Care Home: St Bede`s Cottage

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Blenheim House
• Prince Bishop Court
• Park View (15)
• Craigmore House

What the care home does well Staff record very clearly what they need to do for each person and the care and medical treatment they have received. They give detailed attention to every aspect of people`s care, seeking specialist advice when there is a change in someone`s condition. They help people make decisions about their own treatment. The home takes complaints seriously and records every complaint. This means they can show how they responded and they can check that people are satisfied with how they responded. What has improved since the last inspection? The owners of the home have redecorated and provided new carpets. What the care home could do better: The door to the smoking room must be kept closed, to stop smoke drifting into the corridor outside. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Bede`s Cottage Auton Style Bearpark Durham DH7 7AA three star excellent service The quality rating for this care home is: 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: Kathy Bell Date: 0 4 1 1 2 0 0 8 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. 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 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 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. 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: St Bede`s Cottage Auton Style Bearpark Durham DH7 7AA 01913731124 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) : nevillesx@aol.com Durham Careline Limited care home 29 Number of places (if applicable): Under 65 Over 65 9 20 0 0 learning disability physical disability 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: Physical Disability - Code PD, maximum number of places: 20 Learning Disability - Code LD, maximum number of places: 9 The maximum number of service users who can be accommodated is: 29 Date of last inspection 2 8 1 1 2 0 0 6 A bit about the care home St Bedes Cottage is a large old building that has been an adapted and extended. There is carparking to the front and side but little in the way of a garden area. The home is on a bus route and is close to the local shops. St Bedes has been divided to provide two units for adults between 18 and 65 years. The units are linked but have their own entrances. The St Bedes Unit is for 20 people with physical disabilities, and the Vicarage Unit is for 9 people with learning difficulties. The two units are each staffed separately. The Home provides care and support for people with a wide range of needs. It has good links with care professionals in the community and is active in getting residents any special aids they might need. All the bedrooms are single and have ensuite toilets. The bedrooms are all very individual in size and shape, and are decorated according to the residents choice. There is flat access to both entrances of the home and a lift to all floors. The home charges 421 Pounds and 50p a week for people with learning disabilities and 459 Pounds and 50p a week for people with physical disabilities. This information was provided to CSCI in January 2009. 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: three star excellent 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 How we did our inspection: This is what the inspector did when they were at the care home This inspection took place during one day in November 2008. It was the key inspection planned for this year and we did not tell the home what day we were coming. During the inspection, we looked around the building, although not in every room, and we looked at records. We talked to the manager, five people who lived in the home, three staff and a visitor. We had received surveys, completed by 10 of the people who lived in the home, before the visit. The manager sent us a report (the AQAA). This report gives her view of what the home is doing well and what it could do better. We used this information when we did the inspection. In the last report we may have told the home to improve what they do. We call this making Requirements or Recommendations. If the home hasnt done what we told them to, but this doesnt affect peoples safety, we may not tell them to do it again. But, in future, if we have to tell a home a second time, we will probably take action to make them do what we say. What the care home does well Staff record very clearly what they need to do for each person and the care and medical treatment they have received. They give detailed attention to every aspect of peoples care, seeking specialist advice when there is a change in someones condition. They help people make decisions about their own treatment. The home takes complaints seriously and records every complaint. This means they can show how they responded and they can check that people are satisfied with how they responded. 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 Kathy Bell St. Nicholas Building St. Nicholas Street Newcastle upon Tyne NE1 1NB 019 1233 3300 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 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 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 . Residents are assessed before they are admitted to make sure the home will be able to meet their needs. Evidence: We looked at the records of the last person who moved into the home. No one else has been admitted for quite some time. The records showed that this was an emergency admission and the home received the assessment from the care manager on the day the person came in. Some of this information was misleading but the manager had recorded how she had checked immediately with the care manager to make sure she had correct information. 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 . Each person living in the home has a plan, which explains the care they need and how they want to live. Staff know what is in each plan so they can meet peoples needs. People can make choices about their daily lives. Staff help people be independent while protecting them from harm as far as possible. Evidence: Each person has a plan which explains what help they need through the course of each day, whether they need help to move around, how they communicate etc. The plans include information about any special diet people need, if staff need to take particular care with their skin and if they need any equipment to help them move around. They set out what the people themselves want, like how often they want their hair cut and who they want to do it. They describe likes and dislikes, such as not feeling comfortable in a large group, or liking listening to music. The plans also explain how staff should respond if someone becomes angry or upset, to help calm them down. When we spoke to staff they knew about this information. The manager checks the plans regularly to make sure they are up-to-date and writes a summary, so it is easy to see what has happened recently in someones life. When we asked people in our surveys, most said that they could make decisions about what they did most of the time. We saw that some people chose to sit together and some stayed in their rooms. One of the staff explained that they ask people when they want to go to bed and they have staff available until 1 am. This means that people Evidence: have real choice, they are not encouraged to go to bed earlier to fit in with the availability of staff. She added, Its all about choice, and said that this was stressed to new staff. Whenever this is possible, the care plans describe how someone can be more independent. In one case, someone could make hot drinks in their room. The home had looked thoroughly at any risks involved in this, how it could be made as safe as possible, and taken into account the benefits in being more independent. Staff do these risk assessments whenever they think someones choices may put them at risk. In another one, staff accepted that there were risks but respected the choice someone had made. All the risk assessments are reviewed every three months to check they are up-to-date.In the AQAA, the manager felt they could still do better in helping people do things like travelling independently. 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 can take part in social, leisure and educational activities and are part of the local community. They can keep in contact with family and friends. Peoples rights to make choices and decide how they live are respected. People have a choice of meals and the home can meet the needs of people with specific eating difficulties. Evidence: Some people go to day centres, organised by their care managers. Staff support one person to go to a computer course, which is held locally. The manager explained how they had suggested this to him because they felt he would be comfortable in the small group which attends this class. Others go to tea dances and events in the local club. Within the home people can take part in bingo and singalongs. Some prefer to listen to their music or watch TV or videos in their rooms. If they wish, people can take part in a church service held in the home. The AQAA also said that people go to the gym and swimming. Photographs on display in the home showed people who had gone away on holiday. One person said that there is generally enough to do and staff have asked him what he would like to do. Records showed how the manager strongly supported peoples rights to be treated like any other member of the community. Staff support residents to maintain contact with their families and people can receive visitors and maintain friendships. Records of discussions in the home showed how they respect peoples diverse lifestyle choices but try and make people aware of the implications of these choices. Evidence: There is a separate kitchen so people can make themselves drinks if they want to. The records of the meals provided in the home showed that people can make choices each day and individual special dietary needs are met. A resident said that the food was good and that they try and give an alternative if someone doesnt like either of the choices. Guidance on swallowing problems and suitable foods to soften was on display in the kitchen. The records of the care of one person showed how staff had worked closely with her and specialists to help her have an adequate diet. Clear guidelines for staff were updated when necessary and they closely monitored how much she was eating. Staff described how they were not allowed to use a special technique for feeding her until they had been trained. She said that the staff took enough time to feed her and that the cook knew what she liked. People are weighed monthly so the home can help them maintain a healthy weight. A recent food safety inspection found everything was satisfactory. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff provide personal care in a way which meets each persons needs and wishes. The home makes sure that healthcare needs are met and medication is handled safely. Evidence: Records of the care of someone with a deteriorating condition showed the staff paid close attention to every aspect of her well-being and involved specialists when necessary. They referred to the district nurse and followed her advice on looking after this ladys skin. They supported her to make decisions about how she would be fed and information from the speech and language therapist was on file. We saw the records of the safety checks of the bed rails which had been supplied and fitted by the district nurse. Records showed how the home had taken action when they received a Medical Device Alert (a warning that some equipment might cause problems). Clear records were kept of contact with chiropodist, dentist, wheelchair clinic and consultations with a GP. When the care plan was reviewed, a summary of medical issues since the last review was included which gave at-a-glance information. Another care plan showed how staff were recording any times someone became angry or upset so they could see how much of a problem it was and what was causing it. They informed the care manager, a referral was made for specialist support and an advocate was involved to help the person express their views. One person said they looked after his health, they keep checking you. Records showed how the home has been successful in caring for somebody whose behaviour caused difficulties in the past. When we asked in surveys, Do the staff treat you well and do they listen and act on what you say?, nine people said always and one said usually. All the staff who handle medication have had proper assessed training so they know how to do this safely. There seem to be a safe system for ordering, storing, giving out Evidence: and recording medication, including controlled drugs. One member of staff has taken responsibility for checking that they look after medication properly. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People feel able to make complaints, and when they do they get a proper response. People are protected from harm as far as possible. Evidence: The home has a satisfactory policy, which explains how staff will respond to complaints. This has also been produced in a picture format to make it easier to understand. When we asked in surveys, all 10 people said they knew who to speak to if they were not happy and knew how to make a complaint. Records showed that staff took complaints from people who lived in the home seriously. Most of these were one person complaining about another and the manager tried to settle these problems diplomatically, while respecting peoples rights. A small number of complaints from relatives about small but important things like unsatisfactory personal care on one occasion or the wrong things packed for a visit home were responded to and staff told to take more care. One resident said that the staff were OK if you complained about anything. A relative of an ex resident told us that she wanted to complain but did not follow this up with more information or actually complain to the home. The home chose to provide us with information about the care this person had received anyway and this seemed satisfactory. A doctor responsible for this ladys care wrote and praised the care she had received. All the staff have received training in safeguarding, that is how to recognise abuse of residents and what you should do if you suspect it. We saw proper records of money handled for residents, with spending signed for and receipts kept. People have individual bank accounts, and slips which show how much has been taken out are kept on file. The home carries out checks before new people start work so it can be as sure as possible that it only employs people who are suitable to work with vulnerable adults. 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 home provides a comfortable, clean place to live which meets peoples needs. Evidence: The home consists of two parts; the older part (the Vicarage) is a converted old building which provides a home to people with learning disabilities. The larger part (St Bedes) has been purpose-built as a care home. A lot of work has been done to the older part to bring it up to modern standards. The bedrooms are almost all of a good size and all have an ensuite toilet with either a bathroom or shower. In the newer section, each bedroom has its own ensuite toilet and wash hand basin. All the bedrooms are single. There are extra baths and showers in the building and the owners have put in an extra bathroom and shower to make it easier for people to have a choice between a bath and shower. The two sections of the home each have their own dining and lounge space. The Vicarage building has one lounge/dining room. St Bedes has two dining rooms, a lounge and a conservatory used by smokers. On the day of inspection we saw that the door into this conservatory was held open so that everyone could easily go in or out. This meant that smoke was drifting into the corridor outside which is not satisfactory. The only other problem was that someone who could not move very much independently said her buzzer for the nurse call system did not work. She did not say that the staff had not been responding to her so this had possibly only gone wrong that day. But because of the way she had chosen to arrange the room, she could not see the board which lit up when the buzzer was working. The manager agreed to look at ways of enabling this lady to see the board and to make the buzzer easier to work. The home seemed clean and well maintained and many areas have been redecorated in the last year, with new carpets in corridors and bedrooms. The AQAA explained how they have been looking carefully at how best to avoid any infection spreading in the home and staff have been trained in this. When we asked in surveys if the home was fresh and clean, 7 people said it always was and three said it usually was. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff have the personal qualities and skills necessary for their work. There are enough care staff on duty to meet peoples needs. The home carries out checks on new staff to help them make sure that only suitable people are employed. Staff receive training to make sure they can work safely and meet peoples needs. Evidence: Several people described the staff as friendly. Another called them nice, lovely. People who lived in the home who commented felt well cared for by them. 11 of the 18 care staff have achieved the National Vocational Qualification in care at level 2. This is the recommended qualification for care staff and homes are expected to have at least half of their staff qualified to this level. Also 4 staff have this qualification at level 3. The rota showed that in each unit, there was a minimum of two staff on duty through the waking day. There was an extra person working for some of the day and two hours in the afternoon were specifically set aside for helping people take part in activities. The rota also showed when staff work extra hours to take people to appointments etc. A number of people go out during the daytime and some are quite independent in their self-care. The night staff are still on duty until 8 a.m. so can help get people up and dressed. All the people who go out to day-care need to get up early so this suits their needs. The staff we talked to felt that they generally had enough time to look after people. There are also domestic and catering staff. The home shares a full-time administrator, a handyman and a maintenance manager with the home next door, run by the same company. We looked at the records of the recruitment of 2 new members of staff. These showed that the home received satisfactory applications, 2 references and a Criminal Records Bureau/Protection of Vulnerable Adults List check before people were employed. After Evidence: people started work, they were supervised and the manager discussed with them formally any issues about how they were working. The home has a training programme to make sure that all staff receive the training they need to work safely. The training record showed all care staff have had first aid training, and all but one new person have food hygiene training. They have all done training in moving and handling and a newer member of staff said she wasnt allowed to do any moving and handling until she had had the training, which is correct. All care staff have done safeguarding training. Half of the staff have done an assessed course in diversity so they learn how to appreciate the ways people are different and how to respect this. Most have done training in infection control and challenging behaviour. Not all have had external fire safety training but the rest have covered this in induction. Staff have also received training in the particular needs of some residents or in the techniques they need to care for them. 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 manager is suitably qualified and experienced to carry out her job. The home has a system for checking on the quality of the service it provides, which includes finding out what residents, relatives and care managers think of it. The home is a safe place to live and work. Evidence: The manager has a City and Guilds qualification of Advanced Management in Care and an NVQ 4 in care which are recognised qualifications for care home managers. She has managed the home for approximately 9 years. She shows that she sets clear expectations to staff about the quality of care which will be provided. As well as managing St Bedes, she has also been overseeing the home next door, which is run by the same company, when the Manager there has not been at work. This arrangement seems to have worked well. She has been supported by a Deputy in each home. Each year the home sends out surveys to ask people who live in the home, relatives and care managers what they think of it. They then analyse the results and consider what they need to do better. In the AQAA, the manager recognised that they could do better if they received more surveys back from people. She also showed that she does consider what improvements could be made in the running of the home. The company which runs the home has shown that it does continually review how it meets peoples needs, by the steady programme of improvement of the building and its facilities. There is an established system to make sure that equipment, the heating system, lifts and hoists are regularly serviced. The fire safety system is regularly checked and fire drills carried out. The home carried out an assessment of fire risks and how they can Evidence: prevent fires starting. They check the temperature of the hot water every month. Radiators are protected so they are not too hot and windows have been fitted with restrictors to avoid any risk of falls. 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 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 1 24 23 The door to the smoking room must be kept closed. 27/02/2009 This is to stop smoke spreading to other parts of the building. 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 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. - 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!