Care Home: Henleigh Hall Care Home

Similar services:

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

What the care home does well All of the comments received from talking to people and from questionnaires were positive and included "It`s the next best thing to living in your own home" "The staff are marvelous, they give me the help I need" "I am very happy here" "Staff are kind" Professional visitors said "Staff treat people as individuals" "Staff appear knowledgeable about individual needs" Each person had a care plan that set out their needs and the specific staff action required to make sure needs were met. Health care was monitored and access to health professionals was provided to maintain health. Staff appeared respectful of people living at the home so that their dignity was kept. Open visiting was provided so that people could maintain relationships. A range of activities was provided so that people had choice about how to spend their time. A varied menu was available to provide choice and promote health. Adult safeguarding and complaints procedures were in place to promote safety. The environment was well maintained and decorated so that people had a comfortable place to live. Sufficient staff were provided to meet peoples needs. A programme of training was in place to ensure staff had the necessary skills to carry out their duties. Thorough recruitment systems were adhered to to keep people safe. All of the people spoken with said the manager was approachable and supportive. A quality assurance system was in operation to obtain and act upon peoples views. Health and safety systems were checked and serviced so that peoples safety was promoted. What has improved since the last inspection? Care plans included more detail on the staff actions required so that needs could be met in a way that respected individual preferences. All medication was securely stored so that people were safe from risk. An activities worker had been employed and the activities provided had made asignificant improvement to peoples live. All areas of the home were clean, grounds were well maintained so that the general high standard was maintained. What the care home could do better: Medication administration records must consistently record when a person does not require their PRN (as and when required) medication. The shower rooms, some bedroom carpets and the cooker should be considered for replacement within the refurbishment programme to maintain the high standards in the home. Supervision should be provided to staff more frequently to make sure they are suitably appraised. It is acknowledged that a recent audit identified gaps in training for a minority of staff, and relevant training events were being planned. Staff must be provided with adult safeguarding, fire and food hygiene training to ensure their knowledge is up to date and people are kept safe. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Henleigh Hall Care Home 20 Abbey Lane Dell Beauchief Sheffield South Yorkshire S8 0BZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Janis Robinson     Date: 2 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. that people have said are important to them: They reflect the things 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Henleigh Hall Care Home 20 Abbey Lane Dell Beauchief Sheffield South Yorkshire S8 0BZ 08448564760 01142352608 henleigh.hall@fshc.co.uk 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) : Four Seasons (No 7) Limited care home 62 Number of places (if applicable): Under 65 Over 65 40 0 old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home 0 22 Henleigh Hall is a two storey purpose built nursing home. It provides nursing and personal care for up to 62 people including 22 people with physical disabilities. All rooms are single with ensuite facilities. The home is located in the Beauchief area of Sheffield, close to Millhouses park. Shops and local transport are nearby. There is a large patio area surrounding the home, and a large car park at the rear of the home. Written information about the home, and a copy of the latest inspection report, are available to people from the home. Care Homes for Older People Page 4 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that people who use the service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced inspection carried out by Janis Robinson, regulation inspector. The last key inspection was undertaken on the 19th of February, 2007. Questionnaires about the home were sent to staff, health professionals and people Care Homes for Older People Page 5 of 26 living at the home. Two health professionals and three people living at the home returned their surveys. Information from these is included in the main body of this report. The home was visited on the 22nd of January 2008. The manager and administrator were spoken with about the running of the home. Some qualified and care staff were spoken with about working at the home. One care staff was formally interviewed about their skills and experience. Six people living at the home were spoken with about the support they received. One health professional was spoken with about their experience of visiting the home. Interactions between staff and people living at the home were observed. A selection of records were examined, including three peoples care plans and records related to the running of the home. An inspection of communal and some individual rooms took place. At the time of this inspection fees ranged from 500 to 650 pounds each week. What the care home does well: What has improved since the last inspection? Care plans included more detail on the staff actions required so that needs could be met in a way that respected individual preferences. All medication was securely stored so that people were safe from risk. An activities worker had been employed and the activities provided had made a Care Homes for Older People Page 7 of 26 significant improvement to peoples live. All areas of the home were clean, grounds were well maintained so that the general high standard was maintained. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 were able to visit the home, and written information was provided to people so that they could make an informed choice. Peoples needs were assessed prior to moving in to the home to make sure these could be met. Evidence: A statement of purpose and service user guide were available at the home, which were seen. These included a range of information. People spoken with said that they had been provided with copies of the service user guide. Three care plans were checked in detail. Each contained a copy of the homes own assessment document, alongside a copy of the social workers assessment. The manager stated that she, or the deputy, carried out all assessments by visiting people Care Homes for Older People Page 10 of 26 Evidence: in their own homes, or in hospital. The manager confirmed that no person would be admitted to the home without an assessment taking place. The assessment documentation had recently been updated. The three assessments seen were comprehensive and set out all aspects of a persons care needs and preferences. The information included on the assessment forms was detailed in the care plans seen. People spoken with said that they had been able to visit the home before choosing to move in, to look around, view the accommodation and meet other people living at the home and staff. On the day of this visit a family were given a tour of the home by the manager to help them decide if it was suitable for their relative. Care Homes for Older People Page 11 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Peoples personal and health care needs were identified so that they could be met. Medication systems, on the whole, protected people. Gaps in a minority of medication records could place people at risk. Peoples right to privacy was upheld so that they were respected. Evidence: Three care plans were checked in detail. They were well set out and contained a comprehensive range of information that covered all aspects of health and personal care. The plans included clear and specific detail on the staff actions required to make sure identified needs were met. Peoples preferences had been sought and were reflected throughout the plans. Each plan contained an agreement sheet to show that these had been written with the involvement of the person being supported. All three care plans were up to date and had been reviewed on a monthly basis. Risk assessments had been undertaken, which covered all aspects of daily living. Those Care Homes for Older People Page 12 of 26 Evidence: seen had been reviewed and were up to date. It was routine practice for the qualified nursing staff to write care plans. However, all of the care staff spoken with said that they had free access to peoples plans and could influence these if they felt they needed updating. The care staff spoken with appeared knowledgeable about individuals needs and preferences. All of the care plans seen contained full information on the persons health care. Details of any medical conditions were included in the plans and they all contained information on ongoing treatment, appointments and contacts. People spoken with said that their health care needs were met. One person said that they saw their GP when needed, and also saw a chiropodist, dentist and optician. A medication policy was in place and seen. Qualified nurses administered medication and the training records seen evidenced that they had been provided with training in safe medication. Medication was stored securely, and appropriate storage and records were kept for all controlled drugs. A pharmacist audited the medication systems on the 11th of December 2008, which were found to be satisfactory. Medication administration records (MAR) were checked. The majority had been fully completed. However, one PRN (as and when required) medication record had not been consistently completed when a medication was not required. Two gaps in recordings were noted over a three week period. One further gap was noted on a MAR sheet for routine medication. All of the people spoken with said that staff were respectful and their right to privacy was upheld. The interactions observed between people living at the home and staff appeared positive and inclusive. Staff took time to chat to people and were seen to knock on doors and wait for a response before entering. People made very positive comments about staff, which included, Staff are marvelous, they give me the support I need I can spend time in the lounges or have privacy in my room if I want The staff here are very kind, you could not wish for more It is difficult adjusting to losing your independence, but the staff here are kind The staff are very patient and kind Care Homes for Older People Page 13 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Open visiting, a range of activities and a varied menu were provided so that people had choice. Evidence: An activities worker had been employed and worked 30 hours each week. An activities programme was on display which showed that a variety of activities was provided. These included board games, quizzes, films, stories and walks out. Monthly church services were also provided should people wish to attend. Comments from people about the activities provided were very positive. People said that the activities worker had made a real and significant difference to the quality of their life. Comments included The activities make a hugh difference, they help fill my day and keep my spirit up I join in the activities. Its been great since Keith (the activities worker) came. Before then we did very little. Hes made my life different altogether. He is very patient People said that the routines at the home were flexible, they could get up and go to Care Homes for Older People Page 14 of 26 Evidence: bed when they wanted. Visitors could come to the home at any time and people could spend time in their rooms with visitors if they wanted privacy. The care plans seen and interactions observed showed that people were provided with choice and their preferences were respected. Throughout the day staff were observed talking to people and offering them choices, for example, where they wanted to sit and what they wanted to eat and drink. Individual rooms seen showed that people had brought some personal possessions with them into the home. The menu was seen, which was varied. Choices were offered at the main meals of the day and the cook said that alternatives to the two choices offered were always available. Special diets were catered for and when required foods were pureed separately so that meals looked more appetising. When a person was admitted to the home the cook visited them to talk about their food likes and dislikes so that this could be recorded and respected. Plentiful food stocks were seen in the kitchen and the mid day meal was well presented and appeared appetising. The kitchen had a cleaning rota and the cook said that the majority of kitchen equipment was in full working order. However, the cooker was showing signs of age, one door did not fit properly so that heat escaped. The cook said that fresh food was delivered daily, but bread and milk was delivered three times each week. He said that his working environment would improve if milk and bread could be delivered daily to free up storage space in the fridge. This was communicated to the manager during the inspection visit. All of the people spoken with said that they liked the food and were happy with the choices offered. Care Homes for Older People Page 15 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 complaints and safeguarding procedures in place protected people. Evidence: A written complaints procedure was in place, which was seen. People were provided with information about how to make a complaint within the service user guide. The complaints procedure was also on display in the entrance area. The record of complaints was checked, these recorded the action taken and the outcome of the complaint. People spoken with said that they had no need to make a complaint, but if they did would go to staff or the manager, who would listen to them. An adult protection policy was in place. Staff spoken with understood the different types of abuse and were clear of the action to take if an allegation was made or if they suspected abuse. A programme of adult protection training was in place. The majority of staff had undertaken this training. The week prior to this inspection an audit of all mandatory training had taken place, and gaps identified. The written results of the audit were seen. Responsibility for mandatory training had been divided between managers within the organisation and relevant training events had been booked, written evidence to support this was seen. All of the people spoken with said that they felt very safe at the home. Care Homes for Older People Page 16 of 26 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, 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. 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 were provided with a high standard of accommodation so that they had a pleasant place to live. Evidence: An inspection of the majority of the environment was undertaken. A maintenance person was employed at the home and records of routine maintenance and renewal were seen. The gardens were well maintained and provided with seating so that people could sit outside if they chose. The home appeared well maintained. Communal areas were well decorated and provided with pictures and ornaments to create a homely environment. Furniture was in good condition. This created a warm and welcoming impression of the home. The individual accommodation seen appeared well maintained. However, a minority of bedroom carpets were beginning to show signs of age or staining. Bedrooms had personal possessions so that people had control over their individual accommodation. The home was clean and fresh smelling. Shower rooms and bathrooms were provided on each floor, those seen contained moving and handling equipment to help meet peoples needs. Whilst the bathrooms and shower rooms were clean, some were showing signs of age. All of the people spoken with said that they were happy with the accommodation provided, and had everything they needed. Care Homes for Older People Page 17 of 26 Care Homes for Older People Page 18 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. The staff recruitment and training provided promoted peoples safety. Evidence: The staffing rota was examined, which showed that staffing levels were being maintained. A team of bank staff were available to cover any sickness or other gaps in staffing should they be needed. The manager said that the bank team knew the home well. All of the people spoken with felt that enough staff were provided. Comments about staffing were positive, and included, The staff are marvelous They are very kind and patient The staff are perfect, couldnt want for more National Vocational Qualifications (NVQ) were available to staff. Of the 29 care staff, 11 had achieved NVQ level 2 in care and 2 had achieved level 3. A further 4 staff were undertaking this award. When the qualification has been completed, the recommended 50 percent of the staff team trained to NVQ level 2 in care will have been achieved. Care Homes for Older People Page 19 of 26 Evidence: Three staff recruitment files were checked. They contained all of the required information and included a photograph, proof of identity and qualifications, an application form, two written references and an employment history.The files contained evidence that a Criminal Records Bureau (CRB) check had been undertaken at enhanced level. A programme of staff training was in place. The week prior to this inspection an audit of all training had taken place, the results of which were seen. Managers within the organisation had taken on responsibility for organising aspects of training, some of which had been planned. Staff spoken with confirmed that they had been provided with induction training. The training records checked showed that a range of relevant training was provided to staff, for example, dementia awareness and care of the dying. Care Homes for Older People Page 20 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 benefited from the managers leadership. Peoples views were sought so that these could be acted upon. Peoples money was well managed so that they were safeguarded. Staff were not provided with regular supervision to appraise their skills. Health and safety systems were maintained to keep people safe. Some minor gaps in staff training did not fully protect people. Evidence: People living at the home said that the manager was friendly and they could go to her at any time. Comments included Care Homes for Older People Page 21 of 26 Evidence: She is always smiling Her door is always open Staff said that the manager was approachable and she listened to them. The manager and administrator were well organised and all of the documents seen were up to date. A quality assurance system was in place. Monthly audits of systems within the home were undertaken by the area manager, records of which were seen. Annual surveys with people living at the home and their relatives were undertaken. The results of these were audited and published in the monthly newsletter. Spending monies were kept for some people. Records of these were sampled. Each transaction was recorded and receipts kept. Money was stored securely. Records seen and talking to staff showed that some care staff had not been provided with supervision at the recommended frequency. Whilst managers and qualified staff meetings regularly took place, meetings for care staff were infrequent. Information was shared in hand overs and the monthly staff newsletter. Health and safety systems were in operation and records seen verified that systems were checked and serviced. Weekly fire alarm checks had been undertaken. Whilst regular fire drills took place, a minority of staff had not participated in a practice drill for a significant period of time. This was discussed with the manager during the visit. It was agreed that the manager would confirm in writing that all identified staff had undertaken a practice drill within two weeks of this inspection date. The week prior to this inspection an audit of all training had taken place, the results of which were seen. The audit identified that some staff were not up to date with food hygiene and infection control training. However, dates had been booked for this training to take place over the next two months. Records of this was seen. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Older People Page 23 of 26 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 Requirement 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 Requirement Timescale for action 1 9 13 Medication administration records must be fully completed. Records must indicate when a PRN medication is not required so that safe systems are adhered to 23/03/2009 2 15 16 The cooker must be repaired 23/03/2009 so that it works efficiently and heat does not escape 3 38 18 Staff must be provided with all aspects of mandatory training, including, food hygiene, adult safeguarding and fire, at relevant intervals so that skills are maintained and people are kept safe 27/03/2009 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 Care Homes for Older People Page 24 of 26 1 2 15 21 Consideration should be given to replacing the cooker within the refurbishment programme. Refurbishment of the shower rooms and bathrooms should be prioritised within the maintenance plan so that high standards are maintained. Carpets beginning to show signs of age should be identified for replacement within the maintenance programme so that high standards are maintained. Fifty percent of the care staff team should be trained to NVQ level 2 in care so that they have relevant skills All staff should be provided with supervision at least six times each year so that they are suitably appraised 3 24 4 5 28 36 Care Homes for Older People Page 25 of 26 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 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!