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Care Home: Highbury House

  • 580/582 Lytham Road South Shore Blackpool Lancashire FY4 1RB
  • Tel: 01253344401
  • Fax: 01253402475

Highbury House is situated in the south area of Blackpool close to Highfield Road shopping centre and near Blackpool airport and local bus routes. The home is registered for 28 older people of both sexes. The home is a large detached building with two lifts to access the second floor. There are garden areas to the front and rear of the property with seating provided for residents. The home provides en suite facilities and all but one room single occupancy. The bathroom and toilet facilities are situated for easy access for residents and aids and adaptations are fitted where required. The communal areas consist of two lounges with a conservatory and separate 0 Over 65 28 dining room. The fees for the home range from £364.70 to £400.00. There are additional charges made for hairdressing and chiropody, which may vary. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home.

  • Latitude: 53.784000396729
    Longitude: -3.0469999313354
  • Manager: Karen Carter
  • Price p/w: £382
  • UK
  • Total Capacity: 28
  • Type: Care home only
  • Provider: Mr David Moseley,Mrs Barbara Selina Moseley
  • Ownership: Private
  • Care Home ID: 8085
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Highbury House.

Key inspection report Care homes for older people Name: Address: Highbury House 580/582 Lytham Road South Shore Blackpool Lancashire FY4 1RB     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: User doesnt belongs to any group     Date: 1 5 0 9 2 0 0 9 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. 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. Care Homes for Older People Page 2 of 26 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. 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 Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Highbury House 580/582 Lytham Road South Shore Blackpool Lancashire FY4 1RB 01253344401 01253402475 david.moseley@lineone.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr David Moseley,Mrs Barbara Selina Moseley care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 28 Date of last inspection Brief description of the care home Highbury House is situated in the south area of Blackpool close to Highfield Road shopping centre and near Blackpool airport and local bus routes. The home is registered for 28 older people of both sexes. The home is a large detached building with two lifts to access the second floor. There are garden areas to the front and rear of the property with seating provided for residents. The home provides en suite facilities and all but one room single occupancy. The bathroom and toilet facilities are situated for easy access for residents and aids and adaptations are fitted where required. The communal areas consist of two lounges with a conservatory and separate Care Homes for Older People Page 4 of 26 0 Over 65 28 Brief description of the care home dining room. The fees for the home range from £364.70 to £400.00. There are additional charges made for hairdressing and chiropody, which may vary. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. Care Homes for Older People Page 5 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: This unannounced visit was part of the key inspection process and took place on the 15/09/09. We spoke to people who live at the home, staff, the manager, the owner, a relative visiting and a group of residents in the lounge. Care, maintenance, previous inspection reports and other records were looked at, as well as a walk around the building. As part of the inspection process we talked to people using the service and asked staff about those people needs. We also looked at their rooms, care plans and daily notes, this is called case tracking. Other people who live at the home were invited to pass their opinions to us if they wish. We received responses from surveys/ questionnaires sent to people who live at Highbury House and staff for their views on how the home is run. Comments we did receive were positive and some are included in this report. Care Homes for Older People Page 6 of 26 Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: At the time of the inspection we could not look at all staff selection and recruitment files as they were locked away. Records should be made available any time for inspection purposes. However from discussion it was evident staff had been through a robust recruitment procedure to ensure they were suitable. One staff member said about the procedure, I do remember it was thorough The manager tells us in the AQAA the process of selecting staff and how the correct checks have to be in place before people are employed at Highbury House. From comments received,watching routines during the day and talking to people who Care Homes for Older People Page 8 of 26 live and work at the home, that a small increase of staff should be on duty at peak times of the day, to allow more time to be spent with the residents. Comments included, We are pushed at times. And, I know they are very busy at certain times of the day. Parts of the home should receive some minor redecoration to ensure people who live here live in pleasant surroundings, one person wrote in a survey, The lounge could do with doing up. 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. Care Homes for Older People Page 9 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 10 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. The admission and assessment procedures were clear and precise, to ensure care needs of people who live at the home are met and people can make an informed choice before moving in. Evidence: We looked at assessment information for two people who live at Highbury House which showed that, comprehensive information was obtained by the manager and from social services to develop a care plan and ensure there needs can be met. We spoke to a person who lives at the home about the time he moved in and he said, I liked it straight away. A relative spoken to who was visiting said about the assessment process, I looked at a few but this was very welcoming from the start. A care plan had been developed from the information to ensure health, mental health, social and welfare needs are identified and the care and support needed can be met. There was evidence of family involvement to gather information so that all needs of Care Homes for Older People Page 11 of 26 Evidence: people who come to live at Highbury House are looked at this was confirmed from speaking to a relative. One member of staff spoken to about the assessment process said, Families and potential service users are welcome to have a meal or visit. The manager informs us in the AQAA how the process for assessing people is undertaken prior to them moving in and a plan of care developed as soon as they are admitted to ensure they give the right care and support. Standard 6 was not assessed as the home does not provide intermediate care. Care Homes for Older People Page 12 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. People who live at the home have their health and personal care needs met by staff who respect their privacy and dignity. Evidence: Care records looked at for people living in the home were comprehensive and set out a plan of care monitoring all health, welfare, social hobbies and interests. Relatives and people who live at the home have a say in care plans and in the way they are supported. Evidence of people living at the home signing care plans was seen. One relative spoken to who was visiting the home said, I keep involved in mums care. We discussed with staff the needs of people we case tracked, we found they had an awareness of peoples needs and were able to discuss the care provided. One staff member said, We keep the care records up to date to make sure we continuously monitor residents care. Each person has a risk assessment in place to ensure their safety. We confirmed these are updated when necessary to reflect any changes that may have occurred in the building or individually ensuring people are protected and safe. Care Homes for Older People Page 13 of 26 Evidence: We looked at medication for residents and found safe practices in place to ensure people receive the right medicine at the right time, and they are protected by the procedures in place. One member of staff spoken to said, Only qualified staff administer medicines. The manager explained to us they have good a good relationship with the pharmacist who visits the home to instruct staff on medication issues. Information provided by the manager in the AQAA confirms only suitably trained staff give out medication. We looked at records and confirmed nutritional screening of people who live at the home is monitored so that any health issues that may occur are acted upon. This was confirmed by information contained in the AQAA. Care records of people who live at Highbury House show they have access to health professionals and where possible a doctor (GP) of their choice. During our visit we talked to people who live here in the lounge, individually and watched staff caring for people and helping them in a sensitive, dignified way. One person who lives at the home said to us,Really nice the staff, they are all polite and respectful.Training is provided for staff around issues of respect, dignity, equality and diversity to ensure people who live at the home are cared for by sensitive polite staff. One resident said, Its very good , caring people who work here helps. A member of staff spoken to said, Respect and dignity is paramount towards the residents. Care Homes for Older People Page 14 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. Social activities and meals are well managed, creative and provide daily variation and interest for people living at the home. Evidence: Routines watched during the day looked relaxed, some people were sat in the lounge area, staff were carrying on with their daily routines, we noticed staff chatting to residents when they had time and generally supporting people in a dignified way. Records show at the assessment stage hobbies and interests of people who live at the home are written down so that staff are aware of social activities individuals prefer. The manager tells us in the AQAA they have appointed an activity co-coordinator to arrange games, outings and more activities within the home, to ensure people who live at the home are stimulated and enjoy participating in social activities. We had a talk to the cook and a look around the kitchen area which we found clean and tidy. We asked about training and the cook said, I have achieved the Food and Hygiene certificate. Comments about the quality and quantity of food prepared were very good, they included from staff , I like to bake for the residents. A staff survey commented, I must say we do pride ourselves on the quality of meals. Comments from people who live at the home about the quality of meals included, Cannot fault Care Homes for Older People Page 15 of 26 Evidence: the standard of meals. Also, I must admit I do enjoy the cooks meals. The cook confirmed they provide food for diabetics and are able to provide meals if required from any religious cultures. We looked around and found evidence of fresh fruit and vegetables stored in the kitchen and plenty of stocks in the fridge and cupboards, to ensure people who live here receive a healthy diet with plenty of choice. Records looked at show staff monitor the intake of food and liquid of people living at the home to ensure any concerns are identified and appropriate action taken. A visitors policy is available in the homes literature which says visiting times have no restrictions. All people who live and work at the home spoken to confirmed friends and relatives are welcome any time. One relative spoken to said, I am welcome at any time by the staff. People we spoke to who live here confirmed they were able to bring some personal items into the home which was agreed during the admission. Rooms we were invited into had personal possessions around so that people who live here felt it was home. One person who lives at the home spoken to said, They encouraged me to bring my personal Items with me. Care Homes for Older People Page 16 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: The manager tells us in the AQAA complaints are taken seriously at Highbury House to ensure people who live here are kept safe. Policies are in place for dealing with any issues or concerns people may have. One person who lives at the home spoken to said, I know how to make a complaint, Another wrote in a survey, I would tell the manager. A member of staff spoken to about complaints said, Complaints training is covered during the induction process. The manager tells us more information and details about the complaints policy is given to potential residents and there families in the brochure of the home. Information the manager gave us in the AQAA tells us of how they provide safeguarding adults training for staff to ensure they are aware of any signs of abuse taking place and are able to take the appropriate action. Staff spoken to confirm they have attended training both at the home and through the National Vocational Qualification (NVQ). One member of staff spoken to said, I have covered safeguarding training with my NVQ. Care Homes for Older People Page 17 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. The premises is safe, clean and maintained to provide comfortable surroundings for people who live at the home. Evidence: We had a walk around the premises and outside areas, we found it clean, tidy and maintained ensuring people live in comfortable, safe surroundings. Any repairs are written down and work is carried out out by the staff or contractors. We looked at records kept of repairs and renewals. One staff member said, We write down any repairs that need doing and get them done as soon as possible. Looking around the premises, information from speaking to people and surveys returned confirmed some redecoration in parts of the home in particular communal areas, and the main lounge should be completed. The paintwork in the main hallway and lounge is chipped and scratched and should be repainted. We spoke to a person who lives at the home who said, The lounge is looking tired. A member of staff wrote in a survey, The lounge could do with doing up. There are policies in place for laundry processes and for the control of infection ensuring the home is kept clean and hygienic. Information in the AQAA informs us of how staff are trained in infection control, this was confirmed through talking to staff. Care Homes for Older People Page 18 of 26 Evidence: We checked hot water temperatures and were shown records of regular temperature checks to ensure residents safety. Water was found to be delivered at a safe temperature in line with health and safety guidelines. Care Homes for Older People Page 19 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. Access to training and staff development is excellent, this helps to develop their skills and competencies. Recruitment procedures are in place however some records were not available to look at to ensure that all checks had been carried out on staff members. Evidence: Access to and training of staff is excellent which ensures people are cared for by competent skilled staff. We looked at training records and each staff member has a separate training programme to ensure they complete necessary courses to enhance their skills, One staff member wrote in a survey, The training provided is very good. One staff member spoken to about training said, The manager is always encouraging us to attend courses. Information in the AQAA confirms a commitment to staff training and tells us how some staff have completed a recognised qualification in care which is the National Vocational Qualification (NVQ) to level 2 or above, some staff are now doing NVQ level 3. One person who lives at the home wrote about the staff, People who work here seem very good at what they do. We looked at some recruitment records of staff, however not all records were available for inspection due to the files locked away. Recruitment records should be available for inspection to ensure the proper checks have been completed and all are in place before people start to work at the home. We did however speak to staff about Care Homes for Older People Page 20 of 26 Evidence: the process for recruitment and comments included, Very good induction training when I first started which helped. And, I know all my checks were in place. We looked at previous inspections and information in the AQAA and found no concerns in the recruitment process of staff and records checked. Staff rotas looked at and observation during the day confirm staffing levels were enough to care for the people who live at the home. However from talking to residents, staff and comments received in surveys, at peak times of the day extra staff should be provided to ensure people who live at the home have enough time spent with them and there needs are being met. Comments received form people who live at the home and staff included, I would like to spend a bit more time with the residents, And,I know they are busy a bit more help may be the answer. One staff member wrote in survey, More help at times would benefit the residents. It was clear from watching staff with people during the day and speaking to staff they are clear about their role and work well as a team to ensure the individual and collective needs of people who live at the home are being met . One relative spoken to said, All the staff are attentive and kind to the residents. Care Homes for Older People Page 21 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. The home is managed well and systems are in place for the protection and safety of staff and people who live at the home. Evidence: The manager of the home as a wealth of experience in running care homes. Information in the AQAA confirms the manager has completed all the necessary qualifications required to run a care home. We spoke to the manager who said, I now have completed the courses. Comments from staff and people who live at Highbury House spoke well of how the home is run and the attitude of the management. Comments included, I feel as a member of staff well supported by the manager. Also, The managers are both lovely people. We checked records of health and safety looked at information in the AQAA and confirm regular tests are carried out to emergency lighting, fire procedures, gas appliances and electrical equipment, ensuring the safety of people living at the home is maintained. Care Homes for Older People Page 22 of 26 Evidence: Financial records looked at were in good order, systems are in place for people to control their own money where possible and ensure safeguards are in place for their protection. Records of finances for people who live at the home were accurate and up to date. The manager tells us in the AQAA Highbury House has achieved the International Standards Organisation (ISO) award for setting high standards of staff training and development including the recruitment of staff and systems they have in place to ensure people are protected and provided with care and support they need. Other systems to gather views on how the home is run from people who live at the home and stakeholders include questionnaires, staff and resident meetings to ensure the home continues to run smoothly and any suggestions to improve the home are implemented. One staff member spoken to said, The meetings are usually productive. Care Homes for Older People Page 23 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 24 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 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 2 3 19 27 29 Some areas of the home should be redecorated to ensure people live in pleasant surroundings. Consideration should be given to increase the numbers of staff on duty at peak times. Recruitment records should be available for inspection to ensure checks are in place before people start to work at the home Care Homes for Older People Page 25 of 26 Helpline: 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. 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!

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