Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 20/04/06 for Regent House Nursing Home

Also see our care home review for Regent House Nursing Home for more information

This inspection was carried out on 20th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has continued to build on the improvements that were made during the last inspection with the staff team continuing to remain stable. Observations made during this visit indicated that staff were providing residents with a good level of care. The home is being managed in a proactive manner and residents stated that they were generally happy with the type of care they were receiving. Accommodation in the home continues to be of a high standard. All residents spoken to were very happy with their rooms.

What has improved since the last inspection?

The home is now regularly consulting with residents about any issues that concern their daily routines. For example the manager has consulted with residents about moving the time of supper to half an hour later in the day, as it was felt that 5.30pm is too early for their final meal of the day. This new time will be trialled to see how people feel about it in the long term. All ten requirements that were made during the last inspection have been addressed. Certain medication procedures have improved and all staff receive a minimum of three paid days training per year and regular supervision sessions. Other health & safety issues have also been actioned. The home has employed a maintenance person since the last inspection and this will ensure that all small works and repairs are dealt with immediately. The manager has now applied to become registered with the CSCI.

What the care home could do better:

The nursing staff need to ensure that they continue to maintain the current medication checks for Class 1 medicines, as this will ensure that certain drugs do not go missing in the future. When meals are transported around the home on trolleys they must be provided with suitable covers to ensure that they reach residents in the best possible condition. Some of the staff team must remember not to converse with each other in their own language when attending to residents, as this can make people fell very uncomfortable if they cannot understand what is being said. It is also not respectful. Although a varied activity programme was not a high priority with residents it is still recommended that the home continue its search to employ an activities coordinator. During discussions with several residents it was apparent that some of them would like to pursue certain interests or hobbies. Pursuing personal interests can have a very positive outcome for resident`s general wellbeing. The home still needs more staff to enrol in the National Vocational Qualification (NVQ) in Care as to date only two staff have completed this training. An action plan addressing one requirement and four recommendations was received from the home prior to this report being published.

CARE HOMES FOR OLDER PEOPLE Regent House 107 - 109 The Drive Hove East Sussex BN3 6GE Lead Inspector Merle Blakeley Key Unannounced Inspection 20th April 2006 10:00 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 Regent House DS0000014033.V288869.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 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. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Regent House Address 107 - 109 The Drive Hove East Sussex BN3 6GE 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) 01273-220888 01273-726724 Shafa Medical Services Limited (Head Office) Vacant Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users must be older people aged sixty-five (65) years or over on admission. That the home is able to provide care for one named service user under sixty-five (65) years of age. The maximum number of service users to be accommodated is thirtytwo (32) 29th November 2005 Date of last inspection Brief Description of the Service: Regent House Nursing Home provides nursing care and accommodation for up to thirty-two older people. The home is owned by Shafa Medical Services Limited, and is situated in a residential area of Hove, East Sussex. Regent House is within walking distance of local bus routes, with both Hove and Brighton town centres a short drive away. A small number of parking spaces are available at the front of the home for visitors. The home is a detached residence converted from two houses. Accommodation is provided over three floors, with a basement housing the laundry and kitchens. The home provides a passenger lift that enables residents to access all parts of the building. Regent House has thirty single rooms, all with en-suite facilities. Two of these rooms are registered as shared accommodation if required. There is a large garden at the rear of the property that is accessible to residents, including those in wheelchairs or with mobility problems. There is a large, attractive sitting room, and two dining rooms. There is a further seating area in the hall of the second house. On 20th April 2006 the current fees were quoted as £575.00 to £700.00 per week. Additional charges would include such items as newspapers, hairdressing chiropody etc. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of seven hours on 20th April 2006. As well as this site visit, information was also gained from informal talks with eight residents, five relatives, seven staff members and the manager. Phone conversations were also held with two social workers that had placed residents in this home. The site visit consisted of a tour of the premises, looking at the care needs of five particular residents, document reading and observation of the interactions between residents and staff during the lunchtime period. What the service does well: What has improved since the last inspection? The home is now regularly consulting with residents about any issues that concern their daily routines. For example the manager has consulted with residents about moving the time of supper to half an hour later in the day, as it was felt that 5.30pm is too early for their final meal of the day. This new time will be trialled to see how people feel about it in the long term. All ten requirements that were made during the last inspection have been addressed. Certain medication procedures have improved and all staff receive a minimum of three paid days training per year and regular supervision sessions. Other health & safety issues have also been actioned. The home has employed a maintenance person since the last inspection and this will ensure that all small works and repairs are dealt with immediately. The manager has now applied to become registered with the CSCI. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 6 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. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 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 Regent House DS0000014033.V288869.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3 Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current service users guide now contains all the relevant information required and will provide residents with a good understanding of how the service operates. Completed pre-assessments forms indicate that prospective residents are having their needs properly assessed prior to moving into the home. EVIDENCE: During this visit to the home twelve residents rooms were visited. Residents have a service users guide in their room, which includes detailed information about the home. Before a new resident moves into the home their needs must be assessed to see whether the home is able to meet them. A completed assessment form was viewed and it contained all the necessary information. Prior to the initial assessment being carried out information is also sought from social workers and family and friends to gain a better understanding of the persons background and history. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care plans were seen to be relevant and up-to-date. Residents who were spoken to felt their health care needs were being met. The home has improved its medication policies and procedures. Residents stated that overall they are treated with dignity and respect. EVIDENCE: A total of six residents care plans were viewed during this visit and they all contained relevant and up-to-date information. As well as the care plans daily logs are also written up for each resident. Each resident has their care plan reviewed on a monthly basis, which either they sign themselves to say they have been involved with it or if they have been unable to do this then a relative will sign on their behalf. Risk assessments are also carried out and reviewed to ensure that residents remain safe within their own current abilities. Records viewed showed that each resident has access to their own GP plus any other additional healthcare professionals that they may require. During the day a doctor and a paramedic were seen coming in and out of the home. Of the Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 10 twelve residents that were spoken to, all stated that they felt their health care needs were being met by the home. The home has qualified nursing staff on duty twenty-four hours a day. The home has improved its medication policies and procedures, as misappropriated drugs have been a concern in the past. Class 1 drugs are now being checked at each shift change and this should minimize any future discrepancies. Medication records were viewed and no errors were found. Risk assessments are carried out on any resident who wishes to self medicate and this is done to ensure that the person is fully able to manage their own medicines. Nursing staff are due to receive additional medication training in May 2006. The home has also just undergone a medication audit by their local pharmacy. Twelve residents and four relatives were asked as to whether they felt their privacy, dignity and respect was maintained by staff. Overall the responses were very positive. One resident did mention that sometimes staff talk in their own language when attending to a resident. This comment was discussed with the manager who stated that she would reinforce this message to staff about only speaking in English when attending to residents. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. 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. Staff continue to try and provide a varied programme of activities for residents. Relatives and friends were seen freely coming in and out of the home during the day. Residents feel they have help to exercise choice and control in their lives. Residents stated that overall they enjoyed the meals that were offered. EVIDENCE: During the last inspection of the home it was evident that staff were trying to provide a more varied programme of activities for residents. The home was also trying to employ a part-time activities co-ordinator. At this visit the manager stated that they had not been able to find a suitable activities coordinator yet although they would continue to try. One or two staff members are providing a number of activities that residents would like to participate in. Recent events have included themed days, days out, quizzes and bingo. Several residents who were spoken to say they were unaware of the activities but their relatives stated that they had been aware of them. Some of the residents are quite unwell and felt that they did not wish to participate in any activities, however a few others did say that they would like the some opportunities to be involved in a hobby or activity that interested them. Aside from organised activities, residents felt the home was meeting their needs in various other aspects. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 12 Visitors were seen to be made welcome at the home and several were spoken to during the course of the day. They stated that they felt they could visit at any time of the day and be able to see their relative in private. On speaking to residents most felt that they were able to exercise some control over their lives and make choices where they can. Many residents said that they have the help of family and friends to assist them in this area. Many also stated that they would approach the manager, as she was very kind and helpful. Residents are able to bring in their own small possessions and they can continue to handle their own financial affairs if they wish. Information about the use of advocates is available on the homes notice board. Lunchtime for residents was observed during the day. A daily menu is displayed in the dining room. Some of the residents prefer to come down to the dining room to have their lunch and this is a pleasant area, which has been recently redecorated. Residents sit together and chat and some enjoy a glass of wine with their meal. The inspector did note that residents appeared to be waiting quite a long time to be served their meal. This was because some residents were seated a little too early and several residents purposefully come down early for a chat with the others, as it is quite a social part of the day. Lunch is the main meal of the day and most residents who were spoken to said that they enjoyed the meals that were offered and there were always other options if there was something that they didn’t like. Relatives also said that the home was providing a good level of nutrition and that they had found the home very supportive when residents had to follow a different type of diet. Meals are also served on trays to the residents who prefer to eat in their rooms. Residents have also been consulted about changing the time of their supper, which up until now has been at 5.30pm. The manager felt that perhaps this was too early for residents to have their last meal of the day, so a trial period will be carried out to see whether having supper at 6.00pm is more preferable to the residents. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. 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. The home has a clear and accessible complaints policy, which is publicly displayed. The home is ensuring that residents are not subjected to any forms of abuse. EVIDENCE: The home has a complaints policy and procedure, which has been made available to all residents and visitors. The home maintains a record of any complaint that is made and this will include information about the outcome and timescales involved. There are no current pending complaints. Several residents were asked if they knew how to make a complaint. All stated that they would approach the manager if they had any concerns or complaints. One resident confirmed this by saying that their complaint had been dealt with in a timely and efficient manner. The vast majority of staff have now attended a training course in the protection of vulnerable adults. The home has produced an adult protection policy and procedure. All staff have undergone CRB police checks before commencing employment in the home. There are no current adult protection alerts in the home. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. 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. Overall, the home is safe, clean and well maintained. EVIDENCE: The home is currently meeting the needs of its residents and is providing a safe and comfortable environment. Rooms are homely and tastefully decorated, as are all the communal areas within the home. All bedrooms have en suite facilities. The home maintains a high level of cleanliness and a team of domestic staff are employed. A maintenance person is also employed to work 30 hours per week to ensure that any repairs etc. are promptly dealt with. The home is currently complying with local environmental health and fire safety regulations. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. 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. There are sufficient numbers of staff on duty to currently meet the needs of residents. To date only two care staff have obtained the NVQ Level 2 qualification. The home carries out suitable recruitment procedures. All staff receive a minimum of three paid days training per year. EVIDENCE: Since the last inspection the home has increased its staffing levels and the normal staffing rota for the morning shift is currently two registered nurses and seven carers, for the afternoon shift there is one registered nurse and five carers and for the night shift one registered nurse and two carers. These ratios appear to be providing a good level of care for all residents. The home has recently introduced a new policy whereby staff are rotated over the three floors on a six monthly basis. Residents were asked how they felt about this new policy and several thought it was a good idea whilst others felt that they lost some continuity of care. Staff who were spoken to stated that they felt this new procedure was a good idea and that they were still able to remain in contact with certain residents if that was their wish. As well as trained and untrained care staff the home also employs a full time cook, domestic staff and a maintenance person. The home employs a multicultural staff team, which includes a good mix of both male and female carers. All staff on duty were spoken to during this visit and all felt generally happy in their work. They also stated that they felt well Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 16 supported by the manager and they all got on well together as a team. Staff were observed positively interacting with residents. The home has not achieved the minimum ratio of 50 trained care staff as only two staff members hold the NVQ Level 2 qualification, however this does not appear to currently have any detrimental effects on the care residents are receiving. NVQ training was discussed with the manager who said that staff have been encouraged to apply for this training but none were very interested as they felt this qualification would not be recognised in their own countries. The other factor effecting their decision to enrol for this training was the cost. The proprietor has recently informed staff that the home will pay half of the costs towards NVQ training. It will continue to be recommended that the home try and engage more staff to study for this qualification. The home is carrying out all the necessary requirements for the recruitment of staff. Records showed that all staff are receiving a minimum of three paid training days a year. Recent one day training courses have included Adult Protection, Manual Handling, Fire Safety, Pressure Care and Continence. Care staff do not receive medication training as only the nursing staff administer medications in the home. All nursing staff are due to receive updated medication training in May 2006. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 38 Quality in this outcome area is average. This judgement has been made using available evidence including a visit to this service. The manager runs the home in a friendly and proactive manner. The Quality Assurance programme is improving. The home is trying to ensure that the health and safety of both residents and staff is maintained, however one requirement in this area was made. EVIDENCE: Since the last inspection the deputy manager has now been offered the post of permanent manager and she is currently undertaking registration with the CSCI. She has continued to build and expand on the improvements that were made in the home last year. Residents and staff continue to feel well supported by the manager. They also said that the home is being run in a more open and efficient manner. Residents stated that they found the manager friendly and helpful and always willing to listen to them. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 18 The homes quality assurance monitoring systems have commenced and resident surveys were carried out in November and December 2005. Residents meetings are held every two months and here they are able to discuss any issues, ideas or concerns they may have. The manager also stated that the views of relatives, friends and visiting professionals are also sought. Audits of the home have been recently carried out by environmental health and the local pharmacy that provide all the medication to the home. Regulation 26 Reports are carried out by the proprietors who visit the service to look at how the home is meeting the needs of the residents. The reports do need to be expanded to include more detailed information. The manager has policies and procedures in place to ensure the health, welfare and safety of all the residents and staff. Following a tour of the premises and discussing training with staff it was found that the home is continuing to ensure that all health and safety requirements are met. It was noted that several of the meals being taken up to residents rooms were not provided with covers and a requirement will be made to ensure that all meals which are transported through the home are suitably covered for health and hygiene purposes. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 19 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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 OP38 Regulation 12(1)(a) Requirement That all service users meals are suitably covered when being transported around the home. Timescale for action 20/04/06 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. 4. Refer to Standard OP28 OP10 OP9 OP12 Good Practice Recommendations That care staff are encouraged and supported to obtain the NVQ Level 2 qualification. That staff remember not to converse with each other in their own language when attending to service users. That nursing staff continue to check Class 1 medicines at the end of each shift change. That the home continues its efforts to employ an activities co-ordinator for service users. Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Regent House DS0000014033.V288869.R01.S.doc Version 5.1 Page 22 - 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!