Inspection on 15/05/07 for Wallace Mews

This inspection was carried out on 15th May 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

Wallace Mews 08/12/08

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 Wallace Mews 230 Mowbray Road South Shields Tyne and Wear NE33 3BE Lead Inspector Mr Tom Moody Unannounced Inspection 15th May 2007 10:00 Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 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 Wallace Mews DS0000067985.V343102.R02.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 Adults 18-65. 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. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wallace Mews Address 230 Mowbray Road South Shields Tyne and Wear NE33 3BE 0191 4541551 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) Minster Pathways Limited Karen Brown Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12), Physical disability (12), of places Physical disability over 65 years of age (12) Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/10/2005 Brief Description of the Service: Wallace Mews is a new, purpose built home intended to provide shortbreak and rehabilitation places for persons with physical and / or learning disabilities. the home has two stories with level access on both and lift access between the floors. It has been equipped to a high standard with many adaptations especially suited to the client group it intends to serve. It is located in a quiet suburban area close to the sea front, and the Lees Nature Reserve at South Shields. It is close to many of the towns amenities such as the marine park, theatres, resteraunts and entertainments, as well as the shopping centre. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector in the course of one day in May 2007. The home has been operational for some time now and has maintained a high level of occupancy. At the time of inspection several service user’s were attending day centres, or were out of the home for other reasons and were unavailable for comment. The inspection included a tour of the building, talking to staff, service users and relatives, and examining documentation. The home is well equipped and the décor is modern and stylish. This is suited to the client group. The home is equipped with many aids and adaptations and the space in all areas is generous. It is a well thought out scheme and it is popular with service users and their families. What the service does well: The service provides an environment that has been purposely designed to meet the needs of the service users. It is furnished and equipped to an exemplary level. The home is decorated in a modern style that service users find pleasant and appropriate to their needs. The homes management consults widely with statutory agencies and groups representing disability groups to ensure that the home is equipped to meet service users needs. The home is listed as a “preferred provider” with some of the voluntary agencies. The home provides high quality meals and a wide range of menu choices. The company employs it’s own disabled access officer. As well as physical provision the home’s philosophy is based on providing person centred care and meeting service users aspirational and social needs. All members of the staff team are committed to the homes philosophy of providing quality care and there is a strong team spirit in the home. The homes staff are well trained and supported by the company. The home is managed by an experienced nurse and is supported by a senior management team that have a commitment to providing quality care for this client group. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 6 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. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a good level of information to prospective service users, and encourages visits, to enable them to make an informed decision about moving into he home. Comprehensive assessment information is received by the home before making a decision to accept a referral. This ensures service user’s needs can be met by the home. EVIDENCE: The home has appropriate policies and procedures covering this area. Previous reports indicate a good level of information is available and the service user’s guide is appropriate. Comments from service users and relatives indicate a high level of involvement and of satisfaction with the service. All felt their needs were met. Most survey forms indicate service users receive adequate information but a few stated they were unaware they had contracts and didn’t get information before entering the home. Some of these comments were qualified by explaining this was due to emergency admission. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 9 The homes statement of purpose was available in all of the service users’s rooms. It is well written and contains all of the necessary information. The manager spoke of service users making visits to the home before staying and having the information explained to them. The manager stated that all service user’s had individual contracts usually based on the placing authority’s model. Examples of these were seen during the site visit. Service user’s spoke of being able to visit the home and also were able to make favourable comparisons from placements in other homes. The care plans reflect needs of the service user and a comprehensive, multidisciplinary assessment is carried out before service users are admitted to the home. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users needs are accurately assessed, and met, by the involvement of a multi-disciplinary team. Staff are aware of service user’s needs and strengths, and risks are assessed in a way that protects service users without unnecessary constraints upon their lifestyle. EVIDENCE: The home has appropriate policies and procedures covering this area. Service user questionnaires are positive on this aspect of the home. Comments such as “Care and support excellent” were received. The manager spoke of service users have a regular forum where they can meet and suggest improvements or air any concerns they have. The minutes of these were seen and this confirms service user involvement. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 11 The service user’s who were spoken to felt they were listened to and staff responded to their wishes. Relatives commented on the involvement in meetings and said they were able to “have their say.” Past inspections have indicated a good level or risk assessment and allowable risk taking. The providers self-assessment indicates service users have wide opportunity for social involvement in the community. Care plans also recorded service users social needs, aspirations and preferences as well as comprehensive clinical information. There are good risk assessments made as part of the care planning process and any limitations on lifestyle or behaviour were agreed with the service user and recorded. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The service users receive appropriate support from staff to meet all of their needs and preferences and service user physical, educational and mental wellbeing is promoted by the homes care practice. Service users have access to a variety of food and enjoy a good diet in very pleasant surroundings. This ensures their nutritional needs, as well as social needs, are met. EVIDENCE: The home has appropriate policies and procedures covering this area. Past inspections have indicated a good level or risk assessment and allowable risk taking. The providers self-assessment indicates service users have wide opportunity for social involvement in the community. The manager spoke of Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 13 community links such as visiting local amenities and service users also spoke of this. At the time of the site visit some service users were choosing to get out of bed later in the day. Service users preferences are recorded in care plans. Service users spoken told the inspector they have a flexible lifestyle and told of going on outings. There were photographs of recent social events and service users confirmed that these were held. Posters were on display announcing future events. Providers self-assessment indicate a wide variety of social events are offered as well as service user’s being able to attend training and education centres. The manager confirmed that current and past service users can be involved in social and educational activities outside the home i.e. local college courses and attending former work placements. Care plans confirmed this took place and some service users were out of the home on such placements at the time of the site visit. Comments such as “All the staff carry out communication and act on what I say” and “I always get what I like and ask for” were received. Service user comment cards also indicate community involvement in educational centres and social events. The kitchen is well equipped and the dining area is airy and decorated in a modern style. On review of the menu and discussion with the cook and care staff, it is evident that there is a choice of at least five varieties of meals. Staff state other choices can be accommodated and that and flexible eating arrangements are in place. This includes eating out of the home at local café’s or restaurants. Several service users commented on the willingness of kitchen staff to “cook something else” other than what was offered on the menu. The home has television, DVD and video equipment. There is a patio area that was being used by one service user. However, the garden is underdeveloped and could be improved so that it could be better used by service users. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The service users receive appropriate support from staff to meet all of their needs and preferences. Service user physical and mental wellbeing is promoted by the homes operation. The home has appropriate medication policies and these are operated in a way that protects service user’s EVIDENCE: Providers self assessment indicate service users have access to, and support from, a wide range of healthcare professionals. Past reports and contacts with the home has always confirmed this. The manager confirms that the home has good relationships with, and consults with other healthcare professionals, and that there is close working with the local primary healthcare teams. Service users feel well supported and have a good relationship with staff. The inspector saw that service users were being assisted in ways and at times that suited themselves. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 15 Service user questionnaires are positive on this aspect of the home. Comments such as “Care and support excellent” were received. Service users spoke of staff being “friendly” and “really nice”. Staff are aware of service users rights and the care practice that was seen was focussed on individuals with good levels of interaction. The staff who were spoken to have a good insight into service users problems and operate an individual, and person-centred approach, to caring for them. This included none verbal communication with people who have speech and language difficulties. The staff indulged in a good level of appropriate physical contact, such as stroking hands and cuddling to reassure people, as well as other none verbal responses. Discussions with staff, and an examination of care plans, highlight the range of support that the home can give. It is evident from the care plan that this is tailored to individual needs. The homes philosophy of care also supports this. Care plans are comprehensive and include good clinical details as well as social and aspirational needs. They record that other health and social care professionals are involved in a detailed assessment process and in meeting service users needs. The home has apropriate polices for medication including self-administration. Storage recording of medication is appropriate. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home has mechanisms that allow service users to express their views and the practice in the home is modified by this. Protection of service users is a high priority for the staff and manager. The home’s staff have good awareness of service users vulnerability and it’s systems protect service users. EVIDENCE: The home has appropriate policies and procedures covering this area. The provider’s self- assessment indicates only 1 complaint within the last 12 months and this was dealt with according to the homes policy and procedures. All of the feedback from service users and relatives indicate they have never had to make a complaint but that they have confidence in the staff and manager to “sort out” their problems. At the site visit service users told the inspector that they feel comfortable raising issues with the staff or the manager. The manager spoke of meetings take place with service users, and their relatives, on a regular basis and feels that this allows people to tell her of any problems before they escalate. Staff said that they receive appropriate training. The staff were aware of issues relating to some service users risks of self harm or unhealthy lifestyle choices. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 17 The “No Secrets” document is available and staff have a good awareness of local protection procedures. The manager keeps a record of any concerns expressed and of the outcomes to these. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The home is furnished, decorated and equipped to a high standard. It is well maintained and bedrooms are comfortable. All areas of the home are clean and free from odour and provide an environment that is pleasant for the occupants and meets service users needs. The home has a number of modifications that help meet service user’s needs and ensure service users can control their own environment. EVIDENCE: The provider’s self-assessment indicates maintenance is carried out and that there is an ongoing programme of maintenance. The past inspection report indicates that this is a well planned, maintained and suitable environment and that the provider continues to improve the quality of provision. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 19 The style of the décor reflects the age group accommodated, that is, younger adults. It is purpose built, being designed specifically for the needs of physically disabled persons. Numerous aids and adaptations are available and the home is to be commended for the attention to detail. Electronic sensors are fitted to the front door for automatic opening and closure for easy access to the building. Service users were able to enter and leave the home easily. Bedrooms have similar doors that open with the aid of an electronic “key” unique to each service user. Doors are of generous width. The rooms are well decorated in a modern style and have appropriate flooring. Rooms also contain fitted furniture, which can be height adjusted to the service users requirements i.e. dressing table, clothes hanging rails. There are level access showers, en suite to all rooms. The home provides a number of communal sitting areas accessible to all service users. The dining area is also used as a café style area where service users and visitors can meet and have drinks. These rooms are comfortably furnished, decorated and provided with entertainment equipment, which reflects the service user age group. Some areas of paintwork were looking scuffed and this tended to detract from the, otherwise pleasant, décor. There are good light levels in all communal areas and the home is well ventilated and heated. There is good access to both levels via a large passenger lift, and the door opening systems are designed to allow disabled access. Communal bathrooms have electronic, ceiling track hoists, and specialist “spa type” baths. The home is clean and tidy in all areas and there were no unpleasant aromas. The domestic team seem to take great pride in the home and their place in the company. They work enthusiastically to keep the home clean and pleasant. The garden and grounds are still planted in a rather basic style and this is one area that provides plenty of scope for improvement. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The home has staff that are experienced, well trained and qualified. They are clear about how their role relates to service user’s well being and meeting service user’s needs. The homes recruitment policy is appropriate and is carried out thoroughly to ensure the safety of service users. EVIDENCE: The home has appropriate policies and procedures covering this area. The last inspection report indicated that staffing numbers and skill mix are appropriate to the assessed needs of residents and ensures that at all times residents are supported and are in safe hands, by an experienced group of staff. The providers self-assessment confirms training takes place and that 72 of care staff have NVQ level 2 or above and that 22 staff are trained in first aid. There is also evidence of ongoing training and a grid type record to ensure all staff remain up to date. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 21 The manager is experienced and a qualified registered nurse. She confirmed her team receive in service training appropriate for their roles and designed to meet service user’s needs. Staff willingly undertake NVQ training in care and see this as integral to their role. One staff member confirmed that they were keen to complete NVQ training. Other staff confirm that they receive good support from the company. Suitable policies exist for recruitment of staff and records indicate these policies are followed. There are sufficient staff to meet service user’s needs. A high number of service users receive 1:1 care levels and placements are made on negotiated levels of staffing. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home is well managed by an experienced nurse and the philosophy of the home, and it’s policies and procedures, are centred around service user’s needs. The home has quality assurance and self-audit mechanisms to monitor and maintain the levels of service provision. EVIDENCE: The home has appropriate policies and procedures covering this area. The providers self assessment indicates home has good systems are in place to determine the quality of the service provided by the Home, and to ensure that it is run in the best interests of the service users. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 23 Past inspection reports indicate the home is run with a high priority given to the service user’s well being. The manager has completed the Registered Managers Award programme. The staff told the inspector that the manager is approachable and it is apparent from discussions that she has a good relationship with staff, relatives and service users. Written and verbal feedback from service users indicate is overwhelmingly favourable towards the service that is provided. The staff work as a cohesive team and one service users commented that the manager told inspectors that the Registered Provider speedily agrees to the provision of any items or equipment required in the home. There is no reason to doubt either the management ethic, or the values that underpin the operation of this home have changed substantially since the last inspection. This is reinforced by appropriate policies and procedures and records such as care plans and meeting notes confirm service user involvement in decision making. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 3 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 4 28 4 29 4 30 3 STAFFING Standard No Score 31 3 32 4 33 4 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 3 3 3 3 3 3 Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1 Refer to Standard YA28 Good Practice Recommendations Further development of the outdoor space in the garden and grounds would improve the amenity value for service users. Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Wallace Mews DS0000067985.V343102.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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