Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 07/06/05 for Westhampnett Nursing Home

Also see our care home review for Westhampnett Nursing Home for more information

This inspection was carried out on 7th June 2005.

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.

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

The home was very clean, tidy and well maintained. There was no offensive odour in any area of the home. The gardens were beautifully kept with lawned areas and seating available for residents and visitors. The staff were seen to treat the residents with dignity and respect. All residents were formally addressed unless the staff were invited to do otherwise. Residents praised the attitude of the staff describing them as "extremely pleasant", "helpful" and "caring". The health care needs of the residents were identified and met well by the staff. Records were accessible, easy to read and up to date. Residents spoken with said their choices in how to be cared for were understood and respected. The necessary equipment to meet the needs of the residents was available in the home.The staff worked well as a team and the turnover of staff was very low resulting in good consistency of care. The residents and visitors also commented favourably on this saying they liked the fact the staff were familiar and knowledgeable about current situations. Residents praised the amount and quality of the food served. They had a choice of meal at all times. There was evidence that the registered manager and the owner recognised the individuality of the residents accommodated and assisted them to maintain this when entering the home. Personal items had been collected from a new resident`s own home and been brought to the care home, by the owner, prior to them being accommodated.

What has improved since the last inspection?

A patio area had been laid to the front of the property to enable easier access to the garden and a seating area, for those residents in wheelchairs. The files and drawers in the office, containing records, had been clearly labelled in order to allow all members of staff to easily identify relevant paperwork. Records were kept for the induction training of new staff.

CARE HOMES FOR OLDER PEOPLE Westhampnett Nursing Home Westhampnett House Westhampnett Road Chichester, West Sussex PO18 0NT Lead Inspector Helen Tomlinson Announced Tuesday, 7 June 2005, 09.00am, V221451 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Westhampnett Nursing Home Address Westhampnett House, Westhampett Road, Chichester, West Sussex, PO18 0NT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 782986 01243 511461 Mr Philip Norman Davis Mr Ignatius Gilarty Care Home with Nursing 32 Category(ies) of Old Age 32 registration, with number of places Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30/09/04 Brief Description of the Service: Westhampnett House is a care home registered to provide nursing care for up to 32 older people. It is a two storey listed Georgian building located in Westhampnett Village, which is situated on the outskirts of Chichester, West Sussex. The building has been thoughtfully converted to ensure the original features remain. Accommodation is provided on two floors, serviced by a passenger lift. There are 24 single and 4 double rooms. At the time of this inspection 3 of the double rooms were being used as singles. Large landscaped and beautifully kept gardens surround the property. These are accessible to the residents and seating was available. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection. The inspector arrived at 9.15am and left the home at 4.30pm. The registered manager, Mr Gilarty was present throughout the day and one of the registered providers, Mrs Davis, was in the home during part of the inspection. At the time of this inspection there were 29 residents accommodated. There are 24 single and 4 double rooms in the home. 2 of these double rooms were occupied by 1 resident only due to their wish not to share. 1 bedroom would not be used as a double room due to the layout and the space restrictions. Over the course of the inspection 15 residents, 4 visitors and 10 members of staff were spoken with. 3 residents files were examined in detail and information was gained from several others. The staff file for the most recent recruit was examined. Care practices were observed and policies and procedures were read. A tour of the premises took place. 10 comment cards from visitors/relatives were received prior to the inspection. These contained complimentary comments about the staff attitude and helpfulness describing them as “not being able to do more” and praising their professionalism. 8 comment cards were received from residents. These too were complimentary with staff described as “outstanding”. What the service does well: The home was very clean, tidy and well maintained. There was no offensive odour in any area of the home. The gardens were beautifully kept with lawned areas and seating available for residents and visitors. The staff were seen to treat the residents with dignity and respect. All residents were formally addressed unless the staff were invited to do otherwise. Residents praised the attitude of the staff describing them as “extremely pleasant”, “helpful” and “caring”. The health care needs of the residents were identified and met well by the staff. Records were accessible, easy to read and up to date. Residents spoken with said their choices in how to be cared for were understood and respected. The necessary equipment to meet the needs of the residents was available in the home. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 6 The staff worked well as a team and the turnover of staff was very low resulting in good consistency of care. The residents and visitors also commented favourably on this saying they liked the fact the staff were familiar and knowledgeable about current situations. Residents praised the amount and quality of the food served. They had a choice of meal at all times. There was evidence that the registered manager and the owner recognised the individuality of the residents accommodated and assisted them to maintain this when entering the home. Personal items had been collected from a new resident’s own home and been brought to the care home, by the owner, prior to them being accommodated. What has improved since the last inspection? What they could do better: The home’s procedures for the reporting of suspected abuse should be in line with the West Sussex guidance and give clear directions to the person in charge. All persons left in charge of the home must know this procedure. All residents who are assessed as being at risk of pressure sores developing should have a plan for their prevention in place. Specific risk assessments for the use of bed rails should be completed where necessary. The social care needs of the residents should be more thoroughly explored and understood as part of the overall care provided. Fire drills should take place. The recruitment of staff should be in line with the Regulations to safeguard the residents. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4 and 5 The process of assessment for any prospective resident was thorough and inclusive of the resident’s or relatives own view of whether the home was suitable for them. EVIDENCE: The 3 resident files examined had assessments of need present. These had been carried out prior to admission to the home. The resident had been seen in their own home or hospital as was appropriate. Relatives spoke with said they had been involved in this process, being invited to be present for the assessment and contribute as they wished. Relatives said they had been made aware of the staff structure, equipment and any other relevant information which may affect the care of the prospective resident, prior to admission. All had been satisfied that the home could meet the needs of their relative. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 10 One newly admitted resident had been unable to visit the home herself prior to admission. A relative had visited on their behalf and been able to explore the suitability of the home through talking to staff and residents, examining the service user guide and having local knowledge of the good reputation of the home. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,and 10 All residents had a personal plan of care. The health care needs of the residents were well assessed and management plans documented. The residents were treated with dignity and respect by the staff. EVIDENCE: Three files were thoroughly examined and several others were looked at. All had a plan of care documented. This plan was written following assessments of need for various areas of care. The care plans were pre-printed for specific issues any resident may have, then the appropriate one included in their file. These gave a clear picture of the care needed for that resident, in relation to that issue. Pressure sore risk assessments were documented. Two residents who had assessments which showed them to be at high risk of pressure sore development did not have a relevant plan of prevention in their notes. This meant the staff did not have the relevant information, in writing, of how to prevent a pressure sore developing. The type of pressure relieving mattresses Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 12 and cushions used for individual residents was not recorded, though these were seen to be appropriately used. This could lead to confusion should a mattress be removed or upgraded. Assessments and plans of care were present for nutritional needs, continence, mobility and personal hygiene. Staff were aware of the individual needs of the residents and how they liked them to be met. Residents’ blood pressure, pulse and weight were recorded monthly and any changes acted upon. A specific plan was documented for the resident’s care at night. This included the use of bed rails where these were in place. There was no specific risk assessment for the use of bed rails. This was included on the general risk assessments but there was no evidence that alternative action had been explored or the resident or relative had been consulted. There was no evidence the use of these had been reviewed in light of the resident’s condition. The risks associated with this were discussed with the registered manager in relation to one resident who was frequently found out of bed at night, despite bed rails being in place. All bed rails seen had protectors present. The residents said the staff were kind, cheerful and caring when they were assisting them. They said bedroom and bathroom doors were always shut when assistance was being given, staff always used the name they liked when talking to them and did not talk amongst themselves when two or more were helping them. Staff were seen to treat residents in a gentle and calm manner and with respect. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 15 The social and recreational needs and wishes of some residents were not understood or met. Residents and relatives or friends were encouraged and assisted to keep in contact with each other. The meals served were nutritious and appealing to the residents. EVIDENCE: The files examined contained scant information regarding the social interests of the residents. This information had been provided at the initial assessment stage and no further exploration of this aspect of care had been done. Several residents spoken with discussed their wishes for “something to do” during the day. Two spoke of “having no-one to talk to” another of being “bored” and two of wanting “some fresh air and a change of scenery.” Residents who were able had sat outside for some part of the day. The registered manager agreed that the social area of life was not the focus of the home and said he pointed this out to all prospective residents. He agreed that further assessment of the social care for residents would take place and the provision of pastimes would be reviewed. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 14 Most residents spent their time in their own bedrooms, at their wish. A lounge was available and one resident was seen to use this. Residents had newspapers delivered, books available and televisions and radios in their own rooms. Some musical entertainment was provided twice monthly and the local vicar visited monthly. Birthday parties were arranged for residents. Many visitors were seen in the home. Those spoken with said they felt welcomed at any time. They said the staff were always friendly and helpful providing information about their relative if required. Some were assisting in the care of their relative as they wished. The registered manager said they held a party annually when past resident’s relatives were invited and this was usually well attended. The residents said the food served was good and there was plenty given. They had a choice offered to them before the meal. Those needing assistance were helped on an individual basis in private. Hot and cold drinks were frequently available throughout the day. A cook was employed to cover a 12 hour day, which meant the care staff were not involved in the preparation of food. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Any concerns or issues raised would be taken seriously and appropriate action would be taken. The knowledge of some staff and the written documents regarding the procedures to follow if abuse was suspected would not safeguard the residents. EVIDENCE: One complaint had been raised at the home since the last inspection. This was fully documented and had been dealt with in line with the home’s complaint procedure. The action taken was fully documented. Residents and relatives said they would feel able to talk to the manager, owner or any member of staff should they be unhappy with anything in the home. Those who had raised issues, though not wishing to formally complain, said they had been listened to and their issue had been resolved. No adult protection issues had been raised at the home. There was written information for staff about the definitions of abuse. Most staff had carried out training about the protection of vulnerable adults. Staff had received a whistle blowing procedure and were clear about their responsibilities of reporting to the nurse in charge. One person who may be in that position was not clear about the procedure to follow should a suspected incident of abuse be reported to them. They were unclear where the written procedure was. This written procedure did not contain clear guidelines for the nurse in charge to follow should an incident occur. It was discussed with the registered manager that all persons who may be in charge of the home must understand the correct Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 16 procedure to follow to enable them to safeguard the residents. This must comply with the West Sussex guidelines. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home and gardens were well maintained, clean, tidy and safe. The layout and environment was suitable for the residents accommodated. EVIDENCE: The home was well maintained, with a maintenance man and gardener present at the time of the inspection. All areas of the home were tastefully decorated and carpeted with fixtures, fittings and furniture being of a high standard. All areas of the home were very clean and tidy. 3 domestic staff was on duty for 5 hours Monday to Friday, 1 for 5 hours Saturday and no cover on Sundays. The care staff took some responsibility for the cleanliness of the home within their daily work and this was important to all staff. Both residents and relatives commented favourably on the general environment and cleanliness of the home. One resident described it as “impeccably clean.” Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 18 The garden areas surrounding the home were well maintained and very attractive. Varied seating areas were present. Some residents used this area for most of the day. The fire procedures, risk assessments and safety checks were recorded and appropriate. All staff had received fire training and were aware of the procedure. No fire drills had taken place for some time. It was discussed these should be re-started in order to provide all staff with a valuable “dummy run”. The fitting of magnetic door releases for all fire doors was underway. This was on a rolling programme and not all doors had these present yet. Appropriate infection control measures were in place. Alcohol hand gel was in all bathrooms and toilets. A plentiful supply of gloves and aprons was present in each resident’s bathroom, communal bathrooms and toilets. Appropriate clinical waste bags, linen bags and other disposal bins were in place. Special precautions were identified and documented where infectious conditions were present and staff were aware of the correct procedures. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 The numbers and skills of the staff on duty was appropriate to meet the needs of the residents accommodated. The home has good recruitment procedures, which support and safeguard the residents. EVIDENCE: The duty rota for week commencing 13th June 2005 was examined. This showed at least one qualified nurse was on duty twenty four hours per day with on- call support during the night. At some times two qualified nurses were on duty, which would provide additional nursing cover. In the mornings five care staff were on duty with four in the afternoon. One administrator provided additional assistance to the manager. Domestic and kitchen staff were employed in order to give adequate cover. Agency qualified nurses were used for two shifts per week. The names of these staff on the rota showed that two people covered these shifts. The registered manager confirmed that the same agency staff attended regularly to cover a long term sickness. It was discussed that the layout of the home necessitated a good deployment of staff to prevent any area being left unsupervised for long periods. This was seen to take place and at least one member of staff was present on each floor at all times. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 20 One staff file was examined of the latest recruited staff member. This contained all information required except two written references. The registered manager said two verbal references had been obtained. There was no record of these. All necessary security checks had taken place. Staff turnover in the home was low. Residents and relatives commented favourably on this saying they liked the consistency of staff. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were looked at during this inspection. EVIDENCE: Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x x Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 18 Regulation 13(6) Requirement The procedure for reporting alleged abuse must be in line with West Sussex guidance. All staff who are in charge of the home must be aware of the correct procedure to follow. 2 written references must be obtained and where applicable 1 relating to the last employment. Timescale for action 30/6/05 2. 29 Schedule 2 (3) 30/6/05 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. 2. 3. 4. Refer to Standard 8 8 12 19 Good Practice Recommendations Care plans for the prevention of pressure sores should be in place for any resident whose assessment shows them to be at risk. Risk assessments for the use of bed rails should be carried out prior to the use of these. The social interests of the residents should be explored and fulfilled. Fire drills should take place in the home. Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Westhampnett Nursing Home H60-H11 S24238 Westhampnett V221451 070605 Stage 4.doc Version 1.20 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!