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Inspection on 09/09/08 for The Victoria Royal Beach

Also see our care home review for The Victoria Royal Beach for more information

This inspection was carried out on 9th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Residents live in a clean, well maintained and homely environment where they are supported to live the life they choose. The care they receive is to a good standard and training is encouraged in the home, all staff are trained to a good level of competence through the National Vocational System (NVQ). Residents are offered good home cooked food. All those who returned comment cards were complimentary about the staff and the way they care for them. We noted that staff do work well together as a team and are committed to ensuring resident`s needs are met. Assessments and care plans are in place and detailed information that staff need to be able to look after residents and provide care they way they would like is in place. Some comments were: "The care my mother received from every member of staff was excellent, staff are kind, caring and friendly". "The home is a happy secure environment that meets the needs of resident". "The home is friendly and welcoming the staff give health professionals good explanations about any health concerns of residents".

What has improved since the last inspection?

More staff have been trained to NVQ 2 including two of the catering staff. Some bathrooms and bedrooms have been redecorated and new flooring laid. A new fire board has been installed which will make the home and the fire safety procedures safer for residents and staff.

What the care home could do better:

The surveys from residents indicated that not everyone liked the meals all of the time, although on the day of the visit the majority said they were happy. We were told that this may be explained by a problem that occurred earlier in the year which we are told has now been sorted. This should be reviewed using the quality assurance system. Staff did tell us that supervision and training is given in the home and the mandatory training was up to date, but in some cases we could not find the evidence as the Manager Mrs Jackson was on holiday. We reminded the providers that the need for all records to be available at all times for inspection. Also that people who are deemed responsible to be in charge of the home in the absence of the manager should be familiar with the management of the home including where records are stored. The Manager is reminded that all staff including ancillary staff should be supervised as part of the normal management process on a continuous basis. Minutes of meetings both staff and residents meetings should be available to show the home is able to evidence outcomes. Surveys returned from staff indicated that some did seem unhappy about changes to their job descriptions which meant them taking on some duties that had previously been carried out by kitchen assistants. We were assured by the provider that these were minor duties around mealtimes and did not take carers away from caring duties. The AQAA told us that in the next year the home was planning to improve the following: The information available for residents about the local community will be improved andthe home will continue to work with residents to enable them to have a bigger part in how the home is run. To encourage more social gatherings and provide more social activities to meet all residents needs. To undertake more internal decoration and improvements. To review and increase the level of staff on duty in the home in the afternoon and at weekends.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Victoria Royal Beach 12 Grand Avenue Worthing West Sussex BN11 5AW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ann Peace     Date: 0 9 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: The Victoria Royal Beach 12 Grand Avenue Worthing West Sussex BN11 5AW 01903246499 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Coral Anita Jackson Type of registration: Number of places registered: Victoria Care Elite Ltd care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Victoria Royal Beach is situated in a quiet residential area within easy walking distance from the seafront and all its attractions. Accommodation is on three floors accessible by a vertical passenger lift. There is a lounge/diner and a quiet reading room. Thirteen bedrooms have en-suite facilities. The Registered Manager is Coral Jackson. The home is one of a number of homes owned by Victoria Care Elite Ltd. 0 Over 65 20 Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A visit to the home was carried out on the 9th September 2008 by Mrs Ann Peace Regulatory Inspector. We met people in the communal areas of the home and in their bedrooms, we observed residents and staff interactions throughout the visit and we spoke to as many residents as we could to gain an insight into life at the home. We observed that residents are happy, relaxed and content in the home and have good relationships with the staff who do care for residents in a caring, friendly and professional manner. The Annual Quality Assurance Assessment (AQAA) was completed by Mrs Jackson and returned to CSCI in good time for it to inform the visit. ‘Have Your Care Homes for Older People Page 5 of 25 Say’ surveys had been sent to people using the service and staff prior to the inspection and the results from the surveys and the comments have been included in this report. Some comments from the surveys were: The home always follows the advice of health care professionals and the health care needs of residents are always met, the staff always respect the privacy and dignity of residents. Residents are supported to live the life they choose. Small friendly home that offers individual attention and the manager is able to devote a large proportion of her time to individual residents. What the care home does well: What has improved since the last inspection? What they could do better: The surveys from residents indicated that not everyone liked the meals all of the time, although on the day of the visit the majority said they were happy. We were told that this may be explained by a problem that occurred earlier in the year which we are told has now been sorted. This should be reviewed using the quality assurance system. Staff did tell us that supervision and training is given in the home and the mandatory training was up to date, but in some cases we could not find the evidence as the Manager Mrs Jackson was on holiday. We reminded the providers that the need for all records to be available at all times for inspection. Also that people who are deemed responsible to be in charge of the home in the absence of the manager should be familiar with the management of the home including where records are stored. The Manager is reminded that all staff including ancillary staff should be supervised as part of the normal management process on a continuous basis. Minutes of meetings both staff and residents meetings should be available to show the home is able to evidence outcomes. Surveys returned from staff indicated that some did seem unhappy about changes to their job descriptions which meant them taking on some duties that had previously been carried out by kitchen assistants. We were assured by the provider that these were minor duties around mealtimes and did not take carers away from caring duties. The AQAA told us that in the next year the home was planning to improve the following: The information available for residents about the local community will be improved and Care Homes for Older People Page 7 of 25 the home will continue to work with residents to enable them to have a bigger part in how the home is run. To encourage more social gatherings and provide more social activities to meet all residents needs. To undertake more internal decoration and improvements. To review and increase the level of staff on duty in the home in the afternoon and at weekends. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good, the judgement has been made using available evidence including a visit to the service. Prospective residents have the information they need to make an informed choice about where to live. They have a written contract/terms and conditions. No residents moves into the home without having his/her needs assessed and trial visits are encouraged. The home does not provide intermediate care. Evidence: Surveys completed by residents and their relatives and residents spoken to on the day of our visit said they had been given sufficient information about the home to be able to make an informed choice before moving into the home. All the records seen on the day contained pre assessments, assessments, relevant risk assessments and contracts/terms and conditions. The latest inspection report is displayed in the hall way of the home along with other various relevant information. Prospective residents Care Homes for Older People Page 10 of 25 Evidence: are given to opportunity to spend time in the home either to stay or to visit and have a meal. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. The judgement was made using available evidence including a visit to the service. Residents health and personal care needs are set out in an individual plan of care. Residents health care and personal care needs are fully met and they are protected by the homes policies and procedures for dealing with medicines. Residents say they are treated with respect. Evidence: Residents receive effective personal and health care support based on choice, dignity and respect. Staff are well trained and all staff have achieved a National Vocational Qualification. Staff ensure that the care is person led, flexible, consistent and meets the changing needs of residents. Basic care plans are in place and are updated on a regular basis, three out of the four care records seen did have a social history recorded. Some aids and equipment is provided to meet specialized needs but residents who are Care Homes for Older People Page 12 of 25 Evidence: not mobile are not able to be weighed as the home has no seated scales at present. We are told that this will be looked into. Residents have access to outside health professionals when required and are encouraged to be independent and go out to appointments if able. The health care needs of residents unable to leave the home are managed by visits from local health care services. The home has efficient medication policies and procedures and staff have training in administration of medicines. Residents are able to self medicate if able and are regularly re assessed to confirm safety and compliance. Although no one at the home is very ill at present we concluded that if a residents health were to deteriorate, they and their relatives and friends would be treated with care and sensitivity. Some comments from surveys and made on the day of the visit were: I would not live anywhere else. I am very well looked after and the staff are lovely. Small friendly home that offers individual attention. Happy secure environment to meet the needs of residents. The care my mother has received from every member of staff was excellent, the staff are kind and caring. One health professional survey said the home always take action if any advice given, the health care needs of residents are always met and staff respect the privacy and dignity of residents. They are supported to live the life they choose and staff have the right skills and experience. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents find the lifestyle experienced in the home matches their expectations and preferences. They are supported to maintain contact with their family and friends and are able to exercise choice and control over their lives. The home offers good home cooked food. Evidence: There is a programme of activities and residents can take part of they wish although many said they like to do their own thing watching television either in the lounge or in their rooms or quietly staying in their rooms. There is a minibus available to take residents out if they wish. There are celebrations around birthdays and other special occasions and special meals are prepared. We could see from records in the home, reviewing surveys and speaking to residents that they are encouraged to maintain contact with their relatives and the local community and that their visitors are always made welcome. Residents told us that they are able to make choices in their daily lives and staff respect this. The home does not manage any money on behalf of residents. Samples of menus were seen and the chef spoken with. The menus seen looked well Care Homes for Older People Page 14 of 25 Evidence: balanced and nutritious and residents spoken with on the day of the visit were complimentary and said there was always another choice if they did not like what was on the menu. The surveys returned to CSCI has mixed remarks about the meals, they all said when the regular chef was on the food was very good but were not so happy with the arrangements made when he was off duty. When we asked about this we were told that there had been a problem possibly when the surveys would have been completed but this had now been sorted out. One survey said the meals were always good, four said usually and three sometimes, these surveys were returned to CSCI in July and August 2008. The latest quality assurance evidence about the catering service had been carried out late in 2007. On the day of the visit all residents spoken to said they were satisfied with the food served. We sampled the main meal of the day which was sausages in a thick gravy with mustard mash and mixed vegetables and it was very tasty. The dining room was attractively laid out and it was clear that mealtimes are sociable events with residents being offered sherry before as an aperitif. Residents are able to stay in their rooms to eat if they prefer. In the majority of cases residents have a nutritional assessment carried out and their weights recorded. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good this judgement has been made using available evidence including a visit to the service. Residents are confident their complaints will be listened to, taken seriously and acted on. Residents are safeguarded from abuse by a well trained team of staff and by the policies and procedures of the home. Residents told us that they can vote in elections if they wish. Evidence: The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. Residents said they felt any concerns would be listed to and acted on. Surveys all said residents and their relatives/representatives knew who to complain to and they would feel able to complain. The complaint procedure is on display in the hallway of the home and staff said they knew what to do if someone complained. Policies and procedures for safeguarding adults are available and training records showed that staff have been updated on a regular basis. All new staff have recruitment checks to ensure they are safe to work with vulnerable adults. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality in the outcome area is good, this judgement has been made using available evidence including a visit to the service. Residents live in a safe, well maintained environment with their personal possessions around them. The home is clean, pleasant and hygienic. Evidence: The home has a homely, friendly atmosphere and furnishings and fabrics are of a good quality. Maintenance and safety checks are carried out so that residents are able to live in a safe environment. The standard of housekeeping is high, all areas of the home seen are clean and hygienic and residents were complimentary about the way the home is looked after, surveys also said the home is always clean. Bedrooms are decorated as they become vacant and the dining room roof has been treated so that it does not get too hot in the summer. Since the last inspection a new fire safety zone board has been installed and one bathroom refurbished with a new floor laid. The laundry facilities are suitable for the needs of the home. Bedrooms were visited and showed personalization by residents with small pieces of their own furniture and picture, photographs and other personal items on display. The home does have some double bedrooms but at this present time only one is used as a double by a married couple. Care Homes for Older People Page 17 of 25 Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The numbers and skill mix of staff meets the needs of the residents to a good standard. Residents are protected by the homes recruitment policy and procedure. Staff are well trained and competent to carry out their roles. Evidence: There were 3 care staff on duty when we arrived plus a cleaner and a cook. The deputy manager was on the floor and counted as one of the carers for 17 residents. The manager was on holiday. The providers came into the home and asked another carer to come on duty to free the deputy manager up to help with the inspection. The surveys from staff showed that they were unhappy with the extra work they had to do as there was no kitchen assistant as the present owners have dissolved the position. The providers when asked about this told us that carers are now expected to carry out minimal duties around mealtimes and this did not take carers away from caring duties. We are told that all permanent staff have NVQ (National Vocational Qualification) level 2 and above and a list of mandatory training was on display, although it was difficult to see if staff, especially night staff, have had fire safety training update at the intervals recommended. The home does not use agency staff but is able to access staff from a Care Homes for Older People Page 19 of 25 Evidence: bank of carers that work within the group of homes under Victoria Care Elite. The manager told us in the AQAA that they were hoping that more of their own bank staff would undertake NVQs. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good, this judgement has been made using available evidence including a visit to the service. Residents live in a well managed home with a well trained team of staff to look after them. Residents financial interests are safeguarded and in the majority of cases the health, safety and welfare of residents and staff are promoted and protected. In the majority of cases the record keeping in the home also protects residents and staff. Evidence: The manager Mrs Jackson is qualified to be registered manager and run the home, we could see that in the majority of cases it is run in the best interests of the residents under her leadership and they confirmed this when we spoke to them. They and the staff said the home has an open culture and the manager is approachable and supportive. There is a quality assurance system in operation in the home, however the records of the last audit that had been carried out was a catering audit in late 2007 and there were no outcomes recorded. A full quality audit should be available to Care Homes for Older People Page 21 of 25 Evidence: provide evidence that residents needs in all areas are being met. The surveys returned to CSCI did highlight the need for the home to survey staff and residents especially in relation to staff carrying out kitchen duties. The providers carry out monthly Regulation 26 visits to monitor the conduct of the home and these were available on the day of our visit. Other maintenance checks are made to ensure the environment is safe for residents and records of these were seen. There are suitable financial procedures in place to demonstrate financial viability and insurance cover is in place. The manager told us in the AQAA that the home does not manage any money belonging to residents (excepting for small amounts for sundries) but they will access an advocate when necessary. There is a staff appraisal system in operation but in all of the staff files examined appraisals were dated 2007 so they are due to be carried out for 2008. The supervision records could not be found on the day of the visit although care staff did say they are supervised and it is recorded, the manager is reminded that records should be available for inspection at all times and any person left in charge of the home should be familiar with the management systems. In the case of housekeeping staff there was no record of either an appraisal or supervision. This was discussed with the provider during the visit. There were also no records of either residents or staff meetings, however we were told that these tend to be on an informal basis and are not minuted although records should be available to evidence meetings and record any outcomes. In the majority of cases the record keeping in the home does safeguard residents and staff and also in the majority of cases the health and safety of residents and staff are promoted and promoted. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 36 18 The registered person shall 31/10/2008 ensure that persons working in the care home are appropriately supervised That all staff working in the home including housekeeping staff are supervised Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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!