Inspection on 28/07/08 for Tara

This inspection was carried out on 28th July 2008.

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.

Other inspections for this house

Tara 31/07/06

Tara 15/12/05

Tara 14/12/04

Tara 18/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Tara 5 Avenue Road Brentwood Essex CM14 5EL Lead Inspector Jane Offord Unannounced Inspection 28th July 2008 10:15 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 Tara DS0000018045.V369242.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. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tara Address 5 Avenue Road Brentwood Essex CM14 5EL 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) 01277 233679 01277 233679 devika_sookarry@hotmail.co.uk Mr Mohendas Karachand Sookarry Mrs Chandanee Sookarry Mrs Chandanee Sookarry Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st July 2006 Brief Description of the Service: Tara Care Home is a traditional semi-detached large house positioned near the corner of a busy main road leading to Brentwood railway station and town centre. There are shops, a pub and doctors surgery nearby. The accommodation is over two floors but the house does not have a passenger lift or level access into the building. These drawbacks are clearly stated in the statement of purpose. The service offers support to up to eight older people and a number of the present residents have been in the home several years. There is a large pleasant front lounge and a dining room/lounge further back in the house. The bedrooms are six single rooms and one shared all with hand washbasins in them. Both floors have toilets and bathrooms for communal use. There is a small but pretty garden area to the rear of the property with a patio. The fees for accommodation range between £447.16 and £450.00 per week and do not include newspapers, toiletries, hairdressing, chiropody and personal clothing. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this home is three star. This means that people who use this service experience excellent quality outcomes. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 10.15 and 13.45. The owner and registered manager were both present throughout the inspection and helped with the process by supplying documents and information. This report has been compiled using information available prior to the inspection such as the annual quality assurance assessment (AQAA), which is a self-assessment document completed by the service and sent to CSCI, as well as evidence found on the day. During the day the care plans and records of two residents were seen as well as the files for two members of staff. A number of service certificates, the fire log, minutes of meetings and the policy folder were looked at and a tour of the home was undertaken. The lunchtime meal was seen served and the medication administration round was followed. Care practice and interactions between staff and residents were observed. Some residents and staff were spoken with. On the day the home was clean and tidy with no unpleasant odours. Residents were using all areas of the home and some were participating in some light domestic tasks while others did some seated exercises or completed a crossword puzzle. The lunch looked and smelled appetising and afterwards a resident spoken with said, ‘I enjoyed my lunch. The food is very good here and we get a choice each day’. The medication practice was safe and the medication administration records (MAR sheets) were correctly completed. There was a warm homely atmosphere in the home and people looked happy and relaxed. One resident said, ‘You couldn’t find a better place to live’. What the service does well: The service is a family run business with many of the staff extended family of the owners. This gives a stable team who cover for each other to offer the residents consistency in their support. The management team are approachable and accessible for residents and staff alike. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 6 Health needs and medical support are well arranged and actioned quickly as the need arises. The home has a good rapport with the local GP surgery and staff know the residents and their preferences well. The food is freshly prepared from good quality ingredients and there is always a choice of main dish at lunch and supper. The staff encourage residents to exercise their bodies and brains with yoga, seated exercises and stimulating pastimes and conversation. 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Quality in this outcome area is good. There is a robust pre-admission assessment process in place so that people who want to use the service know that their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive statement of purpose that is available for any person enquiring about a place. A few contact details for CSCI need to be updated to ensure correct information is given. People are encouraged to visit the home before moving in and one resident spoken with said they had visited before making the decision to move and had enjoyed meeting the other residents and staff. The manager will go to assess a prospective resident in their own home and completed pre-admission assessment documents were seen in the files looked at. A telephone call was taken during the day requesting an assessment for someone who could fill the final vacancy in the home. The manager said they would go after the inspection had finished. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 9 The pre-admission assessment covered a wide range of areas of potential support that may be required including physical, psychological and cognitive. The person’s spiritual beliefs were recorded, their family contacts and how finances would be managed. Any personal likes and dislikes and preferences for socialising were included. This service does not offer intermediate care. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is excellent. People who use this service will have a plan of care in place to help meet their needs as they would wish, be protected by medication practice and treated individually with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the files seen contained a care plan with evidence that it had been discussed with and signed by the resident. A resident spoken with confirmed that staff talked about their care plan with them on a fairly regular basis and that they signed it. The care plans covered some of the issues identified by the pre-admission assessment but could be expanded to give fuller more person centred interventions. One resident who went out to the shops and for meals a couple of times a week had a risk assessment in their file for the activity. Both files had an identification photograph of the resident and a description in case there was a ‘missing person’ incident. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 11 Records showed that residents’ health needs were met in a timely manner and health professionals such as a GP or community nurse were involved in care when required. On the day of inspection one resident was overheard asking the manager if they could call the doctor, as they were not feeling well. The manager complied and the doctor had visited the resident before the inspection finished later in the afternoon. Records were kept of visits to or by health professionals with the treatment or medicines prescribed. They were all recorded in one book, which made it difficult to track an individual’s care and is a breach of the data protection act. This was discussed with the manager who agreed that a change of recording practice was required. In the course of the day it was noticed that there were more staff present than recorded on the duty rota. When the manager was asked the reason for this they explained that one resident had had to go to hospital for a medical procedure that day. The resident was apprehensive so the home had provided two staff members to escort them and settle them at the hospital. They had returned to the home and were helping as the manager was assisting with the inspection. One would return to the hospital later to help the resident with their lunch and escort them back to the home later in the day. Interactions and conversation overheard and observed during the day were friendly and caring. Staff encouraged residents to be independent and people were seen taking their cups back to the kitchen after a mid-morning drink. Staff knocked on doors and waited to be invited into rooms. One relative said in a survey sent to CSCI that, ‘I know the personal care for my spouse was the best and it remains excellent’. Medication is stored in a purpose built trolley that is secured to a wall outside the dining room. The home uses a monitored dosage system (MDS) for tablets that means that a local pharmacy puts medicines into blister packs to be dispensed by the carers. The manager said they have recently changed the pharmacy they use, as the service they had been receiving did not meet the needs of the home. They were happy with the new service and they had had some training from them for medication management. The medication administration records (MAR sheets) were seen and showed that they were fully completed. Each MAR sheet had an identification photograph attached to it. Codes were used to complete the signature boxes if a medicine was not given for any reason and numbers were recorded for tablets where there was a choice of dose i.e. one tablet or two, leaving a clear audit trail. The manager was administering the medicines on the day and only signed the MAR sheet after the residents’ had taken the medication. Staff spoken with confirmed they had received training in medication management and certificates were seen in the staff files inspected. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. People who use this service will be able to choose their pastimes and influence the choice of meals on the menus. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the residents’ files seen contained contact details for their next of kin and other members of their family. Visitors are welcomed and included in conversation and activities if they wish or meet privately with their relative or friend. One survey returned to CSCI by a relative says, ‘Tara provides a very welcoming and sympathetic environment’. On the day of inspection the morning exercises were due to start as the inspector arrived. They were to be led by the manager who apologised to the residents for the delay while they began the inspection process. One of the residents then took over and they led the breathing exercises followed by seated exercises. A number of surveys were received from residents and they all comment on the daily exercises, the yoga and relaxation that takes place and say how much they enjoy them. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 13 The activity book records what has happened during each day and showed that a variety of pastimes are organised including reading newspapers, doing crosswords, going out shopping or for a meal, some household tasks are performed such as folding laundry and staff spend time talking and interacting with residents. During the day there was a constant conversation carried on between residents and staff. One resident was encouraging everyone to help them with the newspaper crossword, trying to find out if Verdi wrote La Triviata. One resident spoken with said that they enjoy their own company and tend to spend time in the quieter lounge. They helped in the tasks by taking out the black rubbish bags each week. One survey from a resident said that, ‘since coming here I have made friends’. The comment from one resident during a residents’ meeting was that, ‘I make my own decisions. It is a lovely place to live’. The menus were seen and showed that the main meal of the day was at lunchtime and there was a choice of two dishes. On the day of inspection the choice was between steak and kidney or chicken and vegetable pie with mashed potatoes. It was noted that two residents had requested a further alternative of eggs instead of the dishes offered. The person cooking said they would cook whatever the residents preferred. Supper was a choice of a jacket potato with cheese or a corned beef salad. The lunch served on the day was freshly prepared and looked appetising. The residents enjoyed the meal judging by the empty plates returned to the kitchen. One resident spoken with said they had had egg, mashed potatoes, cabbage and tomatoes and had, ‘really enjoyed my meal’. In the surveys received the comments about food were all positive with one person saying, ‘good food, well presented, always choices’. The kitchen was visited after lunch and was clean and tidy. The home uses ‘Safer food, better business’ guidance to ensure all the correct cleaning and records are kept. The temperatures of refrigerators and freezers were recorded twice daily making sure that they were functioning within safe limits for food storage. Records showed that hot meals were temperature probed before being served. There was a wide range of dried, frozen and fresh ingredients available. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. People who use this service can be confident that complaints will be taken seriously and they will be protected from abuse by staff practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five residents’ surveys were received by CSCI before this inspection and all of them state that they know how to make a complaint if the need should arise. One relative’s survey said, ‘neither my relative or I have ever had cause for concern’. The home has a robust complaints policy that just requires some contact details to be updated. Neither the home nor CSCI has received a complaint about this service for a number of years but residents spoken with were clear that they would talk to the manager if they had any issues. The home’s protection of vulnerable adults (POVA) policy is in line with Essex guidelines but needs to be updated to reflect the new Safeguarding Adults initiative and new referral form. Certificates seen in staff files showed that they had undertaken abuse awareness training and staff spoken with were clear about their duty of care. The home has a whistle blowing policy to protect staff who report any concerns. Relative surveys have a theme that the home has the atmosphere of a family and one commented, ‘the staff are interested and caring about the residents, there is a high level of concern about their welfare’. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. People who live in this home live in a comfortable and homely environment that suits their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the house was undertaken with the owner and everywhere was clean and tidy. Individualised rooms were personalised with pictures and photographs. The one shared room had curtains to divide the room and offer privacy during personal care. There were two hand washbasins in the shared room. The lounge at the front of the house was spacious with big windows, a high ceiling and very comfortable furniture. It is termed the quiet lounge. The room further back in the house is part lounge and part dining room and seems to be where most residents spend a lot of their time although they choose where they would like to take their meals. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 16 The building throughout is in good decorative order. The AQAA states that some corridors and ceilings have recently been painted and the kitchen fully tiled. The owner and manager said there is an ongoing programme to maintain the environment with the owner doing small tasks but employing outside specialists if electricity or plumbing repairs were required. Residents moved around the home as they chose and clearly were relaxed in the environment. The comment from one person on a questionnaire from the home was, ‘I feel happy living in Tara; staff are very helpful and polite. There is a friendly and peaceful atmosphere’. One resident in the survey they completed said, ‘I am happy here. This is a better place than hospital’. The laundry is to the rear of the house and has access to the garden where there was washing drying outside on the day of inspection. The equipment in the laundry is suitable to meet the needs of the residents and one of the carers was able to explain the way soiled linen was managed to protect staff and residents from potential cross infection. There was protective clothing available for staff use. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. Staff in the home have the skills and knowledge to support the people who use the service and recruitment practice means unsuitable people will not be employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that during the day there are generally two carers on duty with one on at nighttime. The manager is supernumerary but works with the care team as required. On the day of inspection there were more staff than usual due to some staff being on escort duty for a resident who had to attend a hospital appointment. Staff spoken with said there were adequate staff to meet residents’ needs. They are a close-knit team and cover for each other so there is never any agency staff used, which maintains continuity of care for residents. The home employs sixteen care staff and of those eleven have achieved an NVQ at level 2 or above. This exceeds the recommended 50 in standard 28 of the national minimum standards (NMS). Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 18 The files of two staff members were seen and each contained copies of all the recruitment documents required under Schedule 2 of the Care Homes Regulations 2001. There was evidence of a comprehensive induction programme being undertaken during the initial weeks of employment and this was confirmed in discussion with a carer. The training matrix showed that all mandatory training was updated regularly and additional training for subjects such as managing dementia and diabetes were accessed too. Residents’ comments about staff included, ‘ they are like family’, ‘staff are always there to help’ and ‘I feel they care about me and so I am not anxious’. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 19 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, 38. Quality in this outcome area is good. People who use this service can be confident that their opinions will be sought and their finances and welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr. and Mrs. Sookarry have owned Tara for eighteen years and Mrs. Sookarry is the registered manager. They are both trained nurses and maintain their professional personal identification number (PIN) with the Nursing and Midwifery Council. They run the home as a family business and a lot of the carers employed are members of their extended family. The management approach is open and professional and staff spoken with said the manager gives good leadership. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 20 The home holds regular residents’ meetings and minutes are made available if anyone is unable or chooses not to attend. Minutes of meetings were seen and showed that a wide range of issues was discussed including activities, menus and fire practice. All the residents present were invited to comment on their experience of living in the home and their observations were noted. One resident said, ‘I am happy here. I go to church twice a week and the church people bring flowers for me’. The manager went through the system for managing residents’ personal money. The records were up to date with a running total, receipts retained and two signatories for every transaction giving a full audit trail. The maintenance book showed that light bulbs were replaced on request and the grass in the garden cut regularly. An engineer had attended when the boiler had broken down. Service certificates for the hoist and the gas safety were seen and in date. The fire log showed that there was a weekly test of fire extinguishers, alarms, emergency lighting and fire doors. Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 21 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 4 13 3 14 3 15 4 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Tara DS0000018045.V369242.R01.S.doc Version 5.2 Page 24 - 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!