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Please note that the information on this website is now out of date.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 05/06/07 for Smalley Hall Residential Home

Also see our care home review for Smalley Hall Residential Home for more information

This inspection was carried out on 5th 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 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 trained staff are good at recognising when residents need help from other Health care professionals to improve their health and well being.All of the residents spoke highly of the staff saying, " the staff are very helpful and kind" and, "it is very nice here, I`m really glad I chose to come here". Complaints are documented, investigated and complainants are responded to, ensuring that their concerns are addressed. Almost half of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people. The manager is committed and was praised highly by residents as being kind, helpful and approachable. Residents` finances are securely held and properly recorded to make sure their interests are protected. The tests and servicing of equipment at the home is done at the intervals suggested and this ensures that residents and staff have their health and safety protected.

What has improved since the last inspection?

Care plans and risk assessments have been improved to ensure residents strengths and support needs are adequately detailed. There is now a policy on administering and recording of homely remedies, which will help reduce the risk of medication errors. Residents who self-administer their medication are now assessed as being safe to do so. The homes procedure for the handling of allegations of abuse now refers to the Derbyshire Protection of Vulnerable Adults procedures, which are there to protect the service users residing in Derbyshire The bathroom floor and corridor carpets have now been replaced.

What the care home could do better:

The way staff are organised could be better to make sure residents do not have to wait too long for help to be provided. Adequate arrangements should be in place to cover for staff shortages or absences.

CARE HOMES FOR OLDER PEOPLE Smalley Hall Residential Home Main Road Smalley Derbyshire DE7 6DS Lead Inspector Andrew Sales Key Unannounced Inspection 5th June 2007 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 Smalley Hall Residential Home DS0000020215.V337886.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. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Smalley Hall Residential Home Address Main Road Smalley Derbyshire DE7 6DS 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) (01332) 882848 01332 882351 www.ashmere.co.uk Ashmere Care Group Mr Gerald Poxton, Mrs Sandra R Poxton, Mrs Ann Theresa Poxton, Dr Michael G Poxton, Mr David A Poxton Mrs Rosamund Morley Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2006 Brief Description of the Service: Smalley Hall is a large building that was extended and re-furbished in 1988/89. The home is in attractive surroundings on the outskirts of the village of Smalley. The home is registered to provide personal care and accommodation for older people. 27 places are provided with 23 single bedrooms and 2 double bedrooms. The home is on 2 floors with a passenger lift provided. There is a large lounge area and a connecting dining area with a smaller sitting room. A spacious conservatory overlooks the patio. Car parking space is provided. The manager at Smalley Hall can be contacted by telephone or by email. The company also has a web address that provides information regarding Smalley Hall and other homes provided by the company. The fees for the service start at £333.85 per week. Newspapers, hairdressing and toiletries are not included in the fee. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgements. This may include notifications from the provider, complaints or concerns and the pre-inspection questionnaire, which the provider is required to complete prior to a visit to the service. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. On this occasion we were unable to use the pre-inspection documentation. We were therefore unable to include any evidence from resident’s surveys. This inspection involved one inspector and was unannounced. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and looking at the quality of the care they receive by speaking with them, reading their records and asking staff about their needs. We have also based some judgements in this report from observation of staff and resident interactions. Two residents and one member of staff were spoken with as part of this inspection. In addition the views of two other residents who were not part of the “case tracking” were sought, to form an opinion about the quality of the service. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. What the service does well: The trained staff are good at recognising when residents need help from other Health care professionals to improve their health and well being. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 6 All of the residents spoke highly of the staff saying, the staff are very helpful and kind and, it is very nice here, I’m really glad I chose to come here. Complaints are documented, investigated and complainants are responded to, ensuring that their concerns are addressed. Almost half of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people. The manager is committed and was praised highly by residents as being kind, helpful and approachable. Residents’ finances are securely held and properly recorded to make sure their interests are protected. The tests and servicing of equipment at the home is done at the intervals suggested and this ensures that residents and staff have their health and safety protected. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 8 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 Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 9 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): 3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are fully assessed before moving in to the home and are confident the service will meet their needs. The home does not provide intermediate care. EVIDENCE: All of the files we looked at contained an extended social work assessment, where required, which had been obtained prior to their admission. All files contained care plans conducted by the manager, or deputy manager. All of the assessments were adequate and contained sufficient information to enable staff to ensure that they could meet the residents assessed needs. There were adequate action plans for care workers. Staff told us they looked at these when they first start at the home and are required to keep up to date with the information contained in them. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 10 All of the residents were very keen to explain how living at the home has improved their quality of life in terms of care, company and social stimulation. They said they liked the homely environment and services available. They all felt that prior to moving into the home that it was suitable for their needs and a place they wanted to live in. Residents also told us that they had been able to stay at the home prior to moving in. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal care needs of people are planned for and met by knowledgeable and well-trained care staff who strive to make sure people using this service are treated with respect. EVIDENCE: The assessments and plans of care we looked at were well set out and detail each area of need with action plans for staff. Risk assessments were also present and well documented. Attention is placed in the need to prevent pressure sores, falls and to promote safe working practices. Daily records are well maintained by care staff and professional input from district nurses and GP’s is well documented. We saw evidence that care plans are reviewed. Residents and staff told us the care planning process was accurate and helped staff to respond to any changes in residents needs. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 12 Resident’s care plans contain details of each individual’s health care needs, including tissue viability and continence risk assessments. There is evidence that people have been appropriately referred to health care professionals. Care plans contained records of visits by district nurses, General Practitioners and other professionals. Healthcare professionals were observed visiting on the day. We were told that residents can register with a GP of their choice. The homes medication administration systems are well maintained. There is a policy and procedures for receiving, recording, storing, handling, administering and disposing of medicines. The home is registered with the local pharmacist and support and advice obtained as and when needed. The pharmacist visits and conducts and audit of the homes medicines. We were shown risk assessments for one person who is manages her own medication. Staff were observed during the visit interacting positively with individuals. Residents told us that staff provide a good standard of care and areas of concern would be discussed with the registered manager. Residents also commented very positively on the conduct and attitude of the staff. They said ‘the staff are wonderful, they are always on hand to help and they are always polite’. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents feel they retain much of their independence after moving into the home. Resident’s maintain contact with family and friends. Residents are supported to access daily activities and access the local community. EVIDENCE: People told us there were some activities within the home and outside. They commented that the philosophy of the home and the attitude of the staff enabled them to make choices and felt they were generally well respected. Some people told us that there sometimes was only one member of care staff on duty, with the manager, which meant they were not able to pursue the most basic of social and recreational pursuits. They told us that whilst the manager and staff were ‘very helpful’ and ‘worked very hard’, there ‘were ‘sometimes not enough of them about’. They also felt that staff were always willing to sit and talk with people when they had time away from essential duties. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 14 We observed one person being assisted to eat their lunch but were interrupted twice, as the staff member had to leave her to answer the door bell and then the telephone. Records did not show us in any detail how the social and recreational needs of each individual are to be planned and provided for. People told us that games and stimulation are provided when there are enough staff on duty. Staff described how they encourage people to participate in events and outings and take time to sit with those who are less able to communicate. People said that they were able to make choices over day to day routines, some said they enjoyed being able to do things in the garden and this made it feel more homely. Residents described how they were able to receive their visitors within any of the communal areas provided or within their private accommodation as they wished. Visiting within the home was not restricted and an open visiting policy was in place. Meals are provided within the dining area, although residents told us that they chose to take their breakfast within their private accommodation, this indicates that the home strives to ensure that the home maintains a flexible approach to mealtimes in order to meet residents preferences. They also told us they thought the food was good and there was two choices at lunchtimes. They said they can have soup or salad in the evening and were happy with what was available. We looked at the kitchen facilities, where appropriate cleaning schedules were in place and fridge and food temperatures were monitored and recorded. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 15 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. Residents are safeguarded by the homes complaints and adult protection procedures. EVIDENCE: We looked at the complaints procedure a copy of which is on display within the entrance area of the home. There are no complaints recorded and the commission has not received any since the last inspection. People told us that they would raise concerns with the registered manager if they felt the need to. We looked at an appropriate Whistle Blowing Policy and a policy detailing Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are generally satisfactory. The home has comprehensive policies regarding resident’s money and financial affairs. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 16 Staff told us they had received training in adult protection issues and were fully aware of their responsibilities to safeguard older people. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 17 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): 19,20,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and decorated. People enjoy the comfortable and well furnished communal and bedroom areas. EVIDENCE: We looked at most parts of the home and found it to be well furnished and maintained which people said they liked very much. A bathroom and parts of the corridors have had new carpets laid. We saw a suitable number of assisted bathrooms and toilets with full access for people with a disability. There are a number of mobility aids in use around the home and the staff were able to tell us how individuals use them with staff support. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 18 People told us how they enjoy looking out onto the gardens and trees to the back of the home. They said the gardens are a ‘nice place to relax in the better weather’. We looked at the laundry area, which is appropriately equipped. None of the people had any concerns about their clothes being cleaned or going missing. We saw appropriate cleaning schedules in operation throughout the home including the kitchen and laundry. There are no malodours present in the home and people said how important this was to them. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. The deployment and number of staff available is not always sufficient to meet the needs of the people living there. EVIDENCE: People told us that there were usually adequate numbers of staff in order to meet their support needs, and commented that the staff team are “wonderful” and “always willing to help”. We were also told that sometimes there was one member of the care team on duty with the manager and that residents had to wait for help and staff were sometimes in a hurry. The staff confirmed this and the manager stated that this was normally only when they had staff absent or on holiday. Staffing ratios must not be solely based on numbers of residents. The service must assess the needs and abilities of residents and deploy staff accordingly. Evidence from residents comments and observations made on the day indicate that there were insufficient staff on duty. We looked at the staff rota, which also confirmed this and we have based our judgement on the overall experiences of residents and staff. Please refer also to section 12-15 of National Minimum Standards (NMS) in this report. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 20 Records contained some evidence of training in a number of health and safety subjects, dementia awareness, National Vocational Qualification (NVQ) level 2, staff supervision and appraisal plans. We were informed that most recruitment documents were held in files at the human resource department. The staff demonstrated a sound understanding of their roles and responsibilities and a good insight into the methods of promoting independence whilst supporting older people. They told us that they had attended some training courses and have regular updates in most of the mandatory Health and Safety training courses. From the comments and observations made, the manager and staff team are held in high esteem amongst the residents for their commitment, attitude and support. There was evidence that staff receive supervision on a regular basis and staff members did confirm this during our discussions. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 21 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. The home is managed well and there is guidance and direction to staff to ensure residents receive consistent quality care. This results in practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: People told us the home was well run and the management team were always on hand for support and advice. Staff spoken with, confirmed that they felt supported by the manager and that they are approachable to discuss any issues. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 22 Staff spoken with spoke highly of the manager and deputy manager and stated they felt well supported within their job role. People stated that Smalley Hall is a nice place to live as they feel the manager and staff put people first and respect their choices. A relevant policy with regards to the safe keeping of resident’s personal allowances is in place and followed. We checked one resident’s cash held with their accounts records, which were accurate. The staff confirmed they receive regular supervision and attend regular team meetings. Supervision records were observed. People stated that they felt they were consulted about day to day issues. Staff files showed that they have undertaken training in mandatory health and safety subjects. Staff spoken with, were aware of health and safety procedures and commented positively on the training provided. Risk assessments were observed on individual files and are in place for the building and individual people. Records for Health and Safety monitoring and the servicing of systems and appliances were inspected on this occasion and were found in general, to be up to date. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 23 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 X X 3 X 3 X 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 3 X X X X X 3 STAFFING Standard No Score 27 2 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 3 X 3 Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 18.1.a Requirement Ensure that staff are deployed in sufficient numbers to meet the needs of all the people. Timescale for action 12/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Evidence should be in place to demonstrate that residents have been consulted and involved in the formulation of their care plans. Consideration should be given to the deployment of an activities co-ordinator at the home. Discussions should take place with residents regarding DS0000020215.V337886.R01.S.doc Version 5.2 Page 25 2. OP12 3. OP15 Smalley Hall Residential Home their preferences of food at meal times, to ensure all tastes can be catered for. Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Smalley Hall Residential Home DS0000020215.V337886.R01.S.doc Version 5.2 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!