Care Home: Timaru

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Pinta
• Kestrel House, St Anne`s Opportunity Centre,

What the care home does well The home provides care and support by a well managed supported, trained and qualified staff team who work in a manner that recognises resident`s need to be treated as an individual with privacy, dignity that recognised their needs to achieve a level independence. What has improved since the last inspection? There were no areas of concern or requirements and recommendations made following our last visit. What the care home could do better: The communal areas could be made more homely, appropriate locks should be fitted to all bedrooms and the scope of the current in house satisfaction survey needs to be widened to include resident`s representatives and visiting social/health care professionals. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Timaru Great Bridge Road Romsey Hampshire SO51 0HB     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: Peter McNeillie     Date: 1 8 0 3 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 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. Care Homes for Adults (18-65 years) Page 2 of 29 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 Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Timaru Great Bridge Road Romsey Hampshire SO51 0HB 01794523731 01794523732 timaru@liaise.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Liaise Loddon Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 5 The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Timaru is a care home registered to provide accommodation, care and support for up to five persons with a learning disability.The home is in a large, detached modern property, set in its own large grounds on the outskirts of the South Hampshire town of Romsey close to local transport, shops and community facilities. All of the residents are accommodated in their own bedroom with full ensuite toilet and bathing facilities to meet their specific needs.Residents are free to access the large safe garden at the rear of the property, which consists of a large lawn area, complete with an attractive fishpond and patio. Car parking is provided to the front of the property. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report was written after taking into consideration a number of sources of evidence and information including a site visit to the premises, and sampling residents and staff training/ recruitment records. We observed residents, and spoke with staff and management and received a response by the manager to a pre inspection Annual Quality Assurance Assessment. (AQAA). and responses by staff,residemts and hevisiting health and social care professionals to a pre inspection CSCI satisfaction survey. During this inspection which took place on 13/03/09 between the hours of 09.00 am and 1.15 pm all of the key standards for younger adults were inspected. The results Care Homes for Adults (18-65 years) Page 6 of 29 and findings contained in this report will determine the frequency and type of future inspections. The fees at the time of our visit ranged from three thousand six hundred and sixty two pounds per week to four thousand three hundred and forty six pounds per week. What the care home does well: What has improved since the last inspection? 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 Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a well-developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met and that significant time and effort is spent making admission to the home personal and well managed. Evidence: The manager informed us that residents were only admitted in accordance with a pre admission policy and procedure that requires a detailed written assessment of need and risk being carried out by a member of the homes management team in consultation with the prospective resident or their representative. These took into consideration residents care, nutritional and communication needs, wishes, choices, aspirations as well as any present or potential risks present. There have been no admissions since the previous two inspections at which time it was found assessment information was considered to be of an excellent standard. On our two previous visits we found: There was evidence that very careful Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: consideration has been given to ensure that a move to the home is as smooth as possible, for example, the service users bathing preferences had been identified and before they moved in their en suite bathroom had been modified accordingly. Written documentation and discussion provided evidence that the service has a structured and detailed transition procedure in place to ensure that it can meet the needs of new service users. This includes the drawing up of a contract, the identification of key staff to be involved, the review of assessment information and consideration of time frames, to include time to prepare the environment. Care Homes for Adults (18-65 years) Page 11 of 29 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. There is a clear and consistent care planning system in place, which ensures residents needs are met within a risk management policy that involves residents in decisions that affect them. Evidence: At previous inspections care plans were found to be well written, comprehensive and to provide extensive information on services users. To ensure continued compliance, as part of our inspection plan, we viewed a random sample of three residents care plans chosen at random. All of the detailed care plans which included confirmation that residents or their representative were involved in producing, were based on pre admission assessments to identify what help and support individuals needed and any attendant risks and any other issued that could affect their welfare. Information seen included details about Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: what is important to the service user, and gave guidance for staff on how to provide effective support. Ways of communicating were described and information about living skills, personal care needs, health and medication was also recorded. All staff spoken with demonstrated that they had a very good knowledge of each persons needs, had a good understanding of the contents of the care plans and risk assessments and were able to explain how the care plan was put into day-to-day practice. Regular reviews of care plans are also undertaken, and records show that family members and relevant professionals are invited to participate in this process. The review focuses on positives in an individuals life and the quality of information gathered ensures that any periods of crisis can be accurately reflected. It also means that strategies to help staff to provide effective support can be put into place. In their responses to our pre inspection survey, health and social care professionals commented Staff seemed concerned for clients and raised these concerns. Really good behaviour management strategies were in place The environment was personal and caring. Residents right, and the opportunity to take risks are seen as fundamental. All of the residents who live in Timaru would have difficulty in understanding the concept of risks, risks management, have very complex needs and are difficult to communicate with making it difficult to establish at times what individuals wishes are. Where restrictions, which are all, recorded in the care plan are in place these are only implemented following a detailed risk assessment a process, which identifies individual risks and how they were to be managed. Records show that any risk that residents are exposed to is documented in considerable detail. Staff have been provided with very clear guidelines to ensure that residents are kept safe, whilst enjoying as good a quality of life as possible. The home takes issues of equality and diversity seriously, in response to our question in the AQAA with regard to these issues the home told us : We do the following to ensure that race, gender identity, disability, sexual orientation, age, religion and belief are promoted and incorporated into what we do: Each service user at Timaru has their individual plans, (PCP) respecting their age, gender, religion and beliefs. Through company policies, intensive induction and continued training for all staff, Liaise at Timaru supports individuals from several ethnic backgrounds and of different religions. We also employ staff from a variety of Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: ethnic backgrounds. We respect individuals religions. Care Homes for Adults (18-65 years) Page 14 of 29 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. The social activities family, contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. Evidence: Any decision taken that affects individuals always seeks to empower them by taking into consideration the individual residents abilities choices, wishes, aspirations and independence. These were reflected in the manner in which the home is run and dayto-day life conducted. This is in line with the staffs perception of themselves as enablers first and carers second. Residents are free to choose what activities they wish to participate in and are compatible to interests listed in person centred plans. Staff told us they help service users to access local facilities and have transport to help them to travel further a field. The home is outward looking and uses community-based Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: facilities where possible. Community activities currently being undertaken include, drama group, swimming, library, trips to places of interests including visits to their families who are also welcome to visit the home at any time without an appointment. In house activities include, music, television crafts, gardening, massage, and the use of the well-appointed sensory room. Staff were observed to interact well with residents by using appropriate communication methods. When they were providing one to one support staff kept a discreet distance from the resident unless the resident approached them and clearly wished them to be in closer proximity. In this way privacy was respected as much as possible whilst the safety of the resident was maintained. A daily menu based on residents likes and dislikes was available. Staff told us. Staff said that mealtimes are flexible and this was observed to be the case during our visits. We observed residents being offered a choice of drinks and snacks when they wanted them. Picture cards were available in the kitchen to facilitate communication. Staff had a good understanding of the dietary needs and preferences of individual residents who were seen to choose where to eat and whether to eat alone or in the company of others. To ensure a regular supply of fresh vegetables the home has just started a new project involving growing a selection of vegetables in the large garden. This project also provides an additional activity for residents to become involved in. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met in private with dignity. Evidence: Personal support needs are detailed as part of the planning process, each service user has a number of staff have who have been identified as having skills and experience to support them with regard to their personal health and personal hygiene needs. All personal care is carried out in private. A health care professional in response to our pre inspection satisfaction survey wrote the attitude to residents privacy and dignity was Excellent. The manager informed us residents us were able to see the doctor of their choice or any other health and social care professional when they needed to. The records viewed indicated that apart from doctors, district nurses, physiotherapists, occupational therapists, and the local community learning disability team other specialists would be consulted as required. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Records were kept of appointments with GPs, dentist, optician, chiropodist and any other external health and social care professional and included details of any advice and treatment given. All drugs are which securely stored are administered disposed of and recorded in accordance with an in house medication policy and procedure by trained staff. Records of administration and disposal of unwanted drugs and medicines viewed were complete and accurate. Currently no residents are self-medicating, however, following a detailed risk assessment. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse. Evidence: The complaints procedure, which is also included in the service users guide included information on how to contact The Commission for Social Care Inspection (CSCI), was seen, as was the record of complaints. No complaints have been received by CSCI since the last inspection. All members of staff spoken with of stated they felt confident in discussing any concerns, complaints with management either in house or external on behalf of any resident and were confident any issues raised would be dealt with promptly and fairly. The homes adult protection policy is works in tandem with the procedure produced by Hampshire County Council, which is based on National Guidelines and the document No Secrets and is designed to safeguard residents from abuse. Management and staff who were spoken with confirmed they had all received training in recognizing various types of abuse. All were able to demonstrate they knew the procedure to follow should they witness or suspect the abuse of any resident. Care Homes for Adults (18-65 years) Page 19 of 29 Care Homes for Adults (18-65 years) Page 20 of 29 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. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. Evidence: The home is a large two story modern building, which is situated in a residential area within walking distance of Romsey town centre, close to shops and communal facilities. From the outside there is nothing to distinguish the home from its neighbours, there are no discriminatory signs and nothing to indicate it is a care home. All areas of the home were clean and free from unpleasant odours and obvious hazards. Furniture was comfortable, homely and in a good state of repair in keeping with the decor and met residents individual and collective needs. Whilst the large well kept building meets the minimum standards in our view was in the communal areas were very bare and almost sterile. A view with which the manager agreed. It was felt this problem could be easily be overcome by picture or murals on the wall, this would give a home homely feel to the rooms. The manager gave a verbal undertaking to make changes. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: When invited to view a residents bedroom we observed that the lock on the door was incorrect and that a resident could not deactivate the lock from the inside, similar locks were seen on three other bedrooms and a lounge. The manager gave a verbal undertaking these locks would be changed. In speaking to the homes administrator by telephone nine days after our visit, we were informed this matter is now in hand. All communal areas were accessible by residents including the well-tended large attractive established and safe garden. Apart from the vegetable project mentioned earlier in this report we were shown plans to developed the garden further by creating a sensory garden for residents equipped with raised flower beds. An infection control policy and procedure was in place as were disposal aprons, gloves, and antiseptic hand soap. And a washing machine fitted with a high temperature and sluice programme. Care Homes for Adults (18-65 years) Page 22 of 29 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. Residents needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. Evidence: In our view, at the time of the inspection staff numbers and the deployment of staff was sufficient to meet the residents needs. All of the five residents in the home have high care needs. The manager informed us the planned staffing level for the home is six staff at all times at during the day and evening and four waking at night plus telephone back up for emergencies. In addition during the day and evening there would be a specialist support worker (activities coordinator), The Manager (part) an administrator (part), cook (part) and a cleaner (part). A maintenance man is also available from time to time. We were also informed us staffing could be raised should residents needs increased or a particular days programme required additional staff. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: As part of this inspection, we viewed three staff recruitment and training files selected at random. All files viewed included evidence that staff are employed in accordance with a robust equal opportunities recruitment, and selection procedure, which is designed to protect residents. This involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, and satisfactory Criminal Record Bureau (CRB) disclosure, Protection of Vulnerable Adults (POVA) and reference checks. Following their appointment, records seen confirmed that all staff are subject to an in house induction plus a learning disability qualification (LDQ) training programme that includes first aid, handling medication, food handling, moving and handling, safeguarding and infection control. Following completion of their induction programme All staff are expected to undertake a National Vocational Qualification N .V. Q.) Course. Information provided by the Manager indicated that 17.4 been trained to NVQ level two, 21.7 NVQ level three, 17.4 on a level two course and 4.3 were on a level three course. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought. Evidence: From the evidence seen we were satisfied that the service is well managed by a Manager who has been in post since the beginning of this year and is currently in the process of completing his NVQ level four qualification. The manager has also applied for registration informed us he was due to be interviewed as part of the registration process shortly. We were also shown evidence to confirm that both an internal and external management team are in place. As part of the homes quality monitoring system, residents and staff are invited to Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: participate in satisfaction surveys. The views expressed in the surveys are seen as key in highlighting areas that may require improvement or attention and the future development of this service. We were informed currently the views of residents representatives and visiting health and social care professionals are not sought. Records viewed confirmed a health and safety policy was in place as were records of weekly health and safety checks, the servicing of equipment, staff training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. We were informed that the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all hot pipes and radiators were covered to protect residents from burning. Care Homes for Adults (18-65 years) Page 26 of 29 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 Adults (18-65 years) Page 27 of 29 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 Care Homes for Adults (18-65 years) Page 28 of 29 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 Adults (18-65 years) Page 29 of 29 - 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!