since the last inspection additional furniture and electrical items had been purchased enhancing the comfort and homeliness of all areas. A bath had replaced the en suite shower to ensure provision of facilities suited to the needs of both occupants sharing this facility. New flooring had also been laid in this area and new taps and shower spray fitted in the communal bathroom. Built in wardrobes doors had been replaced in one bedroom. Discussion took place with management regarding a new extension for which planning consent was stated to have been granted. This will provide an additional bedroom, increase the size of the kitchen, and afford a separate Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 18 utility room and dining area. The process for making application for registration of the new extension was discussed. Observations confirmed suitable arrangements in place for the home’s maintenance. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 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): 32, 33, 34, 36 The staff team was stable and staffing levels adequate. These were adjusted accordingly in response to the activities of the home. Recruitment practices were mostly in accordance with statutory requirements. A minor shortfall was the need to ensure current photographs of all staff held on their files. A formal supervision structure for staff had been implemented there was an ongoing programme of training and staff development. EVIDENCE: The staff list and staff rota was examined. No new staff had been recruited since the time of the last inspection. Staff recruitment procedures ensured the safety of residents. Areas of discussion included the POVA Scheme and the impact of this on CRB Disclosures, which are no longer portable, for future reference. The need to obtain current photographs of all staff to be held on their personnel files was identified. Also for staff to be supplied with copies of the GSCC Code of Conduct and Practice. Usual staffing levels were one or two staff on each shift during the day, dependent on the activities planned. At night there was one sleeping in member of staff. On call arrangements ensured that staff had access to the provider and the manager at all times. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 20 A programme of staff training was in place. Discussed was imminent change to training requirements for staff employed in care homes. Management was advised to obtain further information in this matter. At the time of the inspection 32.6 of the team were qualified to at least NVQ Level 2 or equivalent. There were plans for a further two support workers to commence NVQ 2 training. The manager was accredited as an NVQ Assessor. The provider stated that all staff had received training under the Learning Disability Award Framework. Arrangements were in place for staff to receive individual formal supervision four times a year. Discussed was the standard for this to be six times a year, which could be achieved through some group supervision sessions. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 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, 39, 42, 43 The management of the home and record keeping was effective and efficient and promoted the safety and welfare of service users and staff. Though there were quality audit systems in place this area could be further developed. EVIDENCE: The registered manager was suitably qualified and experienced. He had attained an NVQ qualification in care at Level 3 and was currently studying for the Registered Managers Award, NVQ Level 4. Observations confirmed the home to be overall effectively managed and administered. The provider ensured compliance with statutory provider visits and reports were generated from the findings of these visits were held in the home and a copy sent to CSCI. Other methods of auditing standards were evident. Discussed with management was the importance of further developing the home’s quality assurance systems ensuring feedback actively sought from residents’ and other stakeholders. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 22 Record keeping was of a good overall standard. Discussed was the need to date the fire risk assessment. Also to clarify the period of cover of the home’s electrical certificate and for this to be recorded on the certificate. The home had a new six-seat vehicle, which was insured for business purposes, driven by the provider and manager only. Staff were stated to use their own cars at times to transport service users and to have business insurance cover. The provider stated staff’s insurance and driving licenses were checked on recruitment. A system needs to be in place for follow up checks in both matters. Systems were in place to ensure financial planning, budget monitoring and financial control. Insurance cover was evidenced. The certificate of registration was displayed in the lounge. It was suggested this might be more appropriately displayed in the office. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 X 3 3 X 3 3 Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 24 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 YA32 Regulation 13(2) Requirement For the home to develop a homely remedies policy and list of homely remedies stocked in consultation with the GP. For 50 of care staff to be qualified to NVQ Level 2 in care or equivalent. For personnel files to contain a current photograph of staff. For all staff to be issued with a copy of the Code of Conduct & Practice set by the GSCC. Timescale for action 01/04/06 2 3 4 YA32 YA34 YA34 18(1)(c) 19 Sch 2.1 18(4) 01/06/06 01/04/06 01/04/06 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 2 3 Refer to Standard YA5 YA9 YA20 Good Practice Recommendations For contracts/statements of terms and conditions to be in an accessible format suited to the needs of residents. To increase the frequency of reviewing personal risk assessments. For a thermometer to be fitted in the drugs cupboard and daily records maintained of the temperature to ensure safe storage of medication. DS0000061565.V276012.R01.S.doc Version 5.1 Page 25 Parklands 4. 5 6 YA22 YA39 YA42 For records of discussions and agreements at residents’ meetings to be produced in an accessible format suited to the needs of residents. For the quality assurance system to be further developed. For a system to be in place for regular checks to be made of the driving licenses and insurance cover for staff who transport service users in private cars. Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Parklands DS0000061565.V276012.R01.S.doc Version 5.1 Page 27 - 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!