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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 91 0 obj<> endobj 92 0 obj<>/FontDescriptor 91 0 R/DW 1000>> endobj 93 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 94 0 obj<>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 238 0 obj 3357 endobj 239 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14999 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14999 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14999 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14999 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14999 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14999 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14999 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14999 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14999 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14999 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14999 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14999 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14999 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14999 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14999 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 240 0 obj 8913 endobj 241 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 242 0 obj 2214 endobj 243 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 244 0 obj 3588 endobj 245 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28999 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06999 m 567.84998 249.06999 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14999 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 246 0 obj 2148 endobj 247 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 248 0 obj 6011 endobj 249 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39999 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03999 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 250 0 obj 2015 endobj 251 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39999 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 252 0 obj 2094 endobj 253 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 254 0 obj 5511 endobj 255 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16998 m 565.84998 490.16998 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53999 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 256 0 obj 3136 endobj 257 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 258 0 obj 5552 endobj 259 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53999 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 260 0 obj 5162 endobj 261 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 262 0 obj 5104 endobj 263 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 264 0 obj 4635 endobj 265 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 266 0 obj 1628 endobj 267 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 268 0 obj 5411 endobj 269 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 270 0 obj 3497 endobj 271 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 272 0 obj 5472 endobj 273 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25999 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 274 0 obj 1801 endobj 275 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 276 0 obj 5412 endobj 277 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17999 m 564.77997 214.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 278 0 obj 4945 endobj 279 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 280 0 obj 2449 endobj 281 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 282 0 obj 5476 endobj 283 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67999 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 284 0 obj 5017 endobj 285 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 286 0 obj 3106 endobj 287 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 288 0 obj 5454 endobj 289 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16998 m 565.84998 507.16998 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03999 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 290 0 obj 2499 endobj 291 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 292 0 obj 3079 endobj 293 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 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60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. 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482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06999 Tm (3)Tj 1 0 0 1 99.3 244.06999 Tm (7)Tj 1 0 0 1 201.55 244.06999 Tm (15)Tj 1 0 0 1 298.04999 244.06999 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06999 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 Tm (\240)Tj 1 0 0 1 298.04999 176.06999 Tm (This will make sure that )Tj 1 0 0 1 298.04999 159.06999 Tm (residents have their current )Tj 1 0 0 1 298.04999 142.06999 Tm (care needs met.)Tj 1 0 0 1 482.10001 244.06999 Tm (21/08/2009)Tj 1 0 0 1 554.04999 244.06999 Tm (\240)Tj 1 0 0 1 35.5 122.82001 Tm (4)Tj 1 0 0 1 99.3 122.82001 Tm (8)Tj 1 0 0 1 201.55 122.82001 Tm (13)Tj 1 0 0 1 298.04999 122.82001 Tm (Risk assessments completed )Tj 1 0 0 1 298.04999 105.82001 Tm (for people who are identified )Tj 1 0 0 1 298.04999 88.82001 Tm (as being at high risk of )Tj 1 0 0 1 298.04999 71.82001 Tm (falling must clearly identify )Tj 1 0 0 1 482.10001 122.82001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 122.82001 Tm (\240)Tj ET endstream endobj 296 0 obj 5886 endobj 297 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 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l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Yvette Delaney)Tj 1 0 0 1 329.63 180.28 Tm (0)Tj 1 0 0 1 360.94998 180.28 Tm (2)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (7)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 404 0 obj 5481 endobj 405 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a report of an inspection where we looked at how well this )Tj 1 0 0 1 428.31998 787.02997 Tm (care home is meeting )Tj 1 0 0 1 28.35001 769.52997 Tm (the needs of people who use it.)Tj 1 0 0 1 226.65999 769.52997 Tm (There is a summary of what we think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 406 0 obj 3357 endobj 407 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 408 0 obj 8913 endobj 409 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89996 212.22 l S 474.14996 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 410 0 obj 2214 endobj 411 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 412 0 obj 3588 endobj 413 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 414 0 obj 2148 endobj 415 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 416 0 obj 6011 endobj 417 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39996 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 418 0 obj 2015 endobj 419 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39996 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 420 0 obj 2094 endobj 421 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 422 0 obj 5511 endobj 423 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 424 0 obj 3136 endobj 425 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 426 0 obj 5552 endobj 427 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 428 0 obj 5162 endobj 429 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 430 0 obj 5104 endobj 431 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 432 0 obj 4635 endobj 433 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 434 0 obj 1628 endobj 435 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 436 0 obj 5411 endobj 437 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 438 0 obj 3497 endobj 439 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 440 0 obj 5472 endobj 441 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 442 0 obj 1801 endobj 443 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 444 0 obj 5412 endobj 445 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 446 0 obj 4945 endobj 447 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 448 0 obj 2449 endobj 449 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 450 0 obj 5476 endobj 451 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 452 0 obj 5017 endobj 453 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 454 0 obj 3106 endobj 455 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 456 0 obj 5454 endobj 457 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 458 0 obj 2499 endobj 459 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 460 0 obj 3079 endobj 461 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89996 631.95001 l S 476.14996 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 462 0 obj 7000 endobj 463 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89996 704.82001 l S 476.14996 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm 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196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 595 0 obj 3357 endobj 596 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 597 0 obj 8913 endobj 598 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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(West Midlands)Tj 1 0 0 1 273.04999 676.29999 Tm (CV3 4FE)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (02476506045)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (02476502260)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (home.abb@mha.org.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 546.53998 m 353.25 546.53998 l S 1 1 1 RG 355.5 546.53998 m 565.90002 546.53998 l S 0.99608 0.9451 0.76077 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.99608 0.9451 0.76077 RG 31.2 500.87991 m 353.25 500.87991 l S 1 1 1 RG 355.5 500.87991 m 565.90002 500.87991 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38992 l S 354.37 559.02997 m 354.37 488.38992 l S 567.01996 559.02997 m 567.01996 488.38992 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 541.76996 Tm (Methodist Homes for the Aged)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (84)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 457.67999 m 565.60004 457.67999 l S 41.16 w 31.2 424.56 m 297.20001 424.56 l S 20.58 w 299.44998 434.84998 m 565.60004 434.84998 l S 299.44998 414.26999 m 432.51999 414.26999 l S 432.51999 414.26999 m 565.60004 414.26999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 446.25998 m 567.79999 446.25998 l S 28.99001 469.09 m 567.79999 469.09 l S 28.99001 446.25998 m 567.79999 446.25998 l S 28.99001 402.85001 m 567.79999 402.85001 l S 30.07001 470.16998 m 30.07001 401.76999 l S 298.32001 447.34 m 298.32001 401.76999 l S 566.71997 470.16998 m 566.71997 401.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 430.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 430.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 409.5 Tm (Under 65)Tj 1 0 0 1 435.37 409.5 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.06 m 297.30002 388.06 l S 299.54999 388.06 m 431.44998 388.06 l S 433.70001 388.06 m 565.60004 388.06 l S 35.16 w 31.2 357.94 m 297.30002 357.94 l S 299.54999 357.94 m 431.44998 357.94 l S 433.70001 357.94 m 565.60004 357.94 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 327.82001 m 565.60004 327.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 567.79999 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 399.47998 m 567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 599 0 obj 2214 endobj 600 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 601 0 obj 3588 endobj 602 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 603 0 obj 2148 endobj 604 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 605 0 obj 6011 endobj 606 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39993 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 607 0 obj 2015 endobj 608 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 609 0 obj 2094 endobj 610 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 611 0 obj 5511 endobj 612 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 613 0 obj 3136 endobj 614 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 615 0 obj 5552 endobj 616 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 617 0 obj 5162 endobj 618 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 619 0 obj 5104 endobj 620 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 621 0 obj 4635 endobj 622 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 623 0 obj 1628 endobj 624 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 625 0 obj 5411 endobj 626 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 627 0 obj 3497 endobj 628 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 629 0 obj 5472 endobj 630 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 631 0 obj 1801 endobj 632 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 633 0 obj 5412 endobj 634 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 635 0 obj 4945 endobj 636 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 637 0 obj 2449 endobj 638 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 639 0 obj 5476 endobj 640 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 641 0 obj 5017 endobj 642 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 643 0 obj 3106 endobj 644 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 645 0 obj 5454 endobj 646 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 647 0 obj 2499 endobj 648 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 649 0 obj 3079 endobj 650 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 651 0 obj 7000 endobj 652 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm 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60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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The following\ table explains )Tj 1 0 0 1 28.35001 662.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.14996 653.87 l S 22.69 320.22998 m 572.14996 320.22998 l S 22.7 653.87 m 22.7 320.22998 l S 572.14996 653.87 m 572.14996 320.22998 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57001 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57001 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.26996 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.26996 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 610.26996 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 533.38 m 562.45001 533.38 l S 1 1 1 RG 39.99001 w 29.47 513.38 m 563.57001 513.38 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 534.5 m 565.76996 534.5 l S 27.27 576.73999 m 565.76996 576.73999 l S 27.27 534.5 m 565.76996 534.5 l S 27.27 492.25998 m 565.76996 492.25998 l S 28.35001 577.82001 m 28.35001 491.17999 l S 564.70001 577.82001 m 564.70001 491.17999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82001 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.31998 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.31999 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 424.64999 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 393.35001 m 562.45001 393.35001 l S 1 1 1 RG 29.47 394.47 m 563.57001 394.47 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 415.59 m 565.76996 415.59 l S 27.27 373.35001 m 565.76996 373.35001 l S 28.35001 416.66998 m 28.35001 372.26999 l S 564.70001 416.66998 m 564.70001 372.26999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 356.53998 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 333.97998 m 562.45001 333.97998 l S 1 1 1 RG 29.47 335.10999 m 563.57001 335.10999 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 347.47998 m 565.76996 347.47998 l S 27.27 322.72998 m 565.76996 322.72998 l S 28.35001 348.54999 m 28.35001 321.64999 l S 564.70001 348.54999 m 564.70001 321.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.78998 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35001 285.17999 Tm (Copies of the)Tj 1 0 0 1 111.71001 285.17999 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 285.17999 Tm (\226 )Tj 1 0 0 1 302.34 285.17999 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 285.17999 Tm ( can be found )Tj 1 0 0 1 28.35001 267.67999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 250.17998 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 678 0 obj 3357 endobj 679 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 680 0 obj 8913 endobj 681 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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(West Midlands)Tj 1 0 0 1 273.04999 676.29999 Tm (CV3 4FE)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (02476506045)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (02476502260)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (home.abb@mha.org.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 546.53998 m 353.25 546.53998 l S 1 1 1 RG 355.5 546.53998 m 565.90002 546.53998 l S 0.99608 0.9451 0.76077 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.99608 0.9451 0.76077 RG 31.2 500.87988 m 353.25 500.87988 l S 1 1 1 RG 355.5 500.87988 m 565.90002 500.87988 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 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1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 682 0 obj 2214 endobj 683 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 684 0 obj 3588 endobj 685 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 686 0 obj 2148 endobj 687 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 688 0 obj 6010 endobj 689 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.3999 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 690 0 obj 2015 endobj 691 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 692 0 obj 2094 endobj 693 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 694 0 obj 5511 endobj 695 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 696 0 obj 3136 endobj 697 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 698 0 obj 5552 endobj 699 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 700 0 obj 5162 endobj 701 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 702 0 obj 5104 endobj 703 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 704 0 obj 4635 endobj 705 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 706 0 obj 1628 endobj 707 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 708 0 obj 5411 endobj 709 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 710 0 obj 3497 endobj 711 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 712 0 obj 5472 endobj 713 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 714 0 obj 1801 endobj 715 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 716 0 obj 5412 endobj 717 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 718 0 obj 4945 endobj 719 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 720 0 obj 2449 endobj 721 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 722 0 obj 5476 endobj 723 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 724 0 obj 5017 endobj 725 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 726 0 obj 3106 endobj 727 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 728 0 obj 5454 endobj 729 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 730 0 obj 2499 endobj 731 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 732 0 obj 3079 endobj 733 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 734 0 obj 7000 endobj 735 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm 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60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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The following\ table explains )Tj 1 0 0 1 28.35001 662.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.14996 653.87 l S 22.69 320.22998 m 572.14996 320.22998 l S 22.7 653.87 m 22.7 320.22998 l S 572.14996 653.87 m 572.14996 320.22998 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57001 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57001 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.26996 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.26996 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 610.26996 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 533.38 m 562.45001 533.38 l S 1 1 1 RG 39.99001 w 29.47 513.38 m 563.57001 513.38 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 534.5 m 565.76996 534.5 l S 27.27 576.73999 m 565.76996 576.73999 l S 27.27 534.5 m 565.76996 534.5 l S 27.27 492.25998 m 565.76996 492.25998 l S 28.35001 577.82001 m 28.35001 491.17999 l S 564.70001 577.82001 m 564.70001 491.17999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82001 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.31998 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.31999 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 424.64999 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 393.35001 m 562.45001 393.35001 l S 1 1 1 RG 29.47 394.47 m 563.57001 394.47 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 415.59 m 565.76996 415.59 l S 27.27 373.35001 m 565.76996 373.35001 l S 28.35001 416.66998 m 28.35001 372.26999 l S 564.70001 416.66998 m 564.70001 372.26999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 356.53998 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 333.97998 m 562.45001 333.97998 l S 1 1 1 RG 29.47 335.10999 m 563.57001 335.10999 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 347.47998 m 565.76996 347.47998 l S 27.27 322.72998 m 565.76996 322.72998 l S 28.35001 348.54999 m 28.35001 321.64999 l S 564.70001 348.54999 m 564.70001 321.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.78998 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35001 285.17999 Tm (Copies of the)Tj 1 0 0 1 111.71001 285.17999 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 285.17999 Tm (\226 )Tj 1 0 0 1 302.34 285.17999 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 285.17999 Tm ( can be found )Tj 1 0 0 1 28.35001 267.67999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 250.17998 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 980 0 obj 3357 endobj 981 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 982 0 obj 8913 endobj 983 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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(West Midlands)Tj 1 0 0 1 273.04999 676.29999 Tm (CV3 4FE)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (02476506045)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (02476502260)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (home.abb@mha.org.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 546.53998 m 353.25 546.53998 l S 1 1 1 RG 355.5 546.53998 m 565.90002 546.53998 l S 0.99608 0.9451 0.76077 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.99608 0.9451 0.76077 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 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Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 984 0 obj 2214 endobj 985 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 986 0 obj 3588 endobj 987 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 988 0 obj 2148 endobj 989 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 990 0 obj 6011 endobj 991 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 992 0 obj 2015 endobj 993 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 994 0 obj 2094 endobj 995 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 996 0 obj 5511 endobj 997 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 998 0 obj 3136 endobj 999 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1000 0 obj 5552 endobj 1001 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1002 0 obj 5162 endobj 1003 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1004 0 obj 5104 endobj 1005 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1006 0 obj 4635 endobj 1007 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1008 0 obj 1628 endobj 1009 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1010 0 obj 5411 endobj 1011 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1012 0 obj 3497 endobj 1013 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1014 0 obj 5472 endobj 1015 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1016 0 obj 1801 endobj 1017 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1018 0 obj 5412 endobj 1019 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1020 0 obj 4945 endobj 1021 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1022 0 obj 2449 endobj 1023 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1024 0 obj 5476 endobj 1025 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1026 0 obj 5017 endobj 1027 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1028 0 obj 3106 endobj 1029 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1030 0 obj 5454 endobj 1031 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1032 0 obj 2499 endobj 1033 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1034 0 obj 3079 endobj 1035 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1036 0 obj 7000 endobj 1037 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1048 0 obj 3357 endobj 1049 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1050 0 obj 8913 endobj 1051 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1052 0 obj 2214 endobj 1053 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1054 0 obj 3588 endobj 1055 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1056 0 obj 2148 endobj 1057 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1058 0 obj 6011 endobj 1059 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1060 0 obj 2015 endobj 1061 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1062 0 obj 2094 endobj 1063 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1064 0 obj 5511 endobj 1065 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1066 0 obj 3136 endobj 1067 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1068 0 obj 5552 endobj 1069 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1070 0 obj 5162 endobj 1071 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1072 0 obj 5104 endobj 1073 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1074 0 obj 4635 endobj 1075 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1076 0 obj 1628 endobj 1077 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1078 0 obj 5411 endobj 1079 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1080 0 obj 3497 endobj 1081 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1082 0 obj 5472 endobj 1083 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1084 0 obj 1801 endobj 1085 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1086 0 obj 5412 endobj 1087 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1088 0 obj 4945 endobj 1089 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1090 0 obj 2449 endobj 1091 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1092 0 obj 5476 endobj 1093 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1094 0 obj 5017 endobj 1095 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1096 0 obj 3106 endobj 1097 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1098 0 obj 5454 endobj 1099 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1100 0 obj 2499 endobj 1101 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1102 0 obj 3079 endobj 1103 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1104 0 obj 7000 endobj 1105 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1116 0 obj 3357 endobj 1117 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1118 0 obj 8913 endobj 1119 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1120 0 obj 2214 endobj 1121 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1122 0 obj 3588 endobj 1123 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1124 0 obj 2148 endobj 1125 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1126 0 obj 6011 endobj 1127 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1128 0 obj 2015 endobj 1129 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1130 0 obj 2094 endobj 1131 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1132 0 obj 5511 endobj 1133 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1134 0 obj 3136 endobj 1135 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1136 0 obj 5552 endobj 1137 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1138 0 obj 5162 endobj 1139 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1140 0 obj 5104 endobj 1141 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1142 0 obj 4635 endobj 1143 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1144 0 obj 1628 endobj 1145 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1146 0 obj 5411 endobj 1147 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1148 0 obj 3497 endobj 1149 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1150 0 obj 5472 endobj 1151 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1152 0 obj 1801 endobj 1153 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1154 0 obj 5412 endobj 1155 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1156 0 obj 4945 endobj 1157 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1158 0 obj 2449 endobj 1159 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1160 0 obj 5476 endobj 1161 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1162 0 obj 5017 endobj 1163 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1164 0 obj 3106 endobj 1165 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1166 0 obj 5454 endobj 1167 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1168 0 obj 2499 endobj 1169 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1170 0 obj 3079 endobj 1171 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1172 0 obj 7000 endobj 1173 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1184 0 obj 3357 endobj 1185 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1186 0 obj 8913 endobj 1187 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1188 0 obj 2214 endobj 1189 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1190 0 obj 3588 endobj 1191 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1192 0 obj 2148 endobj 1193 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1194 0 obj 6011 endobj 1195 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1196 0 obj 2015 endobj 1197 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1198 0 obj 2094 endobj 1199 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1200 0 obj 5511 endobj 1201 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1202 0 obj 3136 endobj 1203 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1204 0 obj 5552 endobj 1205 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1206 0 obj 5162 endobj 1207 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1208 0 obj 5104 endobj 1209 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1210 0 obj 4635 endobj 1211 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1212 0 obj 1628 endobj 1213 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1214 0 obj 5411 endobj 1215 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1216 0 obj 3497 endobj 1217 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1218 0 obj 5472 endobj 1219 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1220 0 obj 1801 endobj 1221 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1222 0 obj 5412 endobj 1223 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1224 0 obj 4945 endobj 1225 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1226 0 obj 2449 endobj 1227 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1228 0 obj 5476 endobj 1229 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1230 0 obj 5017 endobj 1231 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1232 0 obj 3106 endobj 1233 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1234 0 obj 5454 endobj 1235 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1236 0 obj 2499 endobj 1237 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1238 0 obj 3079 endobj 1239 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1240 0 obj 7000 endobj 1241 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1252 0 obj 3357 endobj 1253 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1254 0 obj 8913 endobj 1255 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1256 0 obj 2214 endobj 1257 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1258 0 obj 3588 endobj 1259 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1260 0 obj 2148 endobj 1261 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1262 0 obj 6011 endobj 1263 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1264 0 obj 2015 endobj 1265 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1266 0 obj 2094 endobj 1267 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1268 0 obj 5511 endobj 1269 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1270 0 obj 3136 endobj 1271 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1272 0 obj 5552 endobj 1273 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1274 0 obj 5162 endobj 1275 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1276 0 obj 5104 endobj 1277 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1278 0 obj 4635 endobj 1279 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1280 0 obj 1628 endobj 1281 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1282 0 obj 5411 endobj 1283 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1284 0 obj 3497 endobj 1285 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1286 0 obj 5472 endobj 1287 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1288 0 obj 1801 endobj 1289 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1290 0 obj 5412 endobj 1291 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1292 0 obj 4945 endobj 1293 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1294 0 obj 2449 endobj 1295 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1296 0 obj 5476 endobj 1297 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1298 0 obj 5017 endobj 1299 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1300 0 obj 3106 endobj 1301 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1302 0 obj 5454 endobj 1303 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1304 0 obj 2499 endobj 1305 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1306 0 obj 3079 endobj 1307 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1308 0 obj 7000 endobj 1309 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1320 0 obj 3357 endobj 1321 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1322 0 obj 8913 endobj 1323 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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567.79999 399.47998 l S 28.99001 376.64999 m 567.79999 376.64999 l S 28.99001 339.23999 m 567.79999 339.23999 l S 28.99001 316.41 m 568.10004 316.41 l S 28.99001 293.57999 m 568.10004 293.57999 l S 28.99001 227.00998 m 568.10004 227.00998 l S 30.07001 400.54999 m 30.07001 225.92998 l S 298.41998 400.54999 m 298.41998 338.16 l S 432.56998 400.54999 m 432.56998 338.16 l S 566.71997 400.54999 m 566.71997 225.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.28998 Tm (dementia)Tj 1 0 0 1 302.39999 383.28998 Tm (30)Tj 1 0 0 1 436.54999 383.28998 Tm (0)Tj 1 0 0 1 34.05 360.45999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.39999 360.45999 Tm (0)Tj 1 0 0 1 436.54999 360.45999 Tm (54)Tj 1 0 0 1 34.05 323.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 300.22 Tm (The maximum number of service users to be accommodated is:84. )Tj 1 0 0 1 34.05 277.38998 Tm (The registered person may provide personal care \(with nursing\) and acc\ ommodation )Tj 1 0 0 1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1324 0 obj 2214 endobj 1325 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1326 0 obj 3588 endobj 1327 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1328 0 obj 2148 endobj 1329 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1330 0 obj 6011 endobj 1331 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1332 0 obj 2015 endobj 1333 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1334 0 obj 2094 endobj 1335 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1336 0 obj 5511 endobj 1337 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1338 0 obj 3136 endobj 1339 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1340 0 obj 5552 endobj 1341 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1342 0 obj 5162 endobj 1343 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1344 0 obj 5104 endobj 1345 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1346 0 obj 4635 endobj 1347 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1348 0 obj 1628 endobj 1349 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1350 0 obj 5411 endobj 1351 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1352 0 obj 3497 endobj 1353 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1354 0 obj 5472 endobj 1355 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1356 0 obj 1801 endobj 1357 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1358 0 obj 5412 endobj 1359 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1360 0 obj 4945 endobj 1361 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1362 0 obj 2449 endobj 1363 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1364 0 obj 5476 endobj 1365 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1366 0 obj 5017 endobj 1367 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1368 0 obj 3106 endobj 1369 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1370 0 obj 5454 endobj 1371 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1372 0 obj 2499 endobj 1373 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1374 0 obj 3079 endobj 1375 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1376 0 obj 7000 endobj 1377 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj 1 0 0 1 28.35001 515.14996 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1384 0 obj 33691 endobj 1385 0 obj<>stream HlTXTW{ߠ̈1`֮ADTl*:)"b2`#+Du-5kT&$n߻O߀~ 88(xa!GXBm3*6.>4:yLԴq'L̜4yԬig̴ϚŜ/XhK.[b9k֮[!鬒6-[mwعk8xG9zO9{._Akoܼu{/|͠ nr ̥NqZ%,'H-s%WydyF^%؃=^.,ps?{ҕX~7@f9C9!0 g1d+ ieUVcu@ҍd-v(2LY`]c"X=8x_'{w(,vY[afپW/ע;Ϊ骏m<_;c qs1&ԍ@(e&ÐfBЌu6Ѯ@'X'h jPuR"{A=={w={`0wxf>TiRɨ<3AİF RB,9A) ZZpjffɕ45Jj% YsEγ{Ǩޠ)˻+uyjIEBQ 6[ԒVPK8]VSә&v%@w~9A>6Q&(` BuV„Yi")~ƸM%[Fl+ U4mjj"*Tr,ʅswv`KUF=QS*VLw8ڍ 4UXƸOlܹfd*zؘ4V&a$5V؅x4^fF 3g{cxުD̑vdaٵm'%8!gZU$<22;9tuhp2y xMXF'F^+16FB6 ?* > ֙xp[+ҠSO &G$u H@@ գXvI& ^ocK.E\5MT\Y(wL{ [(rk&8"y!&>G cu6g-'Jt>.m1(wDN[M'7gBҪ u};_3/4?xtnlұ~#ABP/C 8N.&\Teܳyw): dB0x]_WE2. 9 q-NԥNTkAC &;!3N1ـi]5|?u53Vxڲ['jc'_?y?[ N'quOW.ښMHJ55lwj5y{FR}[捷%}yKsjU8>$0 U2GBAiĮiKLOxicJx3",C7uβX&`OX,,Xg cq"2]ef *:y[=sE ;\l \([&3n(~RDaVz8i\{Nueg ]>e#tXs{?@U2|||.bEJJFVC {8%Yc#rAq; ʼnZ/u2Ǝ`t2W Ⱥ&s{YMVsl˜Cd 8ȍFv%)|]*1bZ0CwK.',gJc.jL3+jfH$ `Wb jDZ#q/υg&~tcO_~xxK&19C.[% Xt$0Ǭ;;fiftX!k+(w|h:Ea5_hzei=&H4AnYIPľٍ,jV$#n1+$EE9DH\su,b dRRk|Yǫ r阼Qd +<lkp}譵dKizȒ%Y--%?,ʫb`& ! %N L(m0i0)MSgI'i[r]H;Ys~O:Lt>D%CR@w&"SM~o09\E1_G@ٷbqJ}eRbAߐ 1c3N9Bs ' zdV41C͉:<&P=/aߝv~ھYzs σ[?>9IsSssKC?Xټ%Q4{+D;aԤrV 9Zki$I,lk*ENnH8|T2]$ *?(@4% BHǹ+fzљ {&tO˦6 (waאK]W?ݾO^q7?Y2^v#}q\Ph2.U U_rjmB袻TBjT&EVV ^WS@ViF+v>h)2d"Hɳ6E䒬D֤nA( sTo"z xr)dEX#OkFn@2K? 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do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 662.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.14996 653.87 l S 22.69 320.22998 m 572.14996 320.22998 l S 22.7 653.87 m 22.7 320.22998 l S 572.14996 653.87 m 572.14996 320.22998 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57001 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57001 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.26996 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.26996 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 610.26996 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 533.38 m 562.45001 533.38 l S 1 1 1 RG 39.99001 w 29.47 513.38 m 563.57001 513.38 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 534.5 m 565.76996 534.5 l S 27.27 576.73999 m 565.76996 576.73999 l S 27.27 534.5 m 565.76996 534.5 l S 27.27 492.25998 m 565.76996 492.25998 l S 28.35001 577.82001 m 28.35001 491.17999 l S 564.70001 577.82001 m 564.70001 491.17999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82001 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.31998 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.31999 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 424.64999 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 393.35001 m 562.45001 393.35001 l S 1 1 1 RG 29.47 394.47 m 563.57001 394.47 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 415.59 m 565.76996 415.59 l S 27.27 373.35001 m 565.76996 373.35001 l S 28.35001 416.66998 m 28.35001 372.26999 l S 564.70001 416.66998 m 564.70001 372.26999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 356.53998 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 333.97998 m 562.45001 333.97998 l S 1 1 1 RG 29.47 335.10999 m 563.57001 335.10999 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 347.47998 m 565.76996 347.47998 l S 27.27 322.72998 m 565.76996 322.72998 l S 28.35001 348.54999 m 28.35001 321.64999 l S 564.70001 348.54999 m 564.70001 321.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.78998 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35001 285.17999 Tm (Copies of the)Tj 1 0 0 1 111.71001 285.17999 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 285.17999 Tm (\226 )Tj 1 0 0 1 302.34 285.17999 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 285.17999 Tm ( can be found )Tj 1 0 0 1 28.35001 267.67999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 250.17998 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 1392 0 obj 3357 endobj 1393 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 1394 0 obj 8913 endobj 1395 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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1 34.05 262.81 Tm (for service users of both sexes whose primary care needs on admission to\ the home )Tj 1 0 0 1 34.05 248.23 Tm (are within the following categories. Old age not falling in any other ca\ tegory OP 84. )Tj 1 0 0 1 34.05 233.64998 Tm (Dementia DE 30. )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 212.22 m 315.25 212.22 l S 1 1 1 RG 317.5 212.22 m 346.54999 212.22 l S 348.80002 212.22 m 377.89999 212.22 l S 380.14999 212.22 m 409.20001 212.22 l S 411.44998 212.22 m 440.54999 212.22 l S 442.80002 212.22 m 471.89993 212.22 l S 474.14993 212.22 m 503.20001 212.22 l S 505.44998 212.22 m 534.54999 212.22 l S 536.79999 212.22 m 565.90002 212.22 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 223.62999 m 568.10004 223.62999 l S 28.99001 200.8 m 568.10004 200.8 l S 30.07001 224.70999 m 30.07001 199.73 l S 316.37 224.70999 m 316.37 199.73 l S 347.66998 224.70999 m 347.66998 199.73 l S 379.01999 224.70999 m 379.01999 199.73 l S 410.31998 224.70999 m 410.31998 199.73 l S 441.66998 224.70999 m 441.66998 199.73 l S 473.01999 224.70999 m 473.01999 199.73 l S 504.31998 224.70999 m 504.31998 199.73 l S 535.66998 224.70999 m 535.66998 199.73 l S 567.01996 224.70999 m 567.01996 199.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 207.45 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 188.92999 m 565.90002 188.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 179.3 m 568.10004 179.3 l S 30.07001 180.37999 m 30.07001 39.14999 l S 567.01996 180.37999 m 567.01996 39.14999 l S 28.99001 198.55 m 568.10004 198.55 l S 28.99001 179.3 m 568.10004 179.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 199.62999 m 30.07001 178.23 l S 567.01996 199.62999 m 567.01996 178.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 185.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 185.37 Tm (care home)Tj 1 0 0 1 35.5 166.12 Tm (Abbey Park Nursing Home is situated in close proximity to local shops, l\ ocal transport )Tj 1 0 0 1 35.5 149.12 Tm (services and other community amenities, which include places of worship \ and medical )Tj 1 0 0 1 35.5 132.12 Tm (services.)Tj 1 0 0 1 35.5 115.12 Tm (\240)Tj 1 0 0 1 35.5 98.12 Tm (The home provides nursing care in single accommodation with en suite fac\ ilities )Tj 1 0 0 1 35.5 81.12 Tm (situated on two floors for 84 residents. The home comprises of units pro\ viding care to )Tj 1 0 0 1 35.5 64.12 Tm (people with terminal illness; rehabilitation/ intermediate care; dementi\ a care and care )Tj 1 0 0 1 35.5 47.12 Tm (to those who are frail and elderly.)Tj ET endstream endobj 1396 0 obj 2214 endobj 1397 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 604.07996 l S 567.01996 795.47998 m 567.01996 604.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 605.14996 m 568.10004 605.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (\240)Tj 1 0 0 1 33.25 766.46997 Tm (There is a passenger lift. A garden area is available and easily accessi\ ble and a secure )Tj 1 0 0 1 33.25 749.46997 Tm (garden is available attached to the unit providing dementia care. Parkin\ g facilities for )Tj 1 0 0 1 33.25 732.46997 Tm (visitors are available to the side and front of the building.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information about the home is available in the home's 'Statement of Purp\ ose' and )Tj 1 0 0 1 33.25 681.46997 Tm (Service users Guide. The current range of fees charged by the home is: p\ rivate )Tj 1 0 0 1 33.25 664.46997 Tm (residents \(self funded\) 755 pounds to 855 pounds and for contracted be\ ds \(Local )Tj 1 0 0 1 33.25 647.46997 Tm (Authorities\) 571.71 pounds to 827.48 pounds per week. These charges inc\ lude the )Tj 1 0 0 1 33.25 630.46997 Tm (specialist services available on the different units, and are therefore \ dependant on )Tj 1 0 0 1 33.25 613.46997 Tm (assessment. Additional charges are made for hairdressing, newspapers and\ chiropody.)Tj 1 0 0 1 28.35001 593.08997 Tm (\240)Tj 1 0 0 1 28.35001 576.08997 Tm (\240)Tj ET endstream endobj 1398 0 obj 3588 endobj 1399 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 398 715.45001 Tm (one star adequate service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06998 m 567.84998 249.06998 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 1 star. This means that people wh\ o use the service )Tj 1 0 0 1 35.17 206.90001 Tm (experience adequate quality outcomes. This was a key unannounced inspect\ ion visit. )Tj 1 0 0 1 35.17 192.31999 Tm (This is the most thorough type of inspection when we look at al aspects \ of the service. )Tj 1 0 0 1 35.17 177.73999 Tm (We concentrated on how well the service performs against the outcomes fo\ r the key )Tj 1 0 0 1 35.17 163.14998 Tm (national minimum standards and the experiences people using the service \ have had.)Tj 1 0 0 1 35.17 148.56999 Tm (\240)Tj 1 0 0 1 35.17 133.98999 Tm (Before the inspection we looked at all the information we have about thi\ s service such )Tj 1 0 0 1 35.17 119.42 Tm (as information about concerns, complaints or allegations and incidents o\ r accidents. At )Tj 1 0 0 1 35.17 104.83 Tm (this inspection we used a range of methods to gather evidence about how \ well the )Tj 1 0 0 1 35.17 90.25 Tm (service meets the needs of people who use it. We sent questionnaires out\ to residents )Tj 1 0 0 1 35.17 75.68001 Tm (and their relatives, staff and health and social care professionals that\ visit the home to )Tj ET endstream endobj 1400 0 obj 2148 endobj 1401 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (support the care people who live in the home receive. We carried out an \ observational )Tj 1 0 0 1 32.92 788.13995 Tm (visit, which involved spending approximately three hours sitting in one \ of the lounges )Tj 1 0 0 1 32.92 773.56 Tm (in the home and observing and monitoring the wellbeing of residents, see\ ing how )Tj 1 0 0 1 32.92 758.97998 Tm (residents were treated and looked after. The observation visit also mean\ s we can focus )Tj 1 0 0 1 32.92 744.40002 Tm (on how much and what sort of interaction and engagement between resident\ s and )Tj 1 0 0 1 32.92 729.82001 Tm (between residents and staff takes place.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (We also looked at the environment and facilities provided. Records such \ as care plans )Tj 1 0 0 1 32.92 686.07996 Tm (and risk assessments, staff files, policies and procedures, health and s\ afety )Tj 1 0 0 1 32.92 671.5 Tm (environment checks and risk assessments were also read.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (During the inspection, the care of six residents who live in different u\ nits in the home )Tj 1 0 0 1 32.92 627.76001 Tm (was examined. This included speaking with the residents, reading assessm\ ents, care )Tj 1 0 0 1 32.92 613.17999 Tm (plans and other documentation, observing care offered to them and assess\ ing that )Tj 1 0 0 1 32.92 598.60004 Tm (staff have the necessary skills to care for them. This is part of a proc\ ess known as )Tj 1 0 0 1 32.92 584.01996 Tm ('case tracking' where evidence of their daily life in the home is matche\ d to outcomes )Tj 1 0 0 1 32.92 569.44 Tm (for the people using the service. Care plans and monitoring records of o\ ther residents )Tj 1 0 0 1 32.92 554.85999 Tm (were examined randomly.)Tj ET endstream endobj 1402 0 obj 6011 endobj 1403 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 108.06 w 33.82001 501.59 m 568.21997 501.59 l S 20.58 w 33.45 435.01999 m 570.10004 435.01999 l S 331.50998 w 34.57001 256.72998 m 568.96997 256.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 446.44 m 570.41998 446.44 l S 33.45 423.60999 m 570.10004 423.60999 l S 33.45 446.44 m 570.10004 446.44 l S 32.37 423.60999 m 571.16998 423.60999 l S 32.37 89.85001 m 571.16998 89.85001 l S 32.7 557.83002 m 32.7 445.35999 l S 33.45 424.69 m 33.45 88.77 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 445.35999 l S 570.10004 424.69 m 570.10004 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (The home provides up to date information in their Statement of Purpose a\ nd Service )Tj 1 0 0 1 35.17 761.17999 Tm (User Guide which will help people to make an informed decision on whethe\ r the )Tj 1 0 0 1 35.17 746.60004 Tm (services provided by the home can meet their needs.)Tj 1 0 0 1 35.17 732.01996 Tm (\240)Tj 1 0 0 1 35.17 717.44 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 35.17 702.85999 Tm (This helps to make residents feel relaxed and comfortable living in the \ home.)Tj 1 0 0 1 35.17 688.27997 Tm (\240)Tj 1 0 0 1 35.17 673.70001 Tm (Staff showed an awareness of how to meet the spiritual needs of people l\ iving in the )Tj 1 0 0 1 35.17 659.12 Tm (home based on residents individual preferences.)Tj 1 0 0 1 35.17 644.53998 Tm (\240)Tj 1 0 0 1 35.17 629.95996 Tm (When asked what the service does well residents and relatives told us:)Tj 1 0 0 1 35.17 615.38 Tm ("A good caring atmosphere with a good staff.")Tj 1 0 0 1 35.17 600.79999 Tm ("Everything")Tj 1 0 0 1 35.17 586.21997 Tm ("I can find no faults")Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 500.03998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Recruitment practices in the home offers residents and staff the opportu\ nity to be )Tj 1 0 0 1 36.67 525.97998 Tm (involved in the recruitment process. This will help to ensure that suita\ ble people that )Tj 1 0 0 1 36.67 511.39987 Tm (can work as part of a team are recruited to the home.)Tj 1 0 0 1 36.67 496.81998 Tm (\240)Tj 1 0 0 1 36.67 482.23999 Tm (With the support of the Speech and Language Therapist the home has intro\ duced )Tj 1 0 0 1 36.67 467.66 Tm (laminated cards to show staff examples of what minced, pureed and soft m\ eals should )Tj 1 0 0 1 36.67 453.07999 Tm (like. This will help residents to enjoy their food and help to maintain \ their appetite.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 500.03998 Tm (\240)Tj 1 0 0 1 31.2 433.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 430.25 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 255.17998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 407.41998 Tm (There were a number of areas where we identified that the home could do \ better:)Tj 1 0 0 1 37.42 392.84 Tm (\240)Tj 1 0 0 1 37.42 378.25998 Tm (The home needs to review their system of planning and documenting the ca\ re needs of )Tj 1 0 0 1 37.42 363.67999 Tm (residents. This will help them to make sure that peoples care needs are \ identified and )Tj 1 0 0 1 37.42 349.10001 Tm (reflect residents current individual care needs. We also noted that the \ home needs to )Tj 1 0 0 1 37.42 334.51999 Tm (make sure that people's care plans show clearly when when they have revi\ ewed )Tj 1 0 0 1 37.42 319.94 Tm (residents care needs. When reviewing the care plans the home must make s\ ure that )Tj 1 0 0 1 37.42 305.35999 Tm (they provide staff with detailed information on what staff need to do to\ meet the care )Tj 1 0 0 1 37.42 290.78 Tm (needs of people living in the home. This will make sure that people rece\ ive the care )Tj 1 0 0 1 37.42 276.20001 Tm (they need and help staff to meet the needs of people in their care safel\ y and in the )Tj 1 0 0 1 37.42 261.62 Tm (right way.)Tj 1 0 0 1 37.42 247.03998 Tm (\240)Tj 1 0 0 1 37.42 232.45999 Tm (The home needs to make sure that risk assessments completed for people w\ ho are )Tj 1 0 0 1 37.42 217.87999 Tm (identified as being at high risk of falling provides staff with the acti\ on they must take to )Tj 1 0 0 1 37.42 203.3 Tm (minimise the risk of the person falling. This will help to reduce the ri\ sk of the person )Tj 1 0 0 1 37.42 188.72 Tm (being harmed through injury.)Tj 1 0 0 1 37.42 174.14 Tm (\240)Tj 1 0 0 1 37.42 159.56 Tm (The home needs to provide a suitably sized storage cupboard for medicine\ s in the )Tj 1 0 0 1 37.42 144.98 Tm (home, which allows the safe and appropriate storage of all medicines ide\ ntified as )Tj 1 0 0 1 37.42 130.40001 Tm ('Controlled Drugs'.)Tj 1 0 0 1 37.42 115.82001 Tm (\240)Tj 1 0 0 1 37.42 101.24001 Tm (The home needs to make sure that regular checks are carried out around t\ he garden )Tj ET endstream endobj 1404 0 obj 2015 endobj 1405 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 90.48 w 34.57001 767.28998 m 568.96997 767.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 720.91998 m 571.16998 720.91998 l S 33.45 814.72998 m 33.45 719.84998 l S 570.10004 814.72998 m 570.10004 719.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (area outside the dementia care unit to make sure that it is safe for use\ by residents at )Tj 1 0 0 1 35.17 788.13995 Tm (all times.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (When we looked at staffing we observed that the number of staff availabl\ e to provide )Tj 1 0 0 1 35.17 744.40002 Tm (care for residents especially on the dementia unit needs to improve so t\ hat staff are )Tj 1 0 0 1 35.17 729.82001 Tm (able to spend time with residents, oberving and providing appropriate ca\ re.)Tj 1 0 0 1 28.35001 706.35999 Tm (\240)Tj 1 0 0 1 28.35001 686.37 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 686.37 Tm (care home)Tj 1 0 0 1 480.03998 686.37 Tm ( is taking )Tj 1 0 0 1 28.35001 668.87 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 648.88 Tm (\240)Tj 1 0 0 1 28.35001 628.88 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 628.88 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 628.88 Tm (You can get )Tj 1 0 0 1 28.35001 611.38 Tm (printed copies from )Tj 1 0 0 1 149.87 611.38 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 611.38 Tm (0870 240 )Tj 1 0 0 1 28.35001 593.89001 Tm (7535.)Tj ET endstream endobj 1406 0 obj 2094 endobj 1407 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1408 0 obj 5511 endobj 1409 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16995 m 565.84998 490.16995 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Information about the home provides details on the services the home pro\ vides. This )Tj 1 0 0 1 35.47 316.69 Tm (will help to make sure that people have current information about the ho\ me. The )Tj 1 0 0 1 531.08997 316.69 Tm (pre-)Tj 1 0 0 1 35.47 299.20001 Tm (admission)Tj 1 0 0 1 95.79001 299.20001 Tm ( assessment process has improved to make sure that peoples needs can be \ )Tj 1 0 0 1 35.47 281.70001 Tm (met before admission to the home.)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The home has a statement of purpose and service user guide. Copies of bo\ th )Tj 1 0 0 1 35.47 192.22 Tm (documents are available in the reception area and residents bedrooms. It\ was noted )Tj 1 0 0 1 35.47 174.72 Tm (that both documents provide up to date information to help residents mak\ e a decision )Tj 1 0 0 1 35.47 157.22 Tm (about the services provided by the home.)Tj 1 0 0 1 35.47 139.73 Tm (\240)Tj 1 0 0 1 35.47 122.23 Tm (The admission process was assessed for residents admitted to the home si\ nce the last )Tj 1 0 0 1 35.47 104.74001 Tm (key inspection visit. Pre-admission assessments showed that they were no\ t always )Tj 1 0 0 1 35.47 87.24001 Tm (signed and dated to demonstrate who had undertaken the assessments and w\ hen )Tj ET endstream endobj 1410 0 obj 3136 endobj 1411 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 408.78 w 33.45 607.01001 m 563.64996 607.01001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 387.41 w 32.32001 595.20001 m 564.77997 595.20001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 399.28998 l S 565.90002 791.10999 m 565.90002 399.28998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 400.37 m 566.97998 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (assessments had taken place. The pre-admission assessment forms show tha\ t if they )Tj 1 0 0 1 33.22 761.60004 Tm (are fully completed they would provide staff with in depth information f\ rom which to )Tj 1 0 0 1 33.22 744.10999 Tm (complete a plan of care which will meet the needs of people if they deci\ de to move into )Tj 1 0 0 1 33.22 726.60999 Tm (the home.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Two residents and their relatives told us that they were able to visit t\ he home before )Tj 1 0 0 1 33.22 674.12 Tm (making the decision to move in. These residents and some of their family\ members )Tj 1 0 0 1 33.22 656.63 Tm (said that they were asked a number of questions which involved discussin\ g their )Tj 1 0 0 1 33.22 639.13 Tm (health, equipment they used, eating habits and whether they were prone t\ o falls.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (The home also provides interim care, which allows the resident time to b\ e rehabilitated )Tj 1 0 0 1 33.22 586.64001 Tm (back into the community. The residents using this service usually stay i\ n the home for )Tj 1 0 0 1 33.22 569.14996 Tm (up to six weeks. During this time a plan of care is prepared to support \ their transfer )Tj 1 0 0 1 33.22 551.64996 Tm (back into the wider community. We were told that the home does not asses\ s the needs )Tj 1 0 0 1 33.22 534.14996 Tm (of people requiring immediate care and at times due to inaccurate or inc\ omplete )Tj 1 0 0 1 33.22 516.65997 Tm (information people are admitted outside of the agreed admission criteria\ . The manager )Tj 1 0 0 1 33.22 499.16 Tm (has told us that these issues have been discussed with the health and so\ cial care )Tj 1 0 0 1 33.22 481.66998 Tm (professionals involved in the care of people admitted to this unit and w\ ork is ongoing )Tj 1 0 0 1 33.22 464.16998 Tm (to improve the process. The system has been reviewed so that pre-admissi\ on )Tj 1 0 0 1 33.22 446.66998 Tm (assessments referrals are faxed through to the home when staff in the ho\ me can make )Tj 1 0 0 1 33.22 429.17999 Tm (an assessment based on what the Intermediate Care Team tell them in the \ )Tj 1 0 0 1 33.22 411.67999 Tm (assessment form.)Tj ET endstream endobj 1412 0 obj 5552 endobj 1413 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 402.73999 m 563.64996 402.73999 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 97.48 w 32.32001 391.5 m 564.77997 391.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 340.54999 l S 565.90002 442.44 m 565.90002 340.54999 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 341.63 m 566.97998 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (The healthcare needs and risks are not always fully identified for all r\ esidents. this )Tj 1 0 0 1 35.47 350.69 Tm (means that people living in the home could receive inappropriate care at\ times.)Tj ET 0.99608 0.9451 0.76077 RG 247.53998 w 33.45 191.98999 m 563.64996 191.98999 l S 1 1 1 RG 22.5 w 31.2 306.75998 m 565.90002 306.75998 l S 226.15999 w 32.32001 180.17999 m 564.77997 180.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 294.38998 m 566.97998 294.38998 l S 31.2 295.47 m 31.2 64.90001 l S 565.90002 295.47 m 565.90002 64.90001 l S 31.2 294.38998 m 565.90002 294.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 278.70001 Tm (Abbey Park Nursing Home is divided into five units where they provide ca\ re for up to )Tj 1 0 0 1 35.47 261.20999 Tm (84 residents. The level of health and wellbeing of resident's varies on \ each unit and )Tj 1 0 0 1 35.47 243.70999 Tm (this reflects the type of and level of care and support needed from staf\ f who work in )Tj 1 0 0 1 35.47 226.22 Tm (the home. The different units provides care for people who are frail and\ elderly, have )Tj 1 0 0 1 35.47 208.72 Tm (dementia, require end of life care and people admitted for rehabilitatio\ n before moving )Tj 1 0 0 1 35.47 191.22 Tm (back into the community.)Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (A health care professional raised concerns that some units in the home "\ function more )Tj 1 0 0 1 35.47 138.73999 Tm (efficiently depending on nursing staff in the unit, depending on their i\ nterest and )Tj 1 0 0 1 35.47 121.24001 Tm (training. The professional goes onto say "One unit currently has interme\ diate care step )Tj 1 0 0 1 35.47 103.74001 Tm (down, frail elderly and palliative beds; it is difficult for care staff \ to consistently meet )Tj 1 0 0 1 35.47 86.25 Tm (the needs of this range of residents." A further professional said that \ the home needs )Tj ET endstream endobj 1414 0 obj 5162 endobj 1415 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (to manage people with dementia that show challenging behaviour better. T\ he person )Tj 1 0 0 1 33.22 761.60004 Tm (also expressed that appropriate referrals are also not made where there \ are concerns )Tj 1 0 0 1 33.22 744.10999 Tm (about a residents challenging behaviour.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (We looked at the care plans for six residents who were followed through \ the case )Tj 1 0 0 1 33.22 691.62 Tm (tracking process. Each person had a care plan, which identifies their ca\ re needs based )Tj 1 0 0 1 33.22 674.12 Tm (on their activities of daily living. The plans of care are based on an i\ nitial pre admission )Tj 1 0 0 1 33.22 656.63 Tm (assessment of peoples' needs and a further admission assessment is carri\ ed out when )Tj 1 0 0 1 33.22 639.13 Tm (they are admitted to the home. One care plan for one of the residents we\ reviewed )Tj 1 0 0 1 33.22 621.63 Tm (showed that clear instructions had been given for staff on how to transf\ er the resident. )Tj 1 0 0 1 33.22 604.14001 Tm (The resident's mobility had been assessed and the outcome was that speci\ al identified )Tj 1 0 0 1 33.22 586.64001 Tm (moving equipment should be used to transfer the resident from their chai\ r to the bed )Tj 1 0 0 1 33.22 569.14996 Tm (for example. This equipment was seen to be used safely by staff when att\ ending to the )Tj 1 0 0 1 33.22 551.64996 Tm (resident's needs. completed and shortfalls in people's care plans and ri\ sk assessments )Tj 1 0 0 1 33.22 534.14996 Tm (were identified.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (There was not always sufficient information to give staff clear directio\ n about what )Tj 1 0 0 1 33.22 481.66998 Tm (they need to do to meet the individual needs and minimise risks to resid\ ents. For )Tj 1 0 0 1 33.22 464.16998 Tm (example there was no care plan or risk assessment in place for a residen\ t who was )Tj 1 0 0 1 33.22 446.66998 Tm (displaying behavioural problems by throwing items out of the window, whi\ ch was )Tj 1 0 0 1 33.22 429.17999 Tm (mainly food. The residents care plan on nutrition gave no suggestion tha\ t this person )Tj 1 0 0 1 33.22 411.67999 Tm (had eating problems. There was no evidence to show whether the resident \ puts )Tj 1 0 0 1 33.22 394.19 Tm (themselves at risk when they throw things out the window or others. When\ a member )Tj 1 0 0 1 33.22 376.69 Tm (of staff on the first floor dementia unit was asked about this they said\ that they did not )Tj 1 0 0 1 33.22 359.19 Tm (know that the resident threw things out the window. However staff on the\ ground floor )Tj 1 0 0 1 33.22 341.70001 Tm (dementia unit was able to tell us who the resident was. The evidence of \ old food stuck )Tj 1 0 0 1 33.22 324.20001 Tm (to the window frame suggests that this had been going on for sometime. T\ he nurse )Tj 1 0 0 1 33.22 306.70999 Tm (was unable to show us a care plan to demonstrate how staff should manage\ this )Tj 1 0 0 1 33.22 289.20999 Tm (person's behaviour.)Tj 1 0 0 1 33.22 271.70999 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (We noted that one resident had three care plans related to nutrition the\ se were dated )Tj 1 0 0 1 33.22 236.72 Tm (14/05/09, 22/07/08 and 03/06/08. Apart from the date it was not clear fr\ om reading )Tj 1 0 0 1 33.22 219.23 Tm (the care plans which of the care plans staff referred to when delivering\ care. Written )Tj 1 0 0 1 33.22 201.73 Tm (statements, observations and conversations with staff show that staff ar\ e referring to )Tj 1 0 0 1 33.22 184.23 Tm (all three. All care plans showed some duplication of information.)Tj 1 0 0 1 33.22 166.73999 Tm (\240)Tj 1 0 0 1 33.22 149.23999 Tm (A care plan written for a resident about their personal care needs state\ s "'X' \(Resident\) )Tj 1 0 0 1 33.22 131.75 Tm (is unable to maintain personal hygiene unaided. He will require staff to\ assist him." )Tj 1 0 0 1 33.22 114.25 Tm (The action plan on how staff should meet these needs gave no specific in\ structions on )Tj 1 0 0 1 33.22 96.75 Tm (what staff needed to do to meet these needs. For example there was no in\ dication as )Tj 1 0 0 1 33.22 79.25999 Tm (to whether the resident has a bath or shower or how many staff were need\ ed to assist )Tj ET endstream endobj 1416 0 obj 5104 endobj 1417 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (the resident.)Tj 1 0 0 1 33.22 761.60004 Tm (\240)Tj 1 0 0 1 33.22 744.10999 Tm (The home uses risk assessment tools to identify whether residents are at\ risk of )Tj 1 0 0 1 33.22 726.60999 Tm (developing pressure sores, poor nutrition or have an increased risk of f\ alls. When the )Tj 1 0 0 1 33.22 709.10999 Tm (outcome of the assessment identifies an increased risk, it was not alway\ s clear about )Tj 1 0 0 1 33.22 691.62 Tm (what action staff should take to minimise the risk. For example, one per\ son admitted )Tj 1 0 0 1 33.22 674.12 Tm (to the home was assessed as having a high risk of falling. The clinical \ risk assessment )Tj 1 0 0 1 33.22 656.63 Tm (contained a repeat of the action included in the person's mobility care \ plan. The risk )Tj 1 0 0 1 33.22 639.13 Tm (assessment said 'See plan 6' \(Mobility Support Plan\) which did not pro\ vide any )Tj 1 0 0 1 33.22 621.63 Tm (additional information on how to minimise the risk of this person fallin\ g. The risk )Tj 1 0 0 1 33.22 604.14001 Tm (assessment and care plan showed that they had been reviewed monthly. The\ last )Tj 1 0 0 1 33.22 586.64001 Tm (review was on the 20/06/09 each review indicated that there was "No chan\ ges to )Tj 1 0 0 1 33.22 569.14996 Tm (Action." However written statements in the care files told us that the r\ esident had a )Tj 1 0 0 1 33.22 551.64996 Tm (fall on three subsequent days and the resident was showing signs that th\ eir mobility )Tj 1 0 0 1 33.22 534.14996 Tm (had deteriorated. There was no evidence to show that the care plans had \ been )Tj 1 0 0 1 33.22 516.65997 Tm (updated to reflect this and also provide staff with information on any c\ hanges to the )Tj 1 0 0 1 33.22 499.16 Tm (persons care. This puts this person at risk of deterioration in their he\ alth and well )Tj 1 0 0 1 33.22 481.66998 Tm (being.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (Daily records to show what care people have received were not maintained\ on a daily )Tj 1 0 0 1 33.22 429.17999 Tm (basis. Some entries showed us that at times there were gaps of up to one\ week and )Tj 1 0 0 1 33.22 411.67999 Tm (more between the writing of daily statements. Written entries made were \ limited in )Tj 1 0 0 1 33.22 394.19 Tm (the information they provided and did not show what support the person h\ ad received. )Tj 1 0 0 1 33.22 376.69 Tm (Records of daily care were not easily accessible, which made it difficul\ t to follow any )Tj 1 0 0 1 33.22 359.19 Tm (care that the person may have received. Statements were not timed to sho\ w when )Tj 1 0 0 1 33.22 341.70001 Tm (they had been made and help when auditing the care people received.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Writing daily statements should provide details of the care and support \ people living in )Tj 1 0 0 1 33.22 289.20999 Tm (the home have received to meet their health, personal and social care ne\ eds and so )Tj 1 0 0 1 33.22 271.70999 Tm (reflect a person's daily well being and quality of life. These records w\ ill then provide )Tj 1 0 0 1 33.22 254.22 Tm (staff with the information they need to evaluate a person's care at leas\ t monthly and )Tj 1 0 0 1 33.22 236.72 Tm (provide up to date information when reviewing the plan of care with the \ resident and )Tj 1 0 0 1 33.22 219.23 Tm (or their relatives. In all of the care plans examined it was not clear t\ hat monthly )Tj 1 0 0 1 33.22 201.73 Tm (evaluations and reviews of care had been completed. Maintaining accurate\ and current )Tj 1 0 0 1 33.22 184.23 Tm (records will also provide the information needed to monitor the care del\ ivered to )Tj 1 0 0 1 33.22 166.73999 Tm (people living in the home and enable staff to communicate effectively an\ y changes in a )Tj 1 0 0 1 33.22 149.23999 Tm (person's care. Writing good meaningful daily statements will assist the \ home in making )Tj 1 0 0 1 33.22 131.75 Tm (sure that staff are meeting the individual care needs of people living i\ n the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Comments received from health care professionals that relate to care pla\ nning in the )Tj 1 0 0 1 33.22 79.25999 Tm (home include:)Tj ET endstream endobj 1418 0 obj 4635 endobj 1419 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm ("Documentation in care plans, particularly of weight and BMI \(Body Mass\ Index\)\) is )Tj 1 0 0 1 33.22 744.10999 Tm (variable as is the keeping of patient \(Resident\) food record charts. R\ ecommendations )Tj 1 0 0 1 33.22 726.60999 Tm (regarding dietary changes are not always acted on due to lack of communi\ cation )Tj 1 0 0 1 33.22 709.10999 Tm (between staff.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health care professional goes on to tell us that nutrition and dieta\ ry updates for )Tj 1 0 0 1 33.22 656.63 Tm (staff have recently been requested. The updates have been planned and it\ is thought )Tj 1 0 0 1 33.22 639.13 Tm (that these may help to address the issues.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Each person's care file contained a record of contact with or visits by \ Health Care )Tj 1 0 0 1 33.22 586.64001 Tm (Professionals. These confirmed that people living in the home have acces\ s to Health )Tj 1 0 0 1 33.22 569.14996 Tm (Care professionals such as the GP, Dietician, Optician, Chiropodist and \ Tissue Viability )Tj 1 0 0 1 33.22 551.64996 Tm (Nurse Specialist.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (We looked at the management of medicines in the Palliative Care Unit. A \ monitored )Tj 1 0 0 1 33.22 499.16 Tm (dosage \('blister packed'\) system is used. Medication is safely stored \ in locked trolleys, )Tj 1 0 0 1 33.22 481.66998 Tm (which are kept in a locked clinical room.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (A medicines fridge is available in the treatment room with daily recordi\ ngs of the )Tj 1 0 0 1 33.22 429.17999 Tm (temperature, which were within recommended limits. This will help to mak\ e sure that )Tj 1 0 0 1 33.22 411.67999 Tm (the stability of medicines that must be stored in a fridge are maintaine\ d.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (There are two CD cupboards to store CDs. One of the CD cupboards is too \ small for )Tj 1 0 0 1 33.22 359.19 Tm (the amount of drugs that need to be stored. The contents of the controll\ ed drug )Tj 1 0 0 1 33.22 341.70001 Tm (cabinet were audited against the controlled drug register and the quanti\ ties were )Tj 1 0 0 1 33.22 324.20001 Tm (correct. Nursing staff had undertaken daily audits of the contents of th\ e CD cupboard. )Tj 1 0 0 1 33.22 306.70999 Tm (Maintaining accurate records helps to ensure that medicines are maintain\ ed to comply )Tj 1 0 0 1 33.22 289.20999 Tm (with legislation and protect people from the risk of potential medicine \ administration )Tj 1 0 0 1 33.22 271.70999 Tm (errors.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (An audit of the medication prescribed for people involved in the case tr\ acking )Tj 1 0 0 1 33.22 219.23 Tm (demonstrated that medicines for one of the residents had not been given \ as )Tj 1 0 0 1 33.22 201.73 Tm (prescribed. The resident was prescribed two capsules daily. There were 5\ 6 capsules )Tj 1 0 0 1 33.22 184.23 Tm (supplied and received by the home. Five capsules had been administered o\ ver three )Tj 1 0 0 1 33.22 166.73999 Tm (days indicating that on one occasion the resident was only given one cap\ sule. )Tj 1 0 0 1 33.22 149.23999 Tm (Appropriate systems for the safe disposal of medicines are in place. Unu\ sed medicines )Tj 1 0 0 1 33.22 131.75 Tm (are checked and returned to the pharmacy.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (We observed good practice in the administration of medicines during a me\ dicine )Tj 1 0 0 1 33.22 79.25999 Tm (administration 'round'. A nurse was giving out the medicines to resident\ s during our )Tj ET endstream endobj 1420 0 obj 1628 endobj 1421 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 146.34 w 33.45 738.22998 m 563.64996 738.22998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 124.97 w 32.32001 726.41998 m 564.77997 726.41998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 661.72998 l S 565.90002 791.10999 m 565.90002 661.72998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 662.81 m 566.97998 662.81 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (observational visit. She always locked the drug trolley in between dispe\ nsing )Tj 1 0 0 1 33.22 761.60004 Tm (medicines for individual residents and made sure residents took their me\ dicines before )Tj 1 0 0 1 33.22 744.10999 Tm (signing the Medication Administration Record \(MAR\) chart.)Tj 1 0 0 1 33.22 726.60999 Tm (Staff had a sensitive, kind and caring attitude towards the people livin\ g in the home. )Tj 1 0 0 1 33.22 709.10999 Tm (Personal care was provided in private, residents were spoken to respectf\ ully by staff )Tj 1 0 0 1 33.22 691.62 Tm (and addressed by their preferred names. A relative told us "Staff are al\ ways friendly )Tj 1 0 0 1 33.22 674.12 Tm (and treat my dad with respect.")Tj ET endstream endobj 1422 0 obj 5411 endobj 1423 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The lifestyle and activities offered to people living in the home means \ that residents )Tj 1 0 0 1 35.47 384.69 Tm (have the opportunity to experience an enhanced daily quality of life. Re\ sidents benefit )Tj 1 0 0 1 35.47 367.20001 Tm (from a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (The home has employed an additional person to support the activities and\ )Tj 1 0 0 1 35.47 277.70999 Tm (entertainment programme for the home. A record of group and individual a\ ctivities is )Tj 1 0 0 1 35.47 260.22 Tm (maintained and photographs showing events that residents have taken part\ in are )Tj 1 0 0 1 35.47 242.72 Tm (displayed around the corridors and lounges in the home. Residents and re\ latives told )Tj 1 0 0 1 35.47 225.22 Tm (us that there are usually activities taking place in the home. On the da\ ys of the )Tj 1 0 0 1 35.47 207.73 Tm (inspection a church service had been planned which a number of residents\ were given )Tj 1 0 0 1 35.47 190.23 Tm (the choice to attend. On the second day a resident had reflexology treat\ ment which he )Tj 1 0 0 1 35.47 172.73999 Tm (appeared to have enjoyed.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (One resident told us, that they would like to see more activities and vi\ sits outside the )Tj 1 0 0 1 35.47 120.25 Tm (home. Staff speaking in their questionnaires also said that more social \ activities were )Tj 1 0 0 1 35.47 102.75 Tm (needed. The home proposes to introduce more one to one therapies with re\ sidents,)Tj 1 0 0 1 35.47 85.25999 Tm (\240)Tj ET endstream endobj 1424 0 obj 3497 endobj 1425 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (The home has an open visiting policy. People are encouraged to maintain \ links with )Tj 1 0 0 1 33.22 761.60004 Tm (their family and friends. Residents told us that visitors are made welco\ me and the )Tj 1 0 0 1 33.22 744.10999 Tm (visitor's record demonstrated that people can visit when they want to.)Tj 1 0 0 1 33.22 726.60999 Tm (\240)Tj 1 0 0 1 33.22 709.10999 Tm (Residents are encouraged to sit at tables in the dining area, which help\ s to encourage )Tj 1 0 0 1 33.22 691.62 Tm (a more social occasion for some of the residents who are able to have a \ conversation. )Tj 1 0 0 1 33.22 674.12 Tm (Care files examined contained completed nutrition assessments. Residents\ are offered )Tj 1 0 0 1 33.22 656.63 Tm (a choice of hot cooked meals at lunchtime and a light supper in the even\ ings. In )Tj 1 0 0 1 33.22 639.13 Tm (response to the question in questionnaires "Do you like the meals at the\ home? The )Tj 1 0 0 1 33.22 621.63 Tm (majority of resident's responded 'Always.' During the inspection visit o\ ther residents )Tj 1 0 0 1 33.22 604.14001 Tm (and relatives made positive comments about the food provided in the home\ . Telling )Tj 1 0 0 1 33.22 586.64001 Tm (us: "The food is good" "I usually have a good meal. Lunch is my favourit\ e." "I can ask )Tj 1 0 0 1 33.22 569.14996 Tm (for something else if I don't like what's on the menu.")Tj 1 0 0 1 33.22 551.64996 Tm (\240)Tj 1 0 0 1 33.22 534.14996 Tm (However, one relative did comment in their questionnaire that they felt \ that the meals )Tj 1 0 0 1 33.22 516.65997 Tm (served were not nutritionally balanced and repetitive especially at supp\ er time.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (A Dietician and Speech and Language Therapist are used by the home to re\ view and )Tj 1 0 0 1 33.22 464.16998 Tm (assess the nutritional needs and swallowing ability of people living in \ the home. )Tj 1 0 0 1 33.22 446.66998 Tm (Laminated cards have been developed by the Speech and Language Therapist\ to show )Tj 1 0 0 1 33.22 429.17999 Tm (staff examples of what minced, pureed and soft meals should like. The ca\ rds also show )Tj 1 0 0 1 33.22 411.67999 Tm (what foods can be provided in their existing format to residents without\ any further )Tj 1 0 0 1 33.22 394.19 Tm (processing. This is good practice and provides good guidance for kitchen\ and care staff )Tj 1 0 0 1 33.22 376.69 Tm (to follow. Residents assessed as needing specially prepared meals should\ have a more )Tj 1 0 0 1 33.22 359.19 Tm (enjoyable eating experience and help to maintain their appetite.)Tj ET endstream endobj 1426 0 obj 5472 endobj 1427 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 510.67996 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People using the services of the home are not confident that their conce\ rns will be )Tj 1 0 0 1 35.47 435.69 Tm (listened to and acted upon. There are systems in place to respond to sus\ picion or )Tj 1 0 0 1 35.47 418.20001 Tm (allegations of abuse to make sure people living in the home are protecte\ d from the risk )Tj 1 0 0 1 35.47 400.70001 Tm (of harm.)Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (A copy of the complaints procedure is displayed in the home this makes s\ ure that it is )Tj 1 0 0 1 35.47 311.22 Tm (accessible to people using the service or visiting the home. Residents s\ poken with, )Tj 1 0 0 1 35.47 293.72 Tm (information in the AQAA and questionnaires sent out told us that residen\ ts know how )Tj 1 0 0 1 35.47 276.22 Tm (to make a complaint and who to complain to. People spoken with in the ho\ me said that )Tj 1 0 0 1 35.47 258.72998 Tm (they would raise concerns with the manager or senior staff on duty. Ther\ e was some )Tj 1 0 0 1 35.47 241.23 Tm (concern expressed by relatives that their concerns are not always listen\ ed to and )Tj 1 0 0 1 35.47 223.73999 Tm (responded to objectively. Some residents and relatives in their question\ naires told us )Tj 1 0 0 1 35.47 206.23999 Tm (that they did not know how to make a formal complaint. Examination of so\ me of the )Tj 1 0 0 1 35.47 188.73999 Tm (complaints received since our last inspection visit identified that an a\ ppropriate )Tj 1 0 0 1 35.47 171.25 Tm (response is not always sent to the complainant to show that the complain\ t has been )Tj 1 0 0 1 35.47 153.75 Tm (fully resolved. We found that complaints were not always looked at objec\ tively to )Tj 1 0 0 1 35.47 136.25998 Tm (ensure a full response is given to complainants. The complaints log show\ s that )Tj 1 0 0 1 35.47 118.75999 Tm (complaints are also responded to by other members of the management team\ .)Tj 1 0 0 1 35.47 101.25999 Tm (\240)Tj 1 0 0 1 35.47 83.77 Tm (Residents looked comfortable in the home and comments received through )Tj ET endstream endobj 1428 0 obj 1801 endobj 1429 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 163.84 w 33.45 729.47998 m 563.64996 729.47998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 142.47 w 32.32001 717.66998 m 564.77997 717.66998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 644.23999 l S 565.90002 791.10999 m 565.90002 644.23999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 645.32001 m 566.97998 645.32001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (conversation with people using the service expressed that they felt safe\ in the home. )Tj 1 0 0 1 33.22 761.60004 Tm (The home has an adult protection policy. The document gives staff direct\ ion in how to )Tj 1 0 0 1 33.22 744.10999 Tm (respond to any suspicion, allegations or incidents of abuse. Information\ in the AQAA )Tj 1 0 0 1 33.22 726.60999 Tm (and details received through notifications show us that the manager has \ reported )Tj 1 0 0 1 33.22 709.10999 Tm (suspicions of abuse through the adult protection process. Training recor\ ds show that )Tj 1 0 0 1 33.22 691.62 Tm (staff have received training in recognising signs and symptoms of abuse.\ In )Tj 1 0 0 1 33.22 674.12 Tm (conversation staff working in the home showed an awareness of the role t\ he local )Tj 1 0 0 1 33.22 656.63 Tm (Social Services take in the event of receiving allegations of abuse.)Tj ET endstream endobj 1430 0 obj 5412 endobj 1431 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home is continuously maintained, however, some areas of the home do \ not ensure )Tj 1 0 0 1 35.47 418.69 Tm (that people live in a safe place at all times.)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17998 m 564.77997 214.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Abbey Park nursing home provides accommodation for up to 84 older men an\ d women )Tj 1 0 0 1 35.47 329.20999 Tm (over two floors. The home is split into five units. Two units provide ca\ re for up to 30 )Tj 1 0 0 1 35.47 311.70999 Tm (people who have been diagnosed with dementia and one unit provides care \ for up to )Tj 1 0 0 1 35.47 294.22 Tm (15 frail elderly residents. One of the two remaining units provides pall\ iative care for )Tj 1 0 0 1 35.47 276.72 Tm (people at the end stages of their life and the remaining unit is a rehab\ ilitation unit )Tj 1 0 0 1 35.47 259.22 Tm (equipped to provide interim care for people before they are transferred \ back into the )Tj 1 0 0 1 35.47 241.73 Tm (community.)Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.73999 Tm (The manager showed us around the home. It was noted that the home is gra\ dually )Tj 1 0 0 1 35.47 189.23999 Tm (being redecorated and refurbished to provide a comfortable environment f\ or people to )Tj 1 0 0 1 35.47 171.73999 Tm (live in. A programme of works looked at showed that continuous maintenan\ ce, )Tj 1 0 0 1 35.47 154.25 Tm (refurbishment and re-decoration is carried out in the home to make sure \ the home is )Tj 1 0 0 1 35.47 136.75 Tm (safe for use. Some of the accommodation and facilities in the home were \ seen while )Tj 1 0 0 1 35.47 119.25999 Tm (visiting and talking to residents and staff. Our observations did show h\ owever that a )Tj 1 0 0 1 35.47 101.75999 Tm (resident was sitting on their unmade bed in their bedroom with very litt\ le possessions )Tj 1 0 0 1 35.47 84.25999 Tm (to provide a comfortable environment.)Tj ET endstream endobj 1432 0 obj 4945 endobj 1433 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The garden areas around the home have been designed to consider the need\ s and )Tj 1 0 0 1 33.22 744.10999 Tm (health conditions of people living in the home. For example the garden a\ rea adjacent )Tj 1 0 0 1 33.22 726.60999 Tm (to the palliative care unit has scented planted flower beds. Small pets \ are also kept in )Tj 1 0 0 1 33.22 709.10999 Tm (this area; there are guinea pigs which the residents can help to look af\ ter. This would )Tj 1 0 0 1 33.22 691.62 Tm (provide good stimulation for residents in the home.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (On the first day of our inspection one of the residents was walking in t\ he garden area )Tj 1 0 0 1 33.22 639.13 Tm (adjacent to the dementia care unit lounge. The resident was attempting t\ o move a )Tj 1 0 0 1 33.22 621.63 Tm (bench which should have been weighted to anchor it to the ground and the\ re was a )Tj 1 0 0 1 33.22 604.14001 Tm (basin with stagnant water, dead insects and debris, which the resident w\ as putting )Tj 1 0 0 1 33.22 586.64001 Tm (their hands in. These issues were discussed with the manager and staff. \ At this time )Tj 1 0 0 1 33.22 569.14996 Tm (there were no staff in the lounge, which overlooks the garden area obser\ ving the )Tj 1 0 0 1 33.22 551.64996 Tm (residents.)Tj 1 0 0 1 33.22 534.14996 Tm (\240)Tj 1 0 0 1 33.22 516.65997 Tm (The chair had been replaced on the second day of our inspection and the \ manager )Tj 1 0 0 1 33.22 499.16 Tm (advised that the chair would be secured to the ground. However the tray \ containing )Tj 1 0 0 1 33.22 481.66998 Tm (the stagnant water was still there. We asked a member of staff to remove\ it.)Tj 1 0 0 1 33.22 464.16998 Tm (\240)Tj 1 0 0 1 33.22 446.66998 Tm (The home was clean and there were no unpleasant odours on the day of the\ )Tj 1 0 0 1 33.22 429.17999 Tm (inspection. Residents spoken with were all generally happy with the clea\ nliness of the )Tj 1 0 0 1 33.22 411.67999 Tm (home, especially with reference to their own bedrooms. Some of the resid\ ents have )Tj 1 0 0 1 33.22 394.19 Tm (taken the opportunity to bring in some of their own personal items this \ has helped to )Tj 1 0 0 1 33.22 376.69 Tm (make their bedrooms comfortable. A number of bedrooms have matching curt\ ains and )Tj 1 0 0 1 33.22 359.19 Tm (bed linen and have been finished to match the tastes of individual resid\ ents. However )Tj 1 0 0 1 33.22 341.70001 Tm (some bedrooms viewed did not present as warm, comfortable and homely.)Tj 1 0 0 1 33.22 324.20001 Tm (\240)Tj 1 0 0 1 33.22 306.70999 Tm (Equipment is available to assist residents and staff in the delivery of \ personal care, )Tj 1 0 0 1 33.22 289.20999 Tm (which includes assisted baths, moving and handling equipment for example\ , hoists. )Tj 1 0 0 1 33.22 271.70999 Tm (The home has adapted a bathroom to provide a therapy room. The bathroom \ is well )Tj 1 0 0 1 33.22 254.22 Tm (decorated has low lighting to help provide a tranquil and quiet environm\ ent where )Tj 1 0 0 1 33.22 236.72 Tm (people can relax while having a bath. Pressure relieving equipment such \ as cushions )Tj 1 0 0 1 33.22 219.23 Tm (and various types of mattress are available for people who have an ident\ ified need for )Tj 1 0 0 1 33.22 201.73 Tm (them.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.73999 Tm (The home was very hot on the day of the inspection. It was a hot sunny d\ ay and staff )Tj 1 0 0 1 33.22 149.23999 Tm (in the home had done their best by using large fans which were in use in\ resident )Tj 1 0 0 1 33.22 131.75 Tm (areas and opening patio door on the ground floors and windows on the fir\ st floor. The )Tj 1 0 0 1 33.22 114.25 Tm (home also purchased two portable air conditioning units. All remedies of\ fered some )Tj 1 0 0 1 33.22 96.75 Tm (relief but were not very effective, especially on the first floor of the\ home. Residents )Tj 1 0 0 1 33.22 79.25999 Tm (were dressed in suitable clothing that would help them to stay cool. Som\ e residents )Tj ET endstream endobj 1434 0 obj 2449 endobj 1435 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 303.81 w 33.45 659.5 m 563.64996 659.5 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 282.44 w 32.32001 647.69 m 564.77997 647.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 504.26999 l S 565.90002 791.10999 m 565.90002 504.26999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 505.34998 m 566.97998 505.34998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (and relatives told us that the home was hot "There's more air outside, t\ he fan's are )Tj 1 0 0 1 33.22 761.60004 Tm (even producing warm air.")Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Systems are in place to manage the control of infection. Protective clot\ hing such as )Tj 1 0 0 1 33.22 709.10999 Tm (plastic gloves and aprons were available and arrangements are in place f\ or the )Tj 1 0 0 1 33.22 691.62 Tm (disposal of waste. The laundry room provides adequate facilities for the\ appropriate )Tj 1 0 0 1 33.22 674.12 Tm (laundering of resident's clothes to a good standard. Residents and relat\ ives did not )Tj 1 0 0 1 33.22 656.63 Tm (express any concerns about their clothes being laundered by staff in the\ home.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There is a well-equipped kitchen and on the day of the inspection the Co\ ok was well )Tj 1 0 0 1 33.22 604.14001 Tm (organised and the kitchen was clean and tidy. There is a food store just\ outside the )Tj 1 0 0 1 33.22 586.64001 Tm (kitchen where food \(Vegetables\) is stored. These were open during the \ inspection and )Tj 1 0 0 1 33.22 569.14996 Tm (food products had not been securely closed to prevent the risk of anythi\ ng getting into )Tj 1 0 0 1 33.22 551.64996 Tm (the containers. Records examined related to daily, weekly and monthly cl\ eaning in the )Tj 1 0 0 1 33.22 534.14996 Tm (kitchen had been completed to show that the cleaning and temperature che\ cks had )Tj 1 0 0 1 33.22 516.65997 Tm (been made.)Tj ET endstream endobj 1436 0 obj 5476 endobj 1437 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.45999 w 33.45 444.5 m 563.64996 444.5 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 149.97 w 32.32001 433.25 m 564.77997 433.25 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 356.06998 l S 565.90002 510.44 m 565.90002 356.06998 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 357.13998 m 566.97998 357.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (poor)Tj 0 Tr 1 0 0 1 289.41998 493.67999 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.17999 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Staffing levels in the home are not sufficient on the dementia care unit\ s to make sure )Tj 1 0 0 1 35.47 418.69 Tm (that residents are not left unattended for long periods of time. Staff a\ re not up to date )Tj 1 0 0 1 35.47 401.20001 Tm (with statutory training, which means that residents cannot benefit from \ being cared for )Tj 1 0 0 1 35.47 383.70001 Tm (by well trained staff. People living in the home can be confident that a\ ppropriate )Tj 1 0 0 1 35.47 366.20001 Tm (checks have been done to make sure that staff are suitable to care for t\ hem.)Tj ET 0.99608 0.9451 0.76077 RG 263.04999 w 33.45 199.75 m 563.64996 199.75 l S 1 1 1 RG 22.5 w 31.2 322.26999 m 565.90002 322.26999 l S 241.67998 w 32.32001 187.94 m 564.77997 187.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 309.89999 m 566.97998 309.89999 l S 31.2 310.97998 m 31.2 64.90001 l S 565.90002 310.97998 m 565.90002 64.90001 l S 31.2 309.89999 m 565.90002 309.89999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 318.95999 Tm (Evidence:)Tj 1 0 0 1 35.47 294.22 Tm (We observed on the first day of the inspection that there were not suffi\ cient staff on )Tj 1 0 0 1 35.47 276.72 Tm (the ground floor dementia unit to help residents who needed assistance w\ ith eating )Tj 1 0 0 1 35.47 259.22 Tm (their meals. At this inspection we visited the unit to see a resident. W\ e called but we )Tj 1 0 0 1 35.47 241.73 Tm (could not find any staff in the immediate area. Another resident was wal\ king about in )Tj 1 0 0 1 35.47 224.23 Tm (the secure garden area adjacent to the homes the resident did not have a\ ny shoes on. )Tj 1 0 0 1 35.47 206.73999 Tm (There were two care staff working on the unit both were busy with other \ residents. )Tj 1 0 0 1 35.47 189.23999 Tm (This observation was discussed with the manager. A family member visitin\ g was )Tj 1 0 0 1 35.47 171.73999 Tm (feeding their relative they told us about their concerns about staffing \ levels in the )Tj 1 0 0 1 35.47 154.25 Tm (home especially on the dementia care unit. The person was quite upset as\ they felt )Tj 1 0 0 1 35.47 136.75 Tm (that additional staff had been put on the unit because of our visit, whi\ ch was not the )Tj 1 0 0 1 35.47 119.25999 Tm (usual practice.)Tj 1 0 0 1 35.47 101.75999 Tm (\240)Tj 1 0 0 1 35.47 84.25999 Tm (As reported in the environment section of this report a resident was att\ empting to )Tj ET endstream endobj 1438 0 obj 5017 endobj 1439 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (move a bench which should have been weighted to anchor it to the ground \ and there )Tj 1 0 0 1 33.22 761.60004 Tm (was a basin with stagnant water, which the resident was putting their ha\ nds in. At this )Tj 1 0 0 1 33.22 744.10999 Tm (time there were no staff in the lounge, which overlooks the garden area \ observing the )Tj 1 0 0 1 33.22 726.60999 Tm (residents. The chair had been replaced on the second day of our inspecti\ on and the )Tj 1 0 0 1 33.22 709.10999 Tm (manager advised that the chair would be secured to the ground. However t\ he tray )Tj 1 0 0 1 33.22 691.62 Tm (containing the stagnant water was still there. We asked a member of staf\ f to remove )Tj 1 0 0 1 33.22 674.12 Tm (it.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We made the decision to revisit the home to carry out an observational v\ isit. This )Tj 1 0 0 1 33.22 621.63 Tm (involves sitting in an area of the lounge and observing the well being o\ f identified )Tj 1 0 0 1 33.22 604.14001 Tm (residents, the engagement and interaction between residents and resident\ s and staff )Tj 1 0 0 1 33.22 586.64001 Tm (plus noting any other activity taking place while the resident is in the\ lounge. This )Tj 1 0 0 1 33.22 569.14996 Tm (observation took place over approximately 90 minutes. Our findings showe\ d that some )Tj 1 0 0 1 33.22 551.64996 Tm (residents engaged with each other although this may not have been intent\ ional as )Tj 1 0 0 1 33.22 534.14996 Tm (they spoke about different things, engagement was mainly through touch, \ smiling or )Tj 1 0 0 1 33.22 516.65997 Tm (looking at each other. When staff and resident interaction and engagemen\ t happened )Tj 1 0 0 1 33.22 499.16 Tm (with residents this was done on most occasions in a very positive way. T\ here were two )Tj 1 0 0 1 33.22 481.66998 Tm (carers and one nurse working on the unit. The nurse was involved in givi\ ng out the )Tj 1 0 0 1 33.22 464.16998 Tm (medicines. There were a number of times when the lounge was left unatten\ ded. A )Tj 1 0 0 1 33.22 446.66998 Tm (number of residents liked to walk around the unit. One resident came int\ o the lounge )Tj 1 0 0 1 33.22 429.17999 Tm (with some talcum powder, there were no staff to make sure that the resid\ ent did not )Tj 1 0 0 1 33.22 411.67999 Tm (do anything inappropriate with the talc.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The manager told us that she would be looking at ways that staffing leve\ ls could be )Tj 1 0 0 1 33.22 359.19 Tm (increased. The manager would need to look at staffing levels in relation\ to the )Tj 1 0 0 1 33.22 341.70001 Tm (dependency levels of people living in the home and not just based on num\ bers. Our )Tj 1 0 0 1 33.22 324.20001 Tm (observational visit showed that there was not sufficient staff at all ti\ mes to make sure )Tj 1 0 0 1 33.22 306.70999 Tm (that residents were safe at all times. The lounge was left unattended at\ times while )Tj 1 0 0 1 33.22 289.20999 Tm (staff attended to the care of people in their bedrooms. Residents that h\ ad been )Tj 1 0 0 1 33.22 271.70999 Tm (identified in their care plans as needing monitoring or close observatio\ n, which )Tj 1 0 0 1 33.22 254.22 Tm (includes residents with behavioural problems were left unsupervised.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (Nurse and care staff levels in other units in the home appear to be suff\ icient for the )Tj 1 0 0 1 33.22 201.73 Tm (number of residents living in the home at the time of this inspection vi\ sit. Other staff )Tj 1 0 0 1 33.22 184.23 Tm (working in the home includes admin, laundry, housekeeping, maintenance a\ nd kitchen )Tj 1 0 0 1 33.22 166.73999 Tm (staff. The hours worked by the home manager and deputy manager are not i\ ncluded )Tj 1 0 0 1 33.22 149.23999 Tm (on the duty rota. This does not demonstrate to us what management hours \ are )Tj 1 0 0 1 33.22 131.75 Tm (provided in the home.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (One resident told us, "The staff are wonderful, they really look after m\ e.")Tj 1 0 0 1 33.22 79.25999 Tm (\240)Tj ET endstream endobj 1440 0 obj 3106 endobj 1441 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 391.28998 w 33.45 615.76001 m 563.64996 615.76001 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 369.91998 w 32.32001 603.95001 m 564.77997 603.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 416.78998 l S 565.90002 791.10999 m 565.90002 416.78998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 417.87 m 566.97998 417.87 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (Training records and information in the AQAA show that of the 65 permane\ nt care staff )Tj 1 0 0 1 33.22 761.60004 Tm (employed in the home 53 \(81.5 percent\) have a qualification in care at\ NVQ \(National )Tj 1 0 0 1 33.22 744.10999 Tm (Vocational Qualification\) level two or above. Information in the AQAA t\ old us that other )Tj 1 0 0 1 33.22 726.60999 Tm (care staff are currently working towards the award.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The personnel files of four recently recruited staff were examined. The \ files showed )Tj 1 0 0 1 33.22 674.12 Tm (that they contained evidence that satisfactory pre employment checks suc\ h as )Tj 1 0 0 1 33.22 656.63 Tm (Criminal Record Bureau \(CRB\) and Protection of Vulnerable Adult \(PoVA\ \) had been )Tj 1 0 0 1 33.22 639.13 Tm (carried out. Two references were obtained for all staff. Ensuring consis\ tent and robust )Tj 1 0 0 1 33.22 621.63 Tm (recruitment procedures are followed before staff start working in the ho\ me helps to )Tj 1 0 0 1 33.22 604.14001 Tm (make sure that people living in the home are protected from the risk of \ abuse.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Staff spoken with at the time of the inspection were able to tell us tha\ t they had )Tj 1 0 0 1 33.22 551.64996 Tm (received recent statutory training in moving and handling, fire and heal\ th and safety. )Tj 1 0 0 1 33.22 534.14996 Tm (However training records examined show that more than half the staff are\ not up to )Tj 1 0 0 1 33.22 516.65997 Tm (date with some statutory training requirements. For example the training\ matrix )Tj 1 0 0 1 33.22 499.16 Tm (identifies that nine staff member's last attended fire training in April\ 2007. The training )Tj 1 0 0 1 33.22 481.66998 Tm (records also show for example that not all staff have received up to dat\ e training in )Tj 1 0 0 1 33.22 464.16998 Tm (abuse awareness and infection control. This means that not all staff are\ up to date in )Tj 1 0 0 1 33.22 446.66998 Tm (safe working practice which could have an impact on the level of care re\ ceived by )Tj 1 0 0 1 33.22 429.17999 Tm (people living in the home. )Tj ET endstream endobj 1442 0 obj 5454 endobj 1443 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16995 m 565.84998 507.16995 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 377 m 563.64996 377 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 114.98 w 32.32001 365.75 m 564.77997 365.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 306.06 l S 565.90002 425.44 m 565.90002 306.06 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 307.13998 m 566.97998 307.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is managed by an experienced, competent person, however some pr\ actices )Tj 1 0 0 1 35.47 333.69 Tm (carried out in the home do not always ensure that the service is run in \ the best )Tj 1 0 0 1 35.47 316.20001 Tm (interests of people living in the home.)Tj ET 0.99608 0.9451 0.76077 RG 213.03998 w 33.45 174.73999 m 563.64996 174.73999 l S 1 1 1 RG 22.5 w 31.2 272.26999 m 565.90002 272.26999 l S 191.67 w 32.32001 162.92999 m 564.77997 162.92999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.88998 m 566.97998 259.88998 l S 31.2 260.97 m 31.2 64.90001 l S 565.90002 260.97 m 565.90002 64.90001 l S 31.2 259.88998 m 565.90002 259.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 244.20999 Tm (The registered manager was present on both days of the inspection. The m\ anager was )Tj 1 0 0 1 35.47 226.70999 Tm (seen to be attentive towards the residents. She has the necessary experi\ ence to run )Tj 1 0 0 1 35.47 209.22 Tm (the home. The manager has completed the Registered Manager Award and rec\ ently )Tj 1 0 0 1 35.47 191.72 Tm (completed a diploma in a dementia care. The manager is responsible for t\ he care )Tj 1 0 0 1 35.47 174.22 Tm (practices in the home and the overall day to day management of the care \ home.)Tj 1 0 0 1 35.47 156.73 Tm (\240)Tj 1 0 0 1 35.47 139.23 Tm (Some of the residents and relatives are aware of the lines of accountabi\ lity within the )Tj 1 0 0 1 35.47 121.74001 Tm (home. The manager has the support of a deputy manager. The home has supp\ ort from )Tj 1 0 0 1 35.47 104.24001 Tm (an administrator who helps in the day to day running of the home. Staff \ spoken with )Tj 1 0 0 1 35.47 86.74001 Tm (said that the management team are approachable.)Tj ET endstream endobj 1444 0 obj 2499 endobj 1445 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 321.30002 w 33.45 650.75 m 563.64996 650.75 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 299.92999 w 32.32001 638.94 m 564.77997 638.94 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 486.76999 l S 565.90002 791.10999 m 565.90002 486.76999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 487.84998 m 566.97998 487.84998 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The organisation Methodist Homes use a formal quality assurance system t\ o assess )Tj 1 0 0 1 33.22 744.10999 Tm (the services provided by the home. A copy of the outcome of the last qua\ lity review )Tj 1 0 0 1 33.22 726.60999 Tm (evidenced that audits are carried out on the services provided in the ho\ me and )Tj 1 0 0 1 33.22 709.10999 Tm (identifies areas for improvement. Action plans are developed for making \ improvements )Tj 1 0 0 1 33.22 691.62 Tm (and are reviewed to monitor progress. Residents and relatives meetings a\ re held and )Tj 1 0 0 1 33.22 674.12 Tm (the outcome used to support improvements in the home.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The personal monies of people living in the home are kept securely in se\ parate bags )Tj 1 0 0 1 33.22 621.63 Tm (and accurate records of income and expenditure are maintained. An audit \ of the )Tj 1 0 0 1 33.22 604.14001 Tm (personal monies of residents followed through the case tracking process \ was found to )Tj 1 0 0 1 33.22 586.64001 Tm (be correct.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Information sent to us in the AQAA tells us that equipment is serviced o\ r tested as )Tj 1 0 0 1 33.22 534.14996 Tm (recommended by the manufacturer or other regulatory body. Evidence was s\ ampled at )Tj 1 0 0 1 33.22 516.65997 Tm (random to confirm this. For example, hoists, gas appliances, fire risk a\ ssessment and )Tj 1 0 0 1 33.22 499.16 Tm (checking of fire equipment had been made. The fire alarm is tested weekl\ y.)Tj ET endstream endobj 1446 0 obj 3079 endobj 1447 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 1448 0 obj 7000 endobj 1449 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 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476.04999 196.62999 m 566.10004 196.62999 l S 71.98 w 31.2 98.89 m 91.05 98.89 l S 93.3 98.89 m 197.40001 98.89 l S 199.64998 98.89 m 289.44998 98.89 l S 291.70001 98.89 m 473.80002 98.89 l S 476.04999 98.89 m 566.10004 98.89 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.40002 550.76001 l S 92.12 584.39001 m 92.12 377.42999 l S 290.62 584.39001 m 290.62 377.42999 l S 475.01999 584.39001 m 475.01999 377.42999 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 652.29999 m 568.40002 652.29999 l S 28.99001 583.31 m 568.40002 583.31 l S 28.99001 550.76001 m 568.29999 550.76001 l S 28.99001 378.50998 m 568.29999 378.50998 l S 28.99001 257.25998 m 568.29999 257.25998 l S 28.99001 136.00998 m 568.29999 136.00998 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 653.38 m 30.07001 60.7 l S 92.17 551.83997 m 92.17 60.7 l S 198.51999 584.39001 m 198.51999 60.7 l S 290.57001 551.83997 m 290.57001 60.7 l S 474.91998 551.83997 m 474.91998 60.7 l S 567.32001 653.38 m 567.32001 60.7 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 639.10999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 619.10999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 604.52997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 604.52997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 589.95001 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 572.13 Tm (No.)Tj 1 0 0 1 96.10001 569.13 Tm (Standard)Tj 1 0 0 1 202.5 569.13 Tm (Regulation)Tj 1 0 0 1 294.60001 569.13 Tm (Requirement)Tj 1 0 0 1 479 569.13 Tm (Timescale for )Tj 1 0 0 1 479 556.97998 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 537.57001 Tm (1)Tj 1 0 0 1 99.3 537.57001 Tm (7)Tj 1 0 0 1 201.55 537.57001 Tm (15)Tj 1 0 0 1 298.04999 537.57001 Tm (Care plans must provide )Tj 1 0 0 1 298.04999 520.57001 Tm (staff with detailed )Tj 1 0 0 1 298.04999 503.56998 Tm (information on what they )Tj 1 0 0 1 298.04999 486.56998 Tm (need to do to meet the care )Tj 1 0 0 1 298.04999 469.56998 Tm (needs of people living in the )Tj 1 0 0 1 298.04999 452.56998 Tm (home. )Tj 1 0 0 1 298.04999 435.56998 Tm (\240)Tj 1 0 0 1 298.04999 418.56998 Tm (This will make sure that )Tj 1 0 0 1 298.04999 401.56998 Tm (people receive the care they )Tj 1 0 0 1 298.04999 384.56998 Tm (need.)Tj 1 0 0 1 482.10001 537.57001 Tm (21/08/2009)Tj 1 0 0 1 554.04999 537.57001 Tm (\240)Tj 1 0 0 1 35.5 365.31998 Tm (2)Tj 1 0 0 1 99.3 365.31998 Tm (7)Tj 1 0 0 1 201.55 365.31998 Tm (15)Tj 1 0 0 1 298.04999 365.31998 Tm (Care plans must show )Tj 1 0 0 1 298.04999 348.32001 Tm (clearly when residents care )Tj 1 0 0 1 298.04999 331.32001 Tm (needs have been reviewed.)Tj 1 0 0 1 298.04999 314.32001 Tm (\240)Tj 1 0 0 1 298.04999 297.32001 Tm (This will help to make sure )Tj 1 0 0 1 298.04999 280.32001 Tm (that people receive safe and )Tj 1 0 0 1 298.04999 263.32001 Tm (appropriate care at all times.)Tj 1 0 0 1 482.10001 365.31998 Tm (21/08/2009)Tj 1 0 0 1 554.04999 365.31998 Tm (\240)Tj 1 0 0 1 35.5 244.06998 Tm (3)Tj 1 0 0 1 99.3 244.06998 Tm (7)Tj 1 0 0 1 201.55 244.06998 Tm (15)Tj 1 0 0 1 298.04999 244.06998 Tm (Care plans must be updated )Tj 1 0 0 1 298.04999 227.06998 Tm (to show the changing needs )Tj 1 0 0 1 298.04999 210.06999 Tm (of people living in the home. )Tj 1 0 0 1 298.04999 193.06999 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