Inspection on 20/12/07 for The Chimes

This inspection was carried out on 20th December 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.

Other inspections for this house

The Chimes 14/08/09

The Chimes 27/03/07

The Chimes 31/10/05

The Chimes 06/06/05

The Chimes 23/09/04

The Chimes 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE The Chimes 83 Park Road St Annes Lancashire FY8 1PW Lead Inspector Phil McConnell Unannounced Inspection 09:30 20 December 2007 th 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 The Chimes DS0000009855.V346950.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. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chimes Address 83 Park Road St Annes Lancashire FY8 1PW 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) 01253 725146 01253 725146 thechimes@btconnect.com Mrs Margaret Elaine Brady vacant post Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (19), Physical disability (1) The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 21 users to include: Up to 19 service users in the category of old age not within any other category (OP) One named service user in the category of Physical Disability (PD) and One named service user in the category of Mental Disorder (MD). 27th March 2007 Date of last inspection Brief Description of the Service: The Chimes Care home provides residential care for up to 21 older people. It is situated close to the centre of St Annes. Leisure amenities are close by as well as local shops and public transport system. The home is on three floors and a passenger lift is in place. There are a number of aids and adaptations in place throughout the care home suitable for the age range and needs of residents living there. There are fifteen single rooms and three double rooms and at present ten bedrooms have en-suite facilities. The present rate of charging is between £342.50-£555.00 The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager, some surveys returned to the commission from service users and relatives and an unannounced inspection visit to the service on the 14th of December 2007 and a second visit on the 20th of December to examine some documentation and give feedback to the manager, who was unavailable at the first visit. This was because most of the service users, the manager and some staff members were going out to a hotel in Blackpool for lunch and entertainment. Therefore the manager was heavily involved in helping people to get ready for the outing. During the visit to The Chimes 5 service users’ files were examined, including the most recent person to go and live at the home and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Four staff files were also examined, including the last person to be employed at The Chimes with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members and there was also the opportunity to speak to a visiting community mental health nurse (CMHN). All of the feedback from these discussions was very positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: The management/proprietor is prepared and willing to accept advice and act accordingly. There is a consistent and dedicated staff team, which gives continuity and stability to the service users. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 6 The pre admission process is thorough, helping to ensure that peoples’ needs are adequately assessed. Care plans are regularly monitored and reviewed, thereby ensuring that peoples’ changing needs are quickly identified. The achievement of the NVQ training award is consistently of a high standard, with almost 100 of staff having completed the training. What has improved since the last inspection? What they could do better: Continue with the improvements and the good progress that has been made, with regards to record keeping and general administration organisation. The redecoration of the corridors/passageways is still an ongoing need. Purchase a new cooker as soon as possible (Environment section). Try and avoid using energy saving bulbs, especially in areas where there is already poor light. (Corridors). The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 7 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. The Chimes DS0000009855.V346950.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 The Chimes DS0000009855.V346950.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. 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission process is concise and thorough, helping to give the assurance that peoples’ needs will be clearly identified and determined if they can be met. EVIDENCE: Five service users’ files were examined including the most recent person to go and live at The Chimes. All of the files contained relevant assessment documentation including: pre admission assessments (social services and internal), contracts, care plans, reviews of plans and up to date daily record sheets. New improved service user assessment documents have been introduced since the last inspection. At the present time there is a waiting list for admission to the home, with an application document being in place for prospective service users. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 10 A completed ‘waiting list application’ document was observed (completed by a service users brother) and it contained specific appropriate information, which would be beneficial in completing an admissions assessment. It was evident that peoples’ files are now much better organised than they were previously and they all contained individual photographs of service users. A thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at The Chimes. The Chimes DS0000009855.V346950.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Five service users’ care plans were examined and it is noted that they have improved since the last inspection visit; they are now more detailed, containing thorough and relevant information. The care plans are developed from the initial admission assessment, helping to give the carers clear and concise guidance in how to appropriately provide peoples’ assessed needs. Peoples’ files also contained up to date and appropriate daily diary notes, with any important, specific or relevant information written in red ink. These daily records are closely monitored and at the end of the month any relevant information is transferred to peoples’ care plans, when they are The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 12 reviewed. This helps to demonstrate that peoples’ needs are regularly assessed, in order to ensure that their needs are being met. There is a key worker system in place, giving the added assurance that a service users changing needs will be quickly identified by the named carer who is specifically assigned to them. Information was available with regard to peoples’ specific health care needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. A visiting health professional to the home said, “Everything I have seen is excellent. I would recommend this place to anyone” and “We have worked very closely with the social worker, with the manager and the staff”. A specific checklist of individuals health and personal care needs was discretely placed in some peoples’ bedrooms, giving the added assurance that health and personal care needs are being closely monitored, whilst dignity, privacy and respect is promoted. The comments from relatives were all positive including, “As a small home there is individual care and all of the staff seem to know each resident personally” “the home and the local surgery have been very thorough and all problems are investigated and if necessary x-rays, blood tests etc, are arranged” “staff are very dedicated and kind and often do more than they need to ensure the welfare and well-being of their clients” and “the staff and the manager know their clients very well and go out of their way to enhance the quality of their lives”. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and were found to be accurate with medication being correctly administered. The medicines are stored in a safe, secure and unobtrusive cupboard, with adequate provision made for the correct storage of controlled drugs. Only appropriately trained members of staff administer medication. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Some relatives commented, “Each resident is a person, not a number and the staff treat them with love, kindness and patience” “there is always a relaxed and friendly atmosphere” and “I am very pleased with the care my mother receives”. The Chimes DS0000009855.V346950.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 and 15. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are appropriate, recreational and leisure activities available, demonstrating that people are positively motivated and stimulated. EVIDENCE: The home has recently employed an activities coordinator, which is seen as a welcoming and positive addition to the staff team. In observation and in other evidence gathered it was apparent that a varied number of activities take place on a daily basis within the home to help motivate and stimulate people. The activities and any forthcoming events are prominently displayed on a newly purchased ‘white board’ in the home. During the inspection visit a group of service users were observed getting ready to attend a hotel in Blackpool for Christmas lunch and some entertainment. Members of staff and some relatives were also going on the outing to support the service users. It was apparent that people were quite excited about the event. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 14 The AQAA document states, “We ensure that we have a varied social activity programme and a solid one to one period for the residents, so that any concerns that the resident may have will be communicated” It was evident that the provider is seeking to find out what peoples’ interests are and if they are being provided. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One relative wrote, “The staff are always helpful and always make me very welcome” and another wrote, “I visit quite regularly, so I see how the home is run and we’ve always been very satisfied”. During the inspection visit there was the opportunity to observe service users meeting visitors in the privacy of their own rooms. There was a choice of menus available, which were seen to be nutritious, varied and appetising, with the homes chef having control of all the food ordering. In discussion with the homes chef, it was apparent that he was familiar with individuals specific dietary needs, including people who are vegetarians, people with diabetes and gluten free diets. Some of the comments received were, “The food is good and well presented” “My mother was not eating properly when she first went to live at The Chimes and now she is eats very well and her health has improved” and “she is a very fussy eater, but she eats most meals and there is always a choice”. The Chimes DS0000009855.V346950.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory policies and procedures are in place, helping to demonstrate that vulnerable people are protected and safeguarded from abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. No complaints have been received since the last inspection visit. The AQAA states, “We have not received a complaint for quite some time, therefore we find it difficult to quantify if the procedures we have in place are working. However we are aware of the need to constantly review the procedures we have in place”. This gives confidence that the proprietor takes any complaints seriously. Questionnaires received indicated that people are aware of the complaints procedure and how to complain if they needed to. There was a thorough policy in place to deal with a suspicion or allegation of abuse, which had been reviewed in January 2007.The previous report highlighted the limited training that was available, regarding ‘safeguarding adults’. Fortunately this has been adequately addressed, with all of the present The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 16 staff having received this important training and ongoing training is structured into the future training programme. The Chimes DS0000009855.V346950.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietor has been proactive in addressing the previous environmental requirements, thereby giving the assurance that people are living in a safer and healthier home. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a reasonably good standard, it was clean, homely and fresh smelling. Since the last inspection visit a number of positive changes have taken place including, the redecoration of the dining room and some refurbishment to the kitchen (previous requirement), although the cooker is in need of being replaced. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 18 Most of the décor in the home is satisfactory, however as noted at the last inspection visit some of the passageways are looking quite tired and are in need of being redecorated. The manager gave the assurance that a new cooker is being sought and the redecoration programme is an ongoing process, which includes the corridors/passageways. The laundry is situated way from the main building, which helps with the management of infection control. The outsides of the premises are well maintained including the rear of the building, which was previously identified, has a potential health and safety hazard (Previous report). Peoples’ bedrooms contained personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. There was appropriate specialist equipment observed around the home, such as lifting hoists, a passenger lift, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. Overall the environmental standard has improved, with the changes that have taken place since the last inspection being of a good standard. In discussion with the manager, it is envisaged that more improvements will happen in the near future. The Chimes DS0000009855.V346950.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills, training and experience to provide a good standard of care to vulnerable people. EVIDENCE: The staffing levels for The Chimes were examined and were found to be adequate and satisfactory. Four staff files were examined including the last person to be employed at The Chimes. The files contained all of the required information for inspection purposes, which help to demonstrate that a correct recruitment process is in place, including: CRB (criminal record bureau checks), employees’ application forms, appropriate references and evidence of staff supervisions taking place (previous shortfall). As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 20 Staff files also contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. As previously stated the safeguarding of adults training is now being satisfactorily provided to all staff. Out of 18 staff employed only one person is without the national vocational qualification in care (NVQ) award and this person has been enrolled on the course. Three senior staff members have also commenced training in the registered managers award (RMA). This helps to demonstrate that the provider is committed to ensuring that the staff team are adequately and appropriately trained in the care and support of vulnerable people. The staff made positive comments about the training being provided including, “All of the staff are well trained and informed” “all of the staff are asked to attend courses to keep up dated” and “we are always being offered training courses to attend”. All of the feedback from relatives and people living at the home, regarding the staff team was both positive and complimentary. The Chimes DS0000009855.V346950.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 and 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 well managed, with the best interests of the service users being paramount. EVIDENCE: The manager has many years of experience in the care profession; with nearly seventeen years has the registered manager at The Chimes. Some comments received were, “The hands on approach of the owners is a big plus” “the management are very approachable” “there is good communication between the staff and the management” and a member of staff said, “I find the manager is really good, the home is very well managed and I would happily have a relative of mine cared for by this service”. The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 22 The home’s policies and procedures were examined and they were found to be up to date (reviewed January and February 2007) and of a good quality. The home continues to maintain the investors in people award; this is an external quality assurance-monitoring organisation. The management have shown commitment and dedication in getting the opinions and ideas from service users and staff. This has been by way of regular team meetings and service user meetings. The AQAA states, “we constantly seek to improve the information contained in care plans, personal files and our open approach to staff ensures that a constant flow of pertinent information is exchanged between management and staff”. There was documented evidence to show that all staff had received mandatory training in the relevant courses, with refresher courses being made available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All health and safety inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks, PAT (portable appliance testing), legionella certificate, hoists and passenger lift inspection certificates. There was sufficient evidence to demonstrate that the health and safety of people who live and work at The Chimes is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. The Chimes DS0000009855.V346950.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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NONE 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 The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 The Chimes DS0000009855.V346950.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!