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Inspection on 15/06/05 for St Cecilia`s

Also see our care home review for St Cecilia`s for more information

This inspection was carried out on 15th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

What has improved since the last inspection?

Since the last inspection the fire records have been improved and the home now provides assurance to prospective residents that the home is able to meet their needs, through written confirmation.

What the care home could do better:

The medication procedures have not been implemented as required by the home`s own procedures, leaving residents potentially at risk. Whilst residents are provided with contracts these are not provided prior to admission and for many, until many weeks or months after admission. Progress is still required to ensure care plans provide sufficient detail on the residents` needs to ensure staff are able to care for them and assessments provided by external sources must also be current to ensure the information is up to date and reflects prospective residents needs at the time of admission. The home provides activities internal and external to the home with community contact important. A more individual focus is needed in relation to leisure activities and access to external activities so that all needs are being met. Whilst the home maintained a number of service records for the equipment used staff were unable to locate a record of some of the service details required, including the lift and hoist servicing. The fixed wiring service has been undertaken and proved to be unsatisfactory and there is no evidence to show that this work has been completed. There is also a need to improve the risk assessment regarding the use of restraints such as lap belts and bedrails, in the home.

CARE HOME ADULTS 18-65 St Cecilias 32 Sundridge Avenue Bromley Kent BR1 2PZ Lead Inspector Wendy Owen Unannounced 15/06/05 & 17/06/05 10:00am 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Cecilias Address 32 Sundridge Avenue Bromley Kent BR1 2PZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8460 8377 020 8466 8292 Leonard Cheshire Karen Harwood Care Home with Nursing 30 Category(ies) of PD 30 registration, with number PD(E) 30 over 65 years of places St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing Notice issued 27th November 1992 2. the home can be used for up to two (2) day care clients per day. Date of last inspection 21/01/05 Brief Description of the Service: St Cecilia’s is a two-storey care home, which provides nursing care for 30 physically disabled people. The registered provider is Leonard Cheshire. The home is in a quiet residential area, on a bus route and convenient to Bromley Town centre. The home was extensively renovated in 2002 to provide large single en-suite rooms, for all the service users plus a wide variety of communal areas. There are mature gardens at the rear and parking at the front of the house. The home is staffed to provide 24 hour care through a staff team consisting of nurses, care staff, ancillary and administrative staff. The home is managed by a qualified nurse with a number of years management experience. She has recently been successful in achieving the required management qualification. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over one full and one part day. The inspector was accompanied by a member of CSCI staff, who provided some information, as a lay-person. The inspection included a brief tour of the building and grounds, discussions with five residents and the nurse in charge and written feedback from three relatives, one GP and two care managers. A number of records were also viewed over the two days. The inspector also assessed the implementation of actions required from the review completed by Leonard Cheshire in September 2004 What the service does well: What has improved since the last inspection? Since the last inspection the fire records have been improved and the home now provides assurance to prospective residents that the home is able to meet their needs, through written confirmation. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 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. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 & 5 Improvement is required to ensure assessments are current to ensure residents are provided with appropriate care. Contracts must be provided to residents without delay to ensure they and their relatives are fully aware of the terms and conditions of the residency and they have the correct information upon which to base their decision to enter the home. Residents are able to visit the home prior to making a decision on its suitability. The home is able to provide care to those residents agreed on assessments. EVIDENCE: A Statement of Purpose and information pack is provided for prospective residents giving them information on which to base their decision to enter the home. The home also has an admissions procedure which includes, whenever appropriate, the care manager’s assessment and the home’s own assessment. This assessment details the areas required by the standards. The decision to admit residents into the home is taken by the manager, staff and residents. Prior to this residents are able to visit the home with a current resident providing the tour. This enables relatives and prospective residents to ask questions and seek information from someone with an objective viewpoint. The three files viewed contained the home’s assessment and various other information. However, as reported in previous reports, some of this information was not as recent as best practice requires. For example, a resident admitted in February 2005 had admission information on file from July St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 9 2004 and the home’s own admission October 2004. Six months is a long period of time and significant changes can occur so this information needs to be reviewed. (See requirement 1). Leonard Cheshire provides a contract to residents but not prior to admission and, in some cases, not for a number of weeks. In one case a resident had been admitted in February 2005 and did not yet have a contract on file. (See requirement 2) The General Manager stated that the contract format had been checked and meets current requirements. The information provided and the assessment process assures residents that the home is able to meet the needs of the individual and the home will confirm this in writing. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Care plans and risk assessments need to be improved to ensure they contain enough information on which staff can provide care to residents and that risks to residents are minimised. Residents are treated with respect and dignity and consulted regularly ensuring they are involved in the decision making of the home and make choices in their daily lives. EVIDENCE: Care plans have been developed and two of these were viewed on the day. There is a good deal of information provided. However, this was not always completed fully, such as a resident’s support plan, even though they had been in the home since February 2005. The information recorded was also at times conflicting. One file showed no continence issues in one part whilst in another, the need for catheter care and continence issues were detailed. There was also conflicting information on how often the actions for catheter care was required. Eg wash outs required weekly in one record and bi-weekly in another. The records also showed, in some cases, a care plan from December 2004 with no further update. There was some good information regarding eating and drinking and likes and dislikes but very little information on social care activities and interests. Where risk assessments have identified a risk this was not always followed with a care plan detailing the action being taken to St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 11 minimise the risk. Eg: nutritional risk assessment identified high risk but no care plan to support this. See standard 19 (See requirement 3 & 6) It was positive to see some signage on residents’ bedroom doors such as “Do not disturb” and the feedback showed a very good communication link between the home and residents. Residents meetings are held regularly with the manager invited to attend. One resident spoke of their involvement in recruitment of staff, whilst another spoke how involved they were in decisionmaking and how well the home kept everyone informed as to what was occurring. Records are kept secure and computers password protected. Residents have their own e -mail address. Risk assessments are in place regarding the use of bedrails and lap belts on wheelchairs. However, there is no record of any multi-disciplinary meeting or consultation with relevant parties to ensure objective decision-making. Nor has the risk assessment identified any potential risk to residents through use of the equipment. Another resident had been admitted from home and had been attending day care. Prior to their admission there was no further assessments carried out. (See requirement 5) St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, & 17 The home offers residents to participate in a number of internal and external activities to suit the individual needs. However, further progress could be made to ensure appropriate transport is made available and that all residents are able to undertake activities of their choice. The standard of catering has improved although the provision of snacks throughout the day could be improved upon. EVIDENCE: Catering is provided by an external firm of caterers and whilst there has been problems in the past, residents said that food has been improved but could still be improved further. The last report identified the need to provide snacks at times when the kitchen is closed, especially at night. Whilst there are notices that these are available, residents spoke of their reluctance in asking for anything other than the biscuits offered but they would prefer an alternative at times. (See recommendation 1) Residents spoke of a variety of internal and external activities, however the previous standards commented on how some activities are restricted due to St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 13 transport problems, especially those with individual transport needs. One resident also told the inspector that there are difficulties, for some, who are not able to put their names down for events as quickly as others and therefore often get left out. The same resident spoke of how much they would like to visit the cinema and the seaside but the opportunity does not arise. Once again there were issues raised regarding problems with the transport, especially lack of drivers. Since this inspection discussions with the manager have shown that some of these problems have been resolved and will therefore be monitored at the next inspection. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 The home provides a good standard of healthcare to residents, including specialist support. However, the records regarding any risks to health and medication practices need to be improved to ensure staff are aware of the current needs and practices which adequately protect residents from deteriorating health. EVIDENCE: Residents told the inspector that they felt their health needs are being met. Residents are registered with a GP and have a choice of going to the GP or the GP attending to them on one of the regular visits to the home. The GP feedback was very positive and praised the quality of care provided by the home. The home has physiotherapists who provide specialist support to residents and dental and optical services are offered through a mobile service. Although the irregularity of the NHS chiropody service means many residents choose a private chiropodist. Files viewed contained good information regarding involvement of chiropodist, swallowing assessment and PCT involvement regarding pressure -relieving equipment. Weights are recorded on admission and checked regularly and files viewed contained some good guidance on moving and handling. Pressure care treatment is in place with care plan and wound care information. The wound care records show actions the home is taking to improve the areas St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 15 but provide little information on the progress of the treatment. For instance no record of size noted. The inspector suggests that this be incorporated into the current wound care records. Risk assessments are in place regarding pressure care, nutrition, barthel and moving and handling. One record did not have continence assessment completed, although records made reference for it to be reviewed every three months. Whilst in another plan catheter care needed monthly reassessment but this has not taken place. Please also note comments made in standard 6 regarding conflicting information. (See requirement 5) The audit of the medication practices showed that improvement is required, especially relating to the administration and appropriate recording. The records viewed showed that they had been counted as received by the home and signed but not dated. Where there is PRN medication eg:salbutamol, morphine, lorazapam etc there needs to be clear directions for when the medication can be administered. There were a number of errors where medication had been recorded as given but was still in the blister pack and vice versa. This was especially relevant to the “on leave” medication administration. There needs to be more clarity and understanding of how to record such situations. The home must also ensure where any medication leaves or is retuned to the home, this is recorded. (See requirement 6) Homely remedies are recorded for those in stock and recorded when administered. Nurses administer medication, which is received from the pharmacist in blister packs. Medication records showed photos in place and adequate recording although the inspector recommends that the home not only record where there are allergies but also where there are none to ensure this is clear. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 29, 30 The decoration, refurbishment and equipment is of a good standard internally and externally and provides residents with a safe, well maintained and homely environment. EVIDENCE: The standard of décor and refurbishment remains very high with the home maintaining good standards of tidiness and cleanliness. Residents’ rooms are individualised and personalised, with layout and equipment to maintain their independence. The home was clean, tidy and free from any offensive odours. Equipment in place include communication systems, electric chairs alarm call systems. The laundry was well equipped but very hot and although had air conditioning and a fan, these were not on. Dirty and clean laundry was located in different areas with hand-washing facilities in place. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 Staffing levels are adequate with the right mix of staff. It is positive to note that the home has recognised the need to review these levels throughout discussions with residents to provide adequate care throughout the day according to residents’ needs. EVIDENCE: The inspector was informed by a resident and senior staff that the current staffing roster is in the process of change to ensure the home is staffed with appropriate numbers at the busy times of the day. In this the manager has identified with residents the need to provide more staff in the late afternoon, early evening. The home not only employs the required number of nursing staff, care staff, ancillary and administrative staff but also two part-time physiotherapists, two part- time physiotherapy assistants and activity assistants. The potential changes to the staffing levels are very likely to improve the care over the whole of the day and one resident spoke of the need for these changes. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 & 42 The home is well managed and well run with good systems in place to ensure the quality of care is improved according to residents’ feedback. The home adequately protects resident with progress required in some areas. EVIDENCE: A Care and Operational review took place in June 200 and September 20044 and includes records of meetings with residents, staff and volunteers. An action plan for the improvement required has been completed and the inspector is awaiting a response from the manager to identify whether these actions have been implemented. The home is also accredited to Investors in People and as a Practice Development Unit with Leeds University. The provider and manager show a positive approach to improving the care of residents within the service offered and this can be seen by the continuous quality assurance through external and internal quality assurance systems. It is also positive to see how much residents are involved in any decision –making St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 20 within the home and the consistency of communication between the home and residents showing a very open and inclusive approach to managing the home. All but three residents’ doors and some three office doors are linked to the fire alarm system. Once these have been completed, the manager needs to ensure the fire risk assessment is changed fire risk assessment to reflect these changes. The health and safety records viewed showed some improvement to be made to ensure the health, safety and welfare of residents and staff. The fixed wiring service in January was unsatisfactory and although the inspector was informed that the required work has been completed there was no actual evidence of a satisfactory inspection. There was no record of gas appliance service and no record of servicing of the lift or moving and handling equipment. (See requirement 7). The home had adequate records in relation to the fire checks, fire drills and training of staff, portable appliance testing and safe storage and record of hazardous substances. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 3 3 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 4 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 3 2 2 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Cecilias Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 2 x Version 1.30 G51G01s10142StCecilias.v229219.15.6.05stage4.doc Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 2 Regulation 14 Requirement Assessments provided for prospective residents must be up to date to reflect current needs. The timescale last inspection 1/03/05. Residents must be provided with contracts and terms and conditions of residency prior to admission or directly upon admission. Residents care plans must provide sufficent guidance on how to care for a residents needs. The plans must be reviewed regularly and the care plan amended to reflect any changes and must be signed and dated by those involved, including residents. Risk assessments must be produced regarding the use of lap belts and bedrails for individual residents. The assessments must include consultation with external agencies, residents, staff and their relatives. Where risk assessments have identified risks to healthcare, care plans must be developed identifying the actions the home G51G01s10142StCecilias.v229219.15.6.05stage4.doc Timescale for action 01/08/05 2. 5 5 01/08/05 3. 6 15 01/09/05 4. 9 & 38 13 01/10/05 5. 18 13 1/08/05 St Cecilias Version 1.30 Page 23 6. 20 13 7. 38 23 is taking to minimise risks and reviewed regularly. Timescale from the last inspection 1/03/05. Medication procedures require all 01/08/05 medication to be signed and dated when received into and leaving the home. Where residents are on leave from the home consistent practices must be employed. Timescale from the last inspection 1/03/05. The manager must ensure that 01/08/05 the fixed wiring is addressed to ensure a satisfactory inspection; gas appliances must be serviced each twelve months; moving and handling equipment including hoists and lifts to be serviced every six months. health and safety. 8. 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 17 Good Practice Recommendations Residents should be offered alternative snacks throughout the day, especially prior to going to the bed. St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 24 Commission for Social Care Inspection Riverhouse Maidstone Road Sidcup Kent DA14 5RH 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 St Cecilias G51G01s10142StCecilias.v229219.15.6.05stage4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!