Care Home: Bryan Wood Care Home ta Southern Cross Healthcare

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People living in the home can be confident that their complaints will be listened to and acted upon. Nearly all of the care staff has a level 2 NVQ (National Vocational Qualification) in care, which shows the companies commitment to ensure that staff are trained and competent to do their job. What has improved since the last inspection? Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 People are now consulted about the programme of activities arranged on their behalf, ensuring that the activities match their expectations. To prevent the spread of infection the laundry floor has been resurfaced and sealed to ensure that it can be properly cleaned. To enable people to make more choices about how and when they spend their money, people now have access to their monies out of office hours. What the care home could do better: Meal times should be conducted in a relaxing environment and where staff treat people with dignity and respect. The quality of food and meal times should be monitored to ensure that good quality standards are maintained. All care staff should have supervision a minimum of six times a year to ensure that they are supported and competent to do their job. Key inspection report CARE HOMES FOR OLDER PEOPLE Bryan Wood Care Home ta Southern Cross Healthcare 1 Bryan Road Edgerton Huddersfield West Yorkshire HD2 2AL Lead Inspector Karen Summers Key Unannounced Inspection 4th August 2009 09:15 DS0000065973.V377023.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bryan Wood Care Home ta Southern Cross Healthcare 1 Bryan Road Edgerton Huddersfield West Yorkshire HD2 2AL 01484 453366 01484 453344 bryan.wood@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Address 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) Julian Mark Sheard Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th August 2007 Brief Description of the Service: Bryan Wood is situated just off the Halifax Road in the Edgerton area of Huddersfield. It is approximately one and a half miles from the town centre and close to a small shop and a bus route. The home consists of a large house and two purpose built extensions. Inside there are three lounges and a dining room. Outside is a patio with seating for people who use the service and their guests. While the majority of people at Bryan Wood live there permanently the home also offers some short break accommodation. The provider informed the Commission for Social Care Inspection on 04/08/09 that fees range from £397.65 to £500 per week. Additional charges include hairdressing, private chiropody, newspapers, and toiletries. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. People can also see a copy of the inspection report at the home. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. Date of the last inspection of this service was 7th August 2007. This report refers to an inspection, which included an unannounced visit on the 4th August 2009, and the length of the inspection was 7.25 hours. There were 36 people living at the home on the day of this visit. As part of the inspection in order to provide information to help us form judgments about the quality of the service, the manager was asked to complete an annual quality assessment (AQAA) document. This he did, and the document provided the Care Quality Commission (CQC) with a lot of information about the way the home is run, and what they hope to achieve in the future. To enable people who use the service to comment on the care it provides, we sent surveys to people living in the home, staff, doctors and health care workers (social workers, community nurses). Apart from two staff surveys, no other surveys were returned. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: People living in the home can be confident that their complaints will be listened to and acted upon. Nearly all of the care staff has a level 2 NVQ (National Vocational Qualification) in care, which shows the companies commitment to ensure that staff are trained and competent to do their job. What has improved since the last inspection? Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 6 People are now consulted about the programme of activities arranged on their behalf, ensuring that the activities match their expectations. To prevent the spread of infection the laundry floor has been resurfaced and sealed to ensure that it can be properly cleaned. To enable people to make more choices about how and when they spend their money, people now have access to their monies out of office hours. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 7 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 Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 8 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 -5 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: The home does not provide intermediate care. The information received from the home said that prior to admission everyone has an assessment of their needs, and that this is carried out by the manager to ensure that the home is able to meet their needs. This was also confirmed by staff and the manager at the time of the visit. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 9 People who were spoken with said that they had received enough information about the home before they moved in so they could decide if it was the right place for them. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7 – 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ health and personal care needs are met. The recording and administration of medication is satisfactory. People are usually treated with dignity and respect. EVIDENCE: Three people’s care records were looked at and the documentation identified the care needs, and the level of support the person requires. Risk assessments had also been completed and included the risk of falls. There were also movement and handling assessments, nutritional assessment, skin integrity, social interests, religious and cultural needs, and people’s likes and dislikes recorded. There was evidence that the care plans are updated monthly or as the needs Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 11 of the person change, and the manager also said that as part of promoting quality and diversity, staff will in future be encouraging the involvement of people and their families in the care plan reviews. They also plan to further develop the key worker system which will help provide a more person centered approach in how people receive their care. People who were spoken with said that they received the care and support that they needed, and that the staff were there when they needed them. However, when staff were serving the lunch time meal they were seen to be talking over people, speaking in a loud voice, and were not always asking people what choice of food they would prefer. One person said that they were asked their choice of food the day before, but because they could not remember, it would have been nice to have been asked when the meal was being served. Another person was not asked if they would like vegetables or not and they left their vegetables because they said that they did not like them. We discussed these issues with the registered manager and operations manager, who said that they would take steps to address the issues and monitor the meal times to ensure that people are always offered a choice, and treated with dignity and respect at all times. At other times of the day staff were observed to respond to peoples needs in a dignified and respectful manner. The healthcare needs of people are met. Evidence was seen of involvement from people’s doctors, physiotherapists, opticians, dentists and other healthcare professionals where needed. People who use the service confirmed that they receive the medical support they need. Staff are attending workshops with a view to the home working towards ‘The Gold Standards Framework Award,’ which will give the staff the necessary knowledge and skills to look after people who need end of life care. A sample of three people’s medication was checked, and the storage, administration and recording of the medication were done correctly. There was also evidence that a weekly audit of medication take place to ensure that the medication is being given correctly. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are generally good, varied and served in a pleasant environment. EVIDENCE: An activities calendar is displayed in various parts of the home and activities that take place include: - quiz’s, bingo, beauty therapy, dominos, entertainers, and visits to places of interest three times a month in the minibus which is hired from one of the local homes in the group. There was also an activity folder located in the entrance of the home and included photographs of events that had taken place. At the time of the visit people were sat in various part of the home, chatting or having their hair done. People said that the activities person was on holiday, Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 13 however they did comment positively about the entertainers that visit each month, and the trips they go to of places of interest. At the last inspection it was identified that people must be consulted about the programme of activities arranged on their behalf, taking into consideration their needs whilst ensure that the activities match their expectations. The information provided by the manager states that this now takes place, and that staff attempt to ensure that daily routines are as flexible as possible ensuring peoples choice is maintained. Menus which were written in large print, offered a variety/ choice of food taking into consideration the food preferences and likes and dislikes of people living in the home. However, when staff were serving the lunch time meal they did not always offer a choice. Please also refer to comment recorded in standard 10 relating to dignity and respect. Comments from people about the food were mixed. One person said that the food was very nice and that they had no complaints and another person said that there was always plenty to choose from. A third person said that the food does not always look appetizing, and you can not always identify what you are eating. On the day of the visit the food was sampled. It looked and tasted over cooked and several people sad that it was not very nice. One person said that it varied from day to day. This was discussed with the manager, and we also discussed that the quality of food and meal times should be monitored to ensure that good quality standards are maintained. The information from the home states that dining room surveys are carried out to seek the views of people on the food. As a tribute to the standard of food provided the home has received a four star, Very Good award for the second year running, in association with Kirklees Councils Health Choice Award, Scores on the doors. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The complaints procedure continues to be located in the reception of the home. People spoken with on the day said that if they weren’t happy about something then they would speak to the person in charge, and staff also knew the procedure to follow if someone had a concern about the home. The manager has an open door policy, and there was a letter on the notice board in the entrance of the home encouraging relatives/ visitors to see him if they would like to discuss any issues or concerns. Two complaints have been received in the last twelve months and there was evidence that the appropriate action had been taken. Records showed that all staff has had safeguarding (adult protection) training which provides information on how to protect people from abuse. Staff who were spoken with confirmed that they had attended safeguarding training and Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 15 they were aware of the procedure to follow, and that they were also aware of the homes Whistle blowing policy. Procedures were seen relating to the protection of people from abuse. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers people a homely, comfortable and clean environment. EVIDENCE: As part of the inspection a tour of the home was conducted this included the communal areas and a number of people’s bedrooms. Since the last inspection several bedrooms and a lounge have been redecorated and new furniture has been purchased however, the corridors in some areas are showing signs of wear. We were informed that these areas had been identified to be redecorated within the redecoration programme and this would take place later this year. The service has listened to what people have to say and with government Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 17 funding, have provided a new Courtyard Garden with a raised deck area and wheelchair access in all areas. People enthused about the new area and said that it was a nice place to sit out. People who were spoken with said that the home was usually always fresh and clean however, on the day of the visit a couple of rooms had an odour and the staff were taking steps to address the situation. Staff said that if there were any problems with carpets that they could not clean, then the company would replace them. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by trained staff that have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: There were thirty-seven people in residence, and the duty rota showed that there were sufficient staff on duty to care for the number of people living at the home, and the manager also confirmed this. People receiving care said that staff were available when they needed them. Care practice observed during this visit, and the relationship between staff and people being cared for was positive. Nearly all of the care staff has a level 2 NVQ (National Vocational Qualification) in care, which shows the companies commitment to ensure that staff are trained and competent to do their job. Samples of recruitment records were inspected and the correct information and checks had been carried out. There was also evidence in the staff records and Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 19 staff confirmed that they had induction training, first aid, fire, infection control, and movement and handling training. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home and staff is promoted and protected. EVIDENCE: The manager has much year experience in the care of older people, and has gained the Registered Managers Award and is also a National Vocational Assessor. As part of the inspection in order to provide information to help us form judgments about the quality of the service, the manager was asked to Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 21 complete an annual quality assessment (AQAA) document. This he did, and the document provided the Care Quality Commission (CQC) with a lot of information about the way the home is run, and what they hope to achieve in the future. Previously the manager held regular residents/relatives/ advocates meetings and kept minutes of those meeting which were very well attended. Unfortunately even though he continues to publicise the dates of meetings on the notice board and send personal invites to people, no one attends. A further meeting date for later this week was seen on the notice board. Quality assurance surveys are sent out every year and the outcome of those surveys are presented to the people who use the service and their relatives/ advocated by the manager, and are also published in the homes “Bugle” (newsletter). Monthly Quality assurance audits are carried out by the home manager, and the operations manager also visits the home monthly and writes a report on their visit and it is used to monitor the quality of the service. Personal allowances and the resident’s fund are checked weekly for accuracy, and they are stored correctly, and there was evidence to suggest that receipts are given for any transactions. Records showed that not all staff had received supervision a minimum of six times a year. The manager was aware of this and said that he was taking steps to address the situation. Routine health and safety checks are carried out and appropriate records were seen of those looked at. Satisfactory records were also seen of movement and handling training, fire lectures and drills, and staff confirmed that they had received the training. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 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. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP10 Regulation 12.- (4) Requirement Staff must treat people with dignity and respect at all times. Timescale for action 31/08/09 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. Refer to Standard OP15 OP36 Good Practice Recommendations The quality of food and meal times should be monitored to ensure that good quality standards are maintained. All care staff should have supervision a minimum of six times a year to ensure that they are supported and competent to do their job. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 Page 24 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Bryan Wood Care Home ta Southern Cross Healthcare DS0000065973.V377023.R01.S.doc Version 5.2 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!