Care Home: Elisabeth House

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well The staff try to find out what people like to do.They try to find out what they like to eat and try to make sure that is what they get for their meals.They have written down what help you need.If someone is ill they make sure that they get the right treatment.If someone needs medicines or creams they will make sure they get them.If a person doesn`t like something they can tell the staff. If a person who finds it difficult to talk doesn`t like something the staff will notice. If someone is upset and unhappy the managers and the staff will try to find out why.The home is clean and well decorated.Each person can keep their own belongings in their room and those rooms can be decorated how they would like them to be.The home has a pleasant garden for people to sit and walk in.The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. What has improved since the last inspection? They check new staff with the people they used to work for more carefully. What the care home could do better: The home could have more staff on duty in the evenings and weekends. Key inspection report Care homes for adults (18-65 years) Name: Address: Elisabeth House Rhosweil Weston Rhyn Oswestry Shropshire SY10 7TE The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Michael Moloney Date: 1 6 1 2 2 0 0 9 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) 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 Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Elisabeth House Rhosweil Weston Rhyn Oswestry Shropshire SY10 7TE 01691777563 01691680983 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sonja Eckert-Hopkins care home 9 Number of places (if applicable): Under 65 Over 65 9 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 9 Date of last inspection 0 5 0 1 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Nine people can live in this house. It is in Weston Rhyn, Near Oswestry in north Shropshire. Some people have their own room and some share their bedroom with other people. The house has a large garden. The home is managed by Sue Madden Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home Before we went to the home we looked at the information that the manager had sent us. We often ask for this before an inspection and always ask the same questions. This tells us how the home thinks they are doing. We also look at the information that the home has sent us about accidents that have happened to people who live and work in the home. We did not tell them that we were coming. One inspector visited the home. His name was Mike Moloney. He was there for four hours. Care Homes for Adults (18-65 years) Page 7 of 30 We looked at how two of the people who live in the home are looked after and what had been written down about them. We talked to some of the people who live in this home so that they could tell us what they thought about it. Some of the people who live in this home could not talk to us so we watched how the staff looked after them and talked to them about what they did. What the care home does well The staff try to find out what people like to do. They try to find out what they like to eat and try to make sure that is what they get for their meals. Care Homes for Adults (18-65 years) Page 8 of 30 They have written down what help you need. If someone is ill they make sure that they get the right treatment. If someone needs medicines or creams they will make sure they get them. If a person doesnt like something they can tell the staff. If a person who finds it difficult to talk doesnt like something the staff will notice. If someone is upset and unhappy the managers and the staff will try to find out why. Care Homes for Adults (18-65 years) Page 9 of 30 The home is clean and well decorated. Each person can keep their own belongings in their room and those rooms can be decorated how they would like them to be. The home has a pleasant garden for people to sit and walk in. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. Care Homes for Adults (18-65 years) Page 10 of 30 What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Michael Moloney 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT Care Homes for Adults (18-65 years) Page 11 of 30 01216005300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 12 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may want to live in this home and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. Evidence: We talked to the manager and she told us that nobody had been admitted to the home since the last inspection. We saw the homes Statement of Purpose and its Service user Guide both of which contained the information that people who are considering coming to live there would want to know. We also saw a copy of the homes admissions procedure which outlined how people would be assessed to make sure that the home could meet their needs and how they would have the opportunity to judge whether or not they would wish to move in. Care Homes for Adults (18-65 years) Page 14 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: We looked at how people who live in this home are involved in decisions a about their care and the activities that they are involved in. We saw that person centred plans were being developed for each of them. These are plans that are drawn up by the home that identify what each person needs to be healthy, what they enjoy doing and what they dont like to happen to them. These are all written down and guidance is drawn up for the staff to follow that take into account all of these things. We saw written descriptions of how those plans could be put into effect safely. We talked to people who live in this home as well as staff who explained peoples plans Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: had been drawn up by talking with them. If people have difficulty expressing themselves the staff told us that they had developed the plans from their experience of what they had seen each person enjoying over time. As a number of the people who live in this home do have difficulty expressing themselves in detail it has been necessary for the staff and other supporters of the people that they care for to guage their reactions to the different activities and situations. Care Homes for Adults (18-65 years) Page 16 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: We looked at how the home meets the social needs of the people living there. As previously stated we looked at peoples plans of care and saw that these showed what people liked to do and what they did not like to do. We saw records that said that they went to such things as the day services provided by local agencies, shopping, coffee mornings and rides in the car. We saw that each person had a clearly identified weekly timetable. We saw that the home has a people carrier style vehicle and this is used to take people to activities and other appointments as well as the Gateway Club on Sundays. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: We looked at the meals that were served in the home. We saw records that showed that the diet is varied and nutritious. We saw that the meal that was served on the day of the inspection was well presented. The staff who prepared the meals told us that they had current food hygiene certificates and we saw that the training records maintained by the home confirmed this. We also looked at the records of the meals provided to people who live in this home. We saw that there were always at least two choices of dish at meal-times. Examples of this were chicken and mushroom pie or boiled gammon and liver and bacon or potato wedges. We talked with the manager and the staff who told us that none of the people who live in this home need a special diet for either medical or cultural reasons. They did tell us that one person needed their food preparing in such a way as to make it easy to chew. Throughout the inspection we saw that the staff talked with the people who live in the home in a friendly, clear and professional manner. When they called someone by their name it was the name that had been agreed and entered in their records and the people being addressed were seen to be comfortable with this. We saw that when a member of staff entered bedrooms or bathrooms they always knocked and called before entering the room. Care Homes for Adults (18-65 years) Page 18 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: We looked at the records of two of the people who live in this home to see if the health needs are being met. We looked at peoples assessments that contained information about any medical conditions that affected each person and the records also said how each condition should be managed. Within the records we saw entries that showed when and why people saw healthcare professionals such as consultants, general practitioners, physiotherapists, dentists and chiropodists. We also saw guidance to staff about how people would want to receive their personal care. We talked to the staff and they showed that they were aware of what these wishes were. Throughout the inspection we saw the people who live in the home reacting to and chatting with the staff in a way that showed that they trust them and are used to being treated with respect. The records that we saw also contained information about peoples Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: weight as part of the system for monitoring their general health. We talked to the staff and they showed that they were aware of the general mood of each person and would try to pick up if someone was out of sorts and work out if they needed to contact their G.P., dentist, chiropodist or some other healthcare professional. We saw that peoples medications are reviewed on a regular basis by their doctor. We saw that there are accurate records of when the medication is administered and we saw that the medication is stored safely. We talked to the staff who said that they had all received training in the safe handling of administration of medication and we confirmed this by looking at the training records that are kept by the home We discussed the deprivation of peoples liberties and the manager told us that she had undertaken the training available locally about this and currently there were no issues in the home that needed to be referred to the local authority. Care Homes for Adults (18-65 years) Page 20 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: We looked at the homes complaints procedures and saw that it contained all of the information that someone would need should they wish to raise an issue on behalf of any of the people who live there. We spoke to some of the people who live in the home who told us that they would tell the staff or the manager if something was worrying them. We also observed the people who live in this home and saw that because of the nature of their disabilities some would not be able to access the formal procedure for themselves. However, we talked to staff who said that they had received training in the identification of abuse and the procedures that they must follow if they see such an issue and we saw their training records that confirmed this. They were also aware of the homes Whistleblowing policy that they could follow should they see anything untoward. We spoke to the manager and she confirmed that since the last inspection there had been no referrals into the local procedures that deal with adult protection. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: We looked around the building and grounds of Elisabeth House. We saw that there were two communal areas in the building that the people who live there could use. There was a lounge and a dining room that were being decorated at the time of the inspection. There was also a kitchen that because of its layout could be used as two distinct areas with different groups of people being able to use both areas at the same time without interfering with each others privacy. We saw that it was clean and well maintained and was equipped with a dishwasher to help maintain cleanliness at a safe level. We also saw that there were a satisfactory number of clean and odour free bathrooms and toilets appropriately spaced around the home so that one was always convenient for people to get to. We looked at a number of the bedrooms used by people who live in this home and they Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: were all seen to be very spacious, well decorated, well maintained, clean and each had been decorated in a different way. Staff told us that the rooms had been decorated in a way that they thought the occupants would prefer. We also went into the homes laundry and found this to be equipped with the machinery necessary to cope with heavily soiled clothing and bedding. Staff told us that they had received training in infection control and we saw the training records that are maintained by the home that confirmed this. We also saw that the part of the rear garden nearest to the house was paved and level. We also saw that there was plenty of car parking for people who wanted to visit anybody living in this home. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are cheerful and sensitive. They have the training and skills to support the people who use the service. An increase in the number of staff in the evenings at week-ends would enable the people who live in this home to go out more. Evidence: We looked at the staffing rotas and talked with the manager and her staff about whether or not there were enough staff on duty to meet the needs of the people who now live in the home. The manager told us that the home was waiting for the results of the review of the funding of the placements of some of the people who live there as they feel that their needs have changed requiring them to be supervised more closely. This would involve providing more staff support at certain times of the day. We looked at the training that the staff had received. We saw training records that showed that the home has an ongoing training programme of training in such things as manual handling, food hygiene and infection control all of which means that they are more aware of ways of meeting the safety and hygiene needs of the people who live in the home. We spoke to the staff on duty at the time of the inspection and they confirmed that they had undertaken this training. We saw that Fire Awareness training was being carried out during this visit. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The document that the manager had returned to the Care Quality Commission before the inspection showed that all but one of the staff were qualified to at least National Vocational Qualification level 2 in care. This is a qualification that is considered appropriate for someone working in a service such as this. We spoke to the manager and the staff who said that many of them had exceeded this standard. The manager also said that new staff would be expected to undertake her National Vocational Qualification after they had finished their Skills for Care based induction training which is the foundation training for anyone who is newly appointed within the care industry. We also looked at the recruitment records of the three members of staff that had been recruited since the last inspection. We saw that these contained all of the background checks that are required to ensure that anybody wishing to work with vulnerable people are fit to do so. We watched the staff working with the people who live in the home. We saw that they were polite, friendly, professional and attentive. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a competent manager. Evidence: We talked to the manager and she told us that she had nearly completed the Registered Managers Award which is a qualification that is considered to be appropriate for people who run a home such as this. We talked about the new rules that must be followed if the home needs to deprive someone of part of their liberty in their own interests. The manager told us that she had attended training on the subject that had been organised by the local authority. She also told us that no issues about the deprivation of peoples rights had been identified for referral to the local authoritys procedures that deal with such matters. We discussed with the manager how the owner monitors how effectively the home meets the need of the people who live there. She told us that the owner visits the home on a regular basis and when requested to do so. We were told that no formal records of those visits were kept. She told us that there are monthly meetings with the people who live in Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: the home where they can discuss how well the home is meeting their needs and we saw the records of those meetings. We looked at the storage for hazardous materials such as some of the cleaning materials and this was seen to be secure. We looked at a variety of records that showed that the safety of the environment in which people live is monitored and we saw that these were up to date. These included records of the monitoring of fridge and freezer temperatures, hot water temperatures and the portable appliance test records. As mentioned elsewhere the staff told us and their records confirmed that they receive training in ways of keeping the people who live in the home safe such as fire prevention, infection control and basic first aid. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 33 Staffing levels should be reviewed to ensure staffing is appropriate to the needs of the people using the service and provides them with opportunities to lead the lifestyles they choose. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or 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 © (2010) 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. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!