Inspection on 11/06/07 for Redcote House Residential Care Home

This inspection was carried out on 11th June 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 but made no statutory requirements on the home.

Other inspections for this house

Redcote House Residential Care... 29/01/07

Redcote House Residential Care... 03/04/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Redcote House Residential Care Home Redcote Drive Lincoln Lincolnshire LN6 7HQ Lead Inspector Elisabeth Pinder Unannounced Inspection 11th June 2007 09:30 X10015.doc Version 1.40 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 Redcote House Residential Care Home DS0000065539.V338420.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 Older People. 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. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redcote House Residential Care Home Address Redcote Drive Lincoln Lincolnshire LN6 7HQ 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) 01522 500796 info@redcotehouse.co.uk 1st Care (UK) Limited Mrs Linda Gostelow Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) 18 Mr Bhandal must comply with his Action Plan and the agreed timescales. 29th January 2007 Date of last inspection Brief Description of the Service: Redcote House is situated in a quiet residential area to the south of the city of Lincoln. The home is within walking distance of local shops and close to a bus route into the city centre. The home is a large detached house, which has been adapted to provide accommodation for up to 18 people over the age of 65 years requiring personal care. There is a porch running the length of the front of the home, which provides outside seating for residents. Car parking facilities are to the rear of the property. The home has two floors and a stair lift to the bedrooms on the first floor. Ten of the bedrooms are single, three of them have an en-suite toilet. The current fee range for this service is £348£448 per week. Additional costs are to be paid for hairdressing, chiropody, newspapers/magazines, alcohol, private telephone installation and calls and escorting residents to hospital. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. The visit lasted five and a half hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including previous inspection reports and their service history. Prior to the visit one residents ‘Have your say about’ questionnaire was received and comments from this will be mentioned throughout this report. The site visit focussed on all the key standards and consisted of case tracking a sample of three people’s records, talking to them, observing staff interaction and assessing their care. A general conversation was held with some people whilst they were sitting in the lounge, outside and dining room. A period of observation was undertaken during lunch. Three members of staff, three visitors, two district nurses and the manager were spoken with. An improvement plan had been requested after the last inspection identifying the action that is being taken to meet outstanding requirements. This document will be mentioned throughout this report. What the service does well: What has improved since the last inspection? Sixteen requirements were made during the previous visit and an improvement plan was requested from the provider. This details the action being taken to address requirements and the majority of these now meet current legislation. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 6 Each resident has been given a written contract/statement of terms and conditions of residency. Care plans that have been re-written contain, and give, much more detail to enable staff to know how to care for each person. Records now show residents agreement for staff to administer their medication and photographs of residents are kept with their MAR sheets (medication administration record). An intimate care policy has been written. The complaints procedure has been updated and records will be kept of any complaints The outside of the building has been re-painted and four new chairs have been delivered. Four staff have completed NVQ training and additional training has included diabetes care and dementia care. Staff spoken with have completed statutory training and all are currently doing a distance learning course in equality and diversity. Financial records were seen and these were clear and well written. Policies and procedures are being developed that are specific to this service. 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. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 standard 6 is not applicable Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People coming into this service have access to information to help them make a decision about moving into the home. However, information gathered prior to admission is limited so their needs may not be assessed and planned for. EVIDENCE: The Statement of Purpose and Service User Guide have both been updated and now contain sufficient detail about the home to help people understand the services that are offered. The guide details what people can expect and gives clear information about the fees payable and any additional costs. However, neither detail how this service will meet the equality and diversity needs of people. One resident questionnaire received prior to the visit identified that enough information was received about the home before the resident moved in. One relative spoken with said that the first admission to the home was organised Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 9 by a hospital and her relative had no opportunity to choose or visit the home beforehand, however, a subsequent admission was arranged and her relative chose to return to this home. The improvement plan received from the provider details the action taken to address the requirement regarding more detailed information being written in pre-admission assessments. The records of two new residents admitted since the previous inspection showed that information obtained before their admission is still very limited and did not provide staff with a clear knowledge of their needs. Terms and conditions are now held on individual files and residents have signed in agreement, however, these do not state the amount of fee payable or the room the person is living in. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans must continue to improve to ensure peoples’ needs are met. Medication policies are now available and medication is given to using safe procedures. Staff respect the wishes and preferences of people living in this home while maintaining their privacy and dignity. EVIDENCE: The provider has taken action to address the requirement made regarding a lack of detail in care plans and care plans are currently being re-written. Those completed have improved in content and give much more detail to enable staff to know how to care for each person. However, two residents have MRSA (methycillin resistant staphylococcus aureus) and their care plans do not detail the action staff need to take to reduce the possibility of infection by promoting good hygiene practices. No risk assessment have been written in relation to this. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 11 The Commission had not been notified of the MRSA or of an accident on 04/06/07 which resulted in a resident attending A/E (accident and emergency) or of two recent deaths. Nutritional assessments have not been written and staff are unable to monitor weight gain or loss due to lack of scales. This was raised with the provider who has agreed to purchase these. The manager informed us in a telephone conversation after the visit that she has ordered some nutritional assessment forms and these will be completed when she receives them. Monthly care reviews are held, however, some still read ‘no change’ and do not show residents involvement or agreement. This was again discussed with the manager who said that she will talk with staff concerned. Two visiting district nurses were spoken with and both said they had no major concerns with the care provided although one said that a colleague had expressed concerns about the general well being of a resident and she was asked to raise these concerns with the manager. The manager said that an intimate care policy has been written and although there are no male staff working in the home at the moment preferences of residents will be sought if this changes. One resident questionnaire received prior to the visit identified that the resident ‘always’ receives the care and support needed and the medical support. Records now show residents agreement for staff to administer their medication and photographs of residents are kept with their MAR sheets (medication administration record). Medication administered to residents was seen being given in a correct and safe way. The manager and staff confirmed that medication policies are available, however, the homely remedies policy has not been drawn up with advice from the home’s pharmacist or GP (general practitioner) and the manager agreed to speak with these people to ensure homely remedies given do not interact with any prescribed medication. Observation saw staff being sensitive to peoples needs, treating them with respect and maintaining their dignity. Residents spoken with were full of praise for the care staff give them. Specific comments were ‘I am really happy here, the girls are all lovely’ and ‘they all really care for us’. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ interests are generally accommodated and they are able to enjoy a lifestyle which is flexible and are able to make choices with regards to activities. Meals provided are well balanced and nutritional. EVIDENCE: Although the home does not have a designated activity co-ordinator, activities are undertaken by care staff who have a good knowledge of residents interests. Care plans that have been re-written now include social interests and residents spoken with said that they enjoy some activities but really like talking with staff on a one to one basis. One resident questionnaire identified that activities are ‘sometimes’ available that they can take part in and no specific activities were taking place during the visit, however, residents were sitting outside chatting to staff and visitors. During the previous inspection the manager said she was writing a weekly plan to put on display to enable residents to see what day it is and what is happening. To date this has not been done, however, the manager informed us in a telephone conversation Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 13 after the visit that one part time carer has expressed a wish to develop activities and this is being given consideration. We were also informed at the last inspection that new menus were being written, however, this has not been done. One resident questionnaire identified that they ‘usually’ like the meals provided. People spoken with about the food and meal times said ‘it’s very good’, ‘I can eat in the lounge or my room if I like’ and ‘I am happy with the times the meals are served’. However, another resident said they had been refused extra bread and butter at teatime and this was raised with the manager who said she would speak with staff. Staff spoken with had a clear knowledge of residents dietary needs including their likes and dislikes and were observed to assist residents at lunch time when needed. As previously mentioned the Statement of Purpose and Service User Guide do not detail how the service will meet the equality and diversity needs of residents in relation to activities, cultural and religious needs. Regular in-house church services are held and two residents spoken with said they would like to attend a ‘Methodist’ church in the local area. This was raised with the manager who agreed to look into this. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home are confident that any concerns would be addressed appropriately and there are satisfactory procedures in place for reporting allegations of adult abuse. EVIDENCE: The improvement plan received from the provider prior to the visit identified the complaints procedure had been updated. Since the previous inspection no complaints have been made directly to the home. One anonymous concern was raised with the Commission regarding insufficient staff on duty. When this was looked into there was no evidence to support the concern and we have had no further issues raised. Another complaint has been made to social services and this is currently being investigated under safeguarding adults. Staff spoken with had a good knowledge of abuse and the procedures to take should an allegation be made and both had completed adult protection training. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 15 One resident questionnaire received prior to the visit identified that they know how to make a complaint, who to speak with if unhappy and feel staff listen and act on what they say and people spoken with also said the same. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home live in a clean, pleasant and hygienic environment and they are able to personalise their rooms. EVIDENCE: The three bedrooms of residents ‘case tracked’ were viewed and all were clean and tidy and well personalised. One resident questionnaire identified that the home is ‘always’ fresh and clean and people spoken with during the visit were very satisfied with the cleanliness of the home. Areas of the home seen were clean, pleasant and homely with no unpleasant odours. The member of staff responsible for the cleaning was spoken with and she was aware of COSHH (control of substances hazardous to health) guidance and knew which residents had MRSA and the action she needed to take to minimise spread of infection. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 17 Since the previous inspection the outside of the home has been re-painted and two new windows are being fitted this week. Four new chairs have been delivered and these will replace those in one of the lounge areas. Observation saw some residents leaving the dining room having to bend to get under the wall of the stairs as one of the dining tables was obstructing the way. This was brought to the attention of the manager who agreed to move the dining room tables to ensure residents have enough access to move around freely. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers are adequate to meet the needs of people currently living in this home and they are supported by staff who are appropriately trained. EVIDENCE: Two weeks staffing rotas were examined and these showed that three care staff are normally on duty throughout the day. On occasions there has only been two staff on duty and the manager said this has mainly been due to sickness. One resident questionnaire read that staff are ‘usually’ available when needed. A relative spoken to said ‘at times they are short staffed’ but she felt the care given to her relative was ‘excellent’. Rotas showed that since 23/05/07 night time hours had been reduced and there was only one wakeful member of staff and one asleep from 22:00 – 08:00. One resident told us that he has to wait sometimes at night and first thing in the morning for staff to answer the call bell. This had been raised during the previous inspection and after a discussion with the manager and provider it was agreed to increase staffing levels to two wakeful night staff immediately. No new staff have been employed since the previous inspection, the manager is in the process of recruiting a male member of staff and is following correct Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 19 procedures. One member of staff works between the two homes owned by the provider and her records are kept at the other home, however, the provider has agreed to keep a copy in this home. The last inspection identified that 50 of staff have commenced National Vocational Qualification (NVQ), which is a recognised training award in care. Four staff have now completed this training. Recent training has included diabetes care and dementia care. Staff spoken with have completed statutory training and all are currently doing a distance learning course in equality and diversity. All care staff have been given copies of The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service is being well managed with procedures in place to ensure the health and safety needs of residents are met. EVIDENCE: The manager has the necessary experience and qualifications to run this home, she has been in post since October 2006 and was registered with the Commission this year. She is working to the basic principles set out in National Minimum Standards (NMS) and has made improvements in the running of this home especially in promoting staff training. People spoken with all said that they felt this home is being well run and they have confidence in the manager. However, not all staff felt they were being Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 21 valued as care workers and not all staff are receiving supervision. However, this is being addressed. As previously mentioned the Commission had not been informed of all accidents/incidents that are laid out in the Care Homes Regulations and the manager agreed to address this. The provider is now undertaking monthly visits to the home and reports were available. Staff confirmed that they have recently undertaken fire training and records show that equipment is regularly serviced. Electrical equipment brought into the home is not used unless it is new or has been checked for safety. Residents ‘case tracked’ did not have any money held in safekeeping, however, financial records were seen and these were clear and well written. Information taken from the providers improvement plan identified that an annual development plan has been written, however, the manager could not locate this document but confirmed that questionnaires have recently been sent out to residents, their families or representatives to review the quality of care being provided and once these are returned a report will be forwarded to us. Policies and procedures are being developed that are specific to this service and staff spoken with were aware of the home’s infection control policies and confirmed that they have completed health and safety training. Observation saw staff wearing protective clothing of apron and gloves. Redcote House Residential Care Home DS0000065539.V338420.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Redcote House Residential Care Home DS0000065539.V338420.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 OP3 Regulation 14[1]c Requirement Timescale for action 31/07/07 2. OP7 15[2]b, c &d Pre-admission assessments should be in enough detail to ensure people coming into the home will have their needs met. Information should be gathered from all people involved in caring for the person. Timescale of 28/02/07 not met. Reviews of care plans must be 31/07/07 improved to include details of any changes required to the current care given and these should show that residents and/or their representatives have the opportunity to be involved. Timescale of 28/02/07 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. Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 24 No. 1. 2. Refer to Standard OP1 OP9 Good Practice Recommendations The Statement of Purpose and Service User Guide should reflect how the service promotes equality and diversity. The homely remedies policy should be drawn up with advise from the home’s pharmacist or GP (general practitioner) to ensure homely remedies given do not interact with any prescribed medication. Formal supervision should take place for all care staff at least six times per year 3. OP36 Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincolnshire Area Office Unity House, The Point Weaver Road Lincoln LN6 3QN 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 Redcote House Residential Care Home DS0000065539.V338420.R01.S.doc Version 5.2 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. 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