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Inspection on 04/06/07 for Woodhorn Park

Also see our care home review for Woodhorn Park for more information

This inspection was carried out on 4th June 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.

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, where able, described good relationships with the staff and said they were always kind and helpful. Staff spoken to were friendly and relaxed and showed a good understanding of service users needs. Arrangements for service users to maintain contact with their family and friends are good. Two visitors confirmed that they are always made welcome and kept informed and involved. A variety of social activities were available providing service users with varied and interesting activities, the home employs an activities officer. The home has two reminiscence lounges, and they are in the process of creating a sensory garden, there will be a vegetable patch and a potting shed for service users to use. The home has access to transport, and regular outing are arranged. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All those spoken to were pleased with the quality and choice available. The kitchen was clean and well organised, and the Cook had very good knowledge about the dietary needs of the service users. Hygiene practices were good protecting the health of service users and staff. The home is well staffed with a skilled, consistent and trained staff team giving security to service users. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect service users. The staff team have a good understanding of individual needs. More than ninety percent of staff is qualified to National Vocational Qualification in Care level 2 (NVQ) or above providing service users with a trained, skilled staff team. The service users were very complimentary about the staff. One service user said, "This place is like a five star hotel, whatever you ask for it is provided". Another said, " I have only been here for six weeks, I only wish I had come earlier, my quality of life is much better now, this is an exceptional place". One service user said, "The food here is the best I have ever tasted". Equality and diversity training has been arranged for staff.

What has improved since the last inspection?

Since the last inspection visit, significant improvements have been made throughout the home, lounges, reception areas, corridors and other communal areas have been decorated and refurbished. To the front of the home an attractive patio area has been created.

CARE HOMES FOR OLDER PEOPLE Woodhorn Park Woodhorn Road Ashington Northumberland NE63 9AN Lead Inspector Jim Lamb Key Unannounced Inspection 4th June 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodhorn Park Address Woodhorn Road Ashington Northumberland NE63 9AN 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) 01670 812 333 01670 812 666 woodhorn@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Limited Mrs Cynthia Ann Davidson Care Home 60 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (37) of places Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: Woodhorn Park is a residential care home providing personal care and accommodation for 60 service users. Barchester Health Care manages the home. The home is located in a residential area of Ashington, close to shops, post office and pubs. There is good transport links near-by. All bedrooms are single and have en-suite facilities and there is a passenger lift. Fees for the home range from £378.00 to £442.00. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary: How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives. The Visit: An unannounced visit was made on 4.6.07 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, and the manager, Looked at information about the people who use the service, including case tracking, this system informs us of how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit, We told the manager/provider what we found. What the service does well: Residents, where able, described good relationships with the staff and said they were always kind and helpful. Staff spoken to were friendly and relaxed and showed a good understanding of service users needs. Arrangements for service users to maintain contact with their family and friends are good. Two visitors confirmed that they are always made welcome and kept informed and involved. A variety of social activities were available providing service users with varied and interesting activities, the home employs an activities officer. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 6 The home has two reminiscence lounges, and they are in the process of creating a sensory garden, there will be a vegetable patch and a potting shed for service users to use. The home has access to transport, and regular outing are arranged. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All those spoken to were pleased with the quality and choice available. The kitchen was clean and well organised, and the Cook had very good knowledge about the dietary needs of the service users. Hygiene practices were good protecting the health of service users and staff. The home is well staffed with a skilled, consistent and trained staff team giving security to service users. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect service users. The staff team have a good understanding of individual needs. More than ninety percent of staff is qualified to National Vocational Qualification in Care level 2 (NVQ) or above providing service users with a trained, skilled staff team. The service users were very complimentary about the staff. One service user said, “This place is like a five star hotel, whatever you ask for it is provided”. Another said, “ I have only been here for six weeks, I only wish I had come earlier, my quality of life is much better now, this is an exceptional place”. One service user said, “The food here is the best I have ever tasted”. Equality and diversity training has been arranged for staff. What has improved since the last inspection? What they could do better: The home continues to provide high standards of care. During the course of the inspection, the manager described how the service intends to continue to develop and pursue the memory lane concept. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 7 She described the use of specific colour schemes to be used throughout the home, and how the use of various colours can be beneficial to service users with memory problems. All of these areas will be looked at during the next inspection visit. No requirements were identified. 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. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with enough information about the service to enable them to make a choice about where they want to live. All service users are appropriately assessed prior to admission into the home. All are provided with a written contract explaining their terms and conditions with the home. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Information is now available on audiotape. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 10 Three service users’ files were checked and each included a full needs assessment completed by the service users Care Managers. They contained a range of appropriate information. The service users and their representative’s are involved in drawing up both these initial assessments and the home’s subsequent service user plans. The home also completes a pre-admission assessment prior to admission. The three service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service users spoken to said their needs were met and they were happy with the care provided. The care plans checked and staff interviewed, confirmed that a range of specialist services was provided to service users. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear enough to ensure that staff has the information they need to meet the assessed needs of the service users. Service users are supported to make decisions about their lives, and take risks to promote their independence. Service users privacy and dignity are protected, and service users confirmed that staff treats them with respect. Medication systems are well managed, and they promote the health and wellbeing of service users. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 12 EVIDENCE: A system that involves case tracking was used, this system tells us how well individual’s needs are being met. There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. These have been agreed and signed by service users and their representatives. There are advocacy arrangements, as well as family input, to represent service users. One service user currently has access to an independent advocate to represent him. Any rights that are restricted are linked to risk assessments. Care plans are drawn up with service users. Plans are amended and evaluated on a monthly basis. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Service users have access to a range of health care professionals, recently the Challenging Behaviour Team have been consulted to provide support, advice and input for service users on the DE unit. Service users’ spoken to said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. All were very complimentary about the staff and the support they receive. Staff who have completed relevant training administers medication. A sample of medication records was examined. These include resident photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The meals in the home are good, offering both choice and variety. The service users have opportunities for personal development and leisure activities. They are supported to maintain very good links with the community and their relatives and friends. EVIDENCE: Each service user has a skills assessment and life story carried out. This is reviewed and updated on a regular basis. All service users participate in this process. Service users are supported to live a normal life in the community. They are supported and encouraged to be in control of their own lives, and to enjoy their own interests. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 14 The service has designed an enclosed sensory garden, this will include a vegetable plot, potting shed and seating areas for service users to use and enjoy. As part of the homes Memory Lane concept, there are two reminiscence lounges, individual memory box’s have been introduced for service users, on the first floor, a wedding reception area has been replicated, and they have also created a woodland seating area, with lots of plants, artificial trees and audio sounds of nature. The home has recently commissioned a local artist to create a huge mural depicting the town centre, church and the sea front of Newbiggin. MIND ACTIVE a local community service also provides a good range of activities in the home that match service users preferences. The home also employs a social activities co-ordinator. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Two service users relatives said that they can visit at any time, and that they are always made to feel welcome. They said that they were very happy with the standard of care provided. Daily routines promote independence, choice and freedom of movement. The Home’s menus are varied and nutritional and are based on the known likes and dislikes of the service users. Nutritional assessments are also completed. The home has introduced a malnutrition universal screening tool, this identifies adults that may be malnourished on admission or at risk of obesity, and it includes management guidelines, which can be used to develop specific nutritional care plans. This is good practice. At least two hot meals are provided each day. The dining areas are highly attractive, and the lunchtime meal observed was very well presented. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaints system and service user’s views are listened to and acted upon. Procedures are in place to protect service users from harm, and these are followed. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI. The procedure is written in a way that ensures service users fully understand its contents. Two service users said that they had been given copies of the procedure and that staff always listened to their concerns and dealt with them fairly. The home keeps a record of complaints. Since the last inspection visit, the home has received six complaints, all were relatively minor, and these were appropriately investigated and all easily resolved by the registered manager. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 16 The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. The home also has a copy of the Department of Health’s document, “NO SECRETS”. The Home keeps detailed financial records on behalf of the service users, the cash balance held for two service users was checked, and both were found to be correct. Receipts of personal spending are kept. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26 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 comfortable and safe environment for those living there. The standard and decoration within the home is very good. Communal areas and bedrooms are large, and meet the service users needs. All areas within the home are well maintained, clean, tidy and free from offensive odours. EVIDENCE: The home was clean, well decorated and well maintained. The home is in a residential location, near to the local amenities and busy shopping centre of Ashington. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 18 The grounds were tidy, safe, highly attractive and accessible. The new sensory garden will be a great place for service users to enjoy and maintain their gardening interests. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place, including a visitor’s lounge. Service users can also see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. Room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms all have en-suite facilities. The rooms are centrally heated and the heating levels can be controlled within each bedroom. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised, and have recently been refurbished. The washing machines have the specified programme to meet disinfection standards. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff offering consistency of care within the home. There are robust procedures in place for the recruitment and selection of new staff, which helps to protect service users. The staff receives supervision and this provides them with a good understanding of the service users support needs. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas showed the required numbers of staff were on duty: In addition to the Manager there is 8 staff between 8am and 10pm, with 4 between 10pm and 8am. All the staff were over 18 years of age and those left in charge were at least 21. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 20 Training needs of staff are identified in supervision and appraisal sessions. Over 90 of the staff team have achieved NVQ level 2 or above. The training programme meets The National Training Organisation requirements for the first six months. Staff said they receive paid training. Barchester Health Care has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Two staff files examined confirmed that all appropriate checks had been carried out. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The systems for service users’ consultation are good, and service user’s views are both sought and acted upon. The health and safety of the service users is promoted. The service is aware of equality and diversity and its implications. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has many years experience in senior management. She has the necessary skills and qualifications needed to manage the home. Staff spoken to were clear about their duties and responsibilities. Service users are told when inspections take place. Copies of inspection reports are available for relatives and others to see. The organisation has continued to develop a range of policies and procedures which have been linked to the National Minimum Standards. Service users can deposit cash for safe keeping in the home’s safe and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. There is a health and safety policy and range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control). Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks; tests and instructions to staff are conducted at the required frequency and recorded. Accident reporting was suitably recorded and analysis of accidents is carried out. Water storage tanks, gas and electrics are checked annually. Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Woodhorn Park DS0000055019.V338206.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!