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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 414.45 m 160.38 414.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 414.45 m 563.65 414.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.87 m 565.85 367.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 366.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Bluebrooke Residential Care Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (242 Stourbridge Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Catshill)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Bromsgrove)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (Worcestershire)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (B61 9LE)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 355.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 338.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 319.08 m 565.9 319.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.5 m 568.1 330.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.67 m 568.1 307.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.57 m 30.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.57 m 360.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.57 m 567.02 306.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 314.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 314.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 399.3 314.31 Tm (zero star poor service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 295.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 259.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 242.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 242.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 0.001 w 20.58 w 317.5 207.88 m 565.9 207.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.05 m 346.55 185.05 l S 0.001 w 20.58 w 348.8 185.05 m 377.9 185.05 l S 0.001 w 20.58 w 380.15 185.05 m 409.2 185.05 l S 0.001 w 20.58 w 411.45 185.05 m 440.55 185.05 l S 0.001 w 20.58 w 442.8 185.05 m 471.9 185.05 l S 0.001 w 20.58 w 474.15 185.05 m 503.2 185.05 l S 0.001 w 20.58 w 505.45 185.05 m 534.55 185.05 l S 0.001 w 20.58 w 536.8 185.05 m 565.9 185.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.29 m 568.1 219.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.63 m 568.1 173.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.37 m 30.07 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 220.37 m 316.37 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197.54 m 347.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197.54 m 379.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197.54 m 410.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197.54 m 441.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197.54 m 473.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197.54 m 504.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197.54 m 535.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.37 m 567.02 172.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 203.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.28 Tm (Philippa Jarvis)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 180.28 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 180.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 144.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 127.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 115.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 103.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 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 ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 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 ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Bluebrooke Residential Care Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (242 Stourbridge Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Catshill)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Bromsgrove)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Worcestershire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (B61 9LE)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01527877152)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01527557409)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Oldfield Residential Care Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.11 Tm (46)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 0.001 w 41.16 w 31.2 424.56 m 297.2 424.56 l S 0.001 w 20.58 w 299.45 434.85 m 565.6 434.85 l S 0.001 w 20.58 w 299.45 414.27 m 432.52 414.27 l S 0.001 w 20.58 w 432.52 414.27 m 565.6 414.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.09 m 567.8 469.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.85 m 567.8 402.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.17 m 30.07 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.34 m 298.32 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.17 m 566.72 401.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 409.5 Tm (Under 65)Tj ET /F2 12 Tf BT 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 297.3 388.06 l S 0.001 w 20.58 w 299.55 388.06 m 431.45 388.06 l S 0.001 w 20.58 w 433.7 388.06 m 565.6 388.06 l S 0.001 w 35.16 w 31.2 357.94 m 297.3 357.94 l S 0.001 w 35.16 w 299.55 357.94 m 431.45 357.94 l S 0.001 w 35.16 w 433.7 357.94 m 565.6 357.94 l S 0.001 w 20.58 w 31.2 327.82 m 297.3 327.82 l S 0.001 w 20.58 w 299.55 327.82 m 431.45 327.82 l S 0.001 w 20.58 w 433.7 327.82 m 565.6 327.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 304.99 m 565.6 304.99 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 376.65 m 567.8 376.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 567.8 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.41 m 567.8 316.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 567.8 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 568.1 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.48 m 567.8 399.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.65 m 567.8 376.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 567.8 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.41 m 567.8 316.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 568.1 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 568.1 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 166.77 m 568.1 166.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.55 m 30.07 165.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 400.55 m 298.42 315.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 400.55 m 432.57 315.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 400.55 m 566.72 165.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.29 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.29 Tm (46)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 360.46 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 345.88 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 360.46 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 360.46 Tm (46)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.05 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 323.05 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 323.05 Tm (46)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.39 Tm (Age: Dementia \(DE\) age 55 and above. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 254.56 Tm (The maximum number of service users who can be accommodated is: 46 )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 231.73 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 217.15 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 202.57 Tm (needs on admission to the home are within the following categories: Physical disability )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 187.99 Tm (- over 65 years of age \(PD\(E\)\) 46 Old age, not falling within any other category \(OP\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 173.41 Tm (46 Dementia \(DE\) 46)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 151.98 m 315.25 151.98 l S 0.001 w 1 1 1 RG 20.58 w 317.5 151.98 m 346.55 151.98 l S 0.001 w 20.58 w 348.8 151.98 m 377.9 151.98 l S 0.001 w 20.58 w 380.15 151.98 m 409.2 151.98 l S 0.001 w 20.58 w 411.45 151.98 m 440.55 151.98 l S 0.001 w 20.58 w 442.8 151.98 m 471.9 151.98 l S 0.001 w 20.58 w 474.15 151.98 m 503.2 151.98 l S 0.001 w 20.58 w 505.45 151.98 m 534.55 151.98 l S 0.001 w 20.58 w 536.8 151.98 m 565.9 151.98 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 163.39 m 568.1 163.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.56 m 568.1 140.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 164.47 m 30.07 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 164.47 m 316.37 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 164.47 m 347.67 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 164.47 m 379.02 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 164.47 m 410.32 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 164.47 m 441.67 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 164.47 m 473.02 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 164.47 m 504.32 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 164.47 m 535.67 139.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 164.47 m 567.02 139.49 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 147.21 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 128.69 m 565.9 128.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 119.06 m 568.1 119.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 120.14 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 120.14 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.31 m 568.1 138.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 119.06 m 568.1 119.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 139.39 m 30.07 117.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 139.39 m 567.02 117.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 125.13 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 125.13 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 105.88 Tm (Bluebrooke Residential Care Home is registered to provide personal care for up to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 88.88 Tm (forty-six older people who are frail, or who may have a physical disability. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 71.88 Tm (may also accommodate people over the age of 55 years who have a dementia illness. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 54.88 Tm (The total number of people who can live in the home is forty six.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 519.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 519.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.15 m 568.1 520.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (The large, detached property, standing in its own grounds, is situated in a pleasant )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (residential area, approximately two miles from Bromsgrove town centre. There is also )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (a small enclosed garden that is accessible to residents. This is not safe for residents to )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (use without supervision by staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (The home was purchased by Oldfield Residential Care Limited in April 2004. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (Responsible Individual is Mr Anastasis Kayiatou, and the Company has several homes )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (in the group.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (There is no registered care manager in post. There is an acting manager , Ms Lianne )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (Sturmey. We have not received an application from Ms Sturmey for registration as the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm (manager of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (The Service User Guide indicates that the fees for the home are from 400 - 450 a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (week. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 508.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 491.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xn1 9eI J qU5ea<>vfTZߍ=s?X)9(\"j_]<7^~[-xώd\bft=|.)j(QE hHI"ͷz`5%x:z^jQ _׃:^Q؂,hnCŰ+J[ uD&,vG}!Ej+Klql=s|b `srDs 9EVՌ%rtu;:mZ4:݅6!TlYU3QPN]#];p֒]\6ٻ(9G%VՄCݏɋI\^ܝn-j:ק݁.nu"׾7;;6 ތëi:Oj,ޚ2 UN%/W9{G.3…5\x8`G-zB1L8@~~9M {QѣH i{ZKP,c3oWny~qf endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 715.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (We spent two days at the home, talking to the people who live there and the staff. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (also spent time talking with the manager on the first day, and a company director and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (operations manager on the second day. We looked at some records that must be kept )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (by the home to show that it is being run properly. These included records that related )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (to people who lived in the home and to staff who worked there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (Before the inspection we asked the home to complete an Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (Assessment referred to in the report as the AQAA. This is a self assessment document, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (that was completed by the acting manager. It allows the home to tell us what they are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (doing well, improvements they have made and plans for future improvements. It )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (helped us to plan for the inspection and some of the acting manager's comments are )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 148.8 w 32.32 738.13 m 566.72 738.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 662.6 m 568.92 662.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 661.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 661.53 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (included in this inspection report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (We were accompanied for part of the first day by an Expert by Experience. This is a )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (person who has personal experience of using care services. Following their visit they )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (wrote a report and their findings are reflected in this inspection report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (We also received completed survey forms from people who live in Bluebrooke )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (\(completed by the activities organiser\), staff and some health and social care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (professionals. The information from these helped us to understand how well the home )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (is meeeting the needs of the people who live there.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 224.7 w 32.32 678.47 m 566.72 678.47 l S 0.001 w 20.58 w 32.7 553.58 m 569.35 553.58 l S 0.001 w 224.7 w 33.82 428.69 m 568.22 428.69 l S 0.001 w 20.58 w 33.45 303.8 m 570.1 303.8 l S 0.001 w 200.29 w 34.57 191.12 m 568.97 191.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 565 m 568.92 565 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 563.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 565 m 569.35 565 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 542.17 m 569.35 542.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 542.17 m 570.42 542.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 315.22 m 570.42 315.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 292.39 m 570.1 292.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 315.22 m 570.1 315.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 292.39 m 571.17 292.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 543.25 m 32.7 314.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 293.47 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 563.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 543.25 m 569.35 314.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 293.47 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The home provides a warm and friendly environment for people to live in and visit. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (There is written information about the home and this is available to help people decide )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (if they want to come and live there. They are also welcome to come and visit to help )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (them make up their minds. Visitors are welcome to the home and there is an open )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (door approach to the management team.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (There is a complaints procedure available for people if they wish to raise a concern )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (with the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (The premises are generally clean and fresh. There are several communal rooms where )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (people can choose to sit and there is ample space on the ground floor for those who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (like to wander about.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (The medication is well organised and managed and the home has introduced a new )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (system for the storage of medication.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 676.92 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 551.47 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 548.81 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 552.03 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 427.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 525.98 Tm (The home has employed an activites organiser and there are now regular activities )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 511.4 Tm (available within the home. This process contines to need development.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 496.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 482.24 Tm (There has been a programme of redecoration and replacement of carpets in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 467.66 Tm (communal areas.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (The home is in the process of rewriting the resident assessments and care plans into a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (new format. There is a considerable amount of work needed before this process is )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm (completed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (There is now a more stable staff team and the home does not use agency staff on a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (regular basis.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (Action has been taken to comply with the requirements made following the last key )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (inspection.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 427.14 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 302.25 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 299.03 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 189.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 276.2 Tm (Whilst most staff were kind and respectful to the people living in the home, we saw )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm (some examples of staff being critical or unsupportive of situations with residents. There )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (were also examples that we saw of staff not having the knowledge to deal with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 232.46 Tm (situations of challenging behaviour. Staff need more training in how to meet the needs )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 217.88 Tm (of people with dementia so that they gain further understanding of how to meet their )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 203.3 Tm (needs. The home needs to asssess more carefully the needs that are associated with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 188.72 Tm (people's dementia and to provide guidance and support for care staff in how to deal )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 174.14 Tm (with these challenges.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 159.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 144.98 Tm (The home needs to take more care to help new residents moving into the home settle )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 130.4 Tm (into their new environment.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm (The assessments of people's needs were not fully completed. In particular risk )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 163.38 w 34.57 730.84 m 568.97 730.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 648.02 m 571.17 648.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 646.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 646.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (assessments were not up to date and did not therefore draw the staff attention to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (where people were at risk of harm or injury. The care plans were in the process of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (being transferred to a new system and people did not reliably have a care plan in place )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (that made clear the action that needed to be taken to meet people's care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm (The garden is not safe for the residents to use. There are plans to improve it over the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (next twelve months.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (There is no registered manager in post and the home needs to ensure that steps are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (taken for the appointment of a permanent manager who submits an application for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (registration.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 633.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 613.47 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 613.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 613.47 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 595.97 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 575.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 555.98 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 555.98 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 555.98 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 538.48 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 538.48 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 538.48 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 520.99 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 391.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (People are provided with information about Bluebrooke before moving into the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (Their needs are not given sufficient consideration either before or at the time of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (admission to the home.)Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (There is information available for people moving into the home. This has been revised )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (since our last inspection and is more comprehensive. Four of the five residents who )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (replied to our surveys said that they found the information available sufficient. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (found that some of the information may be misleading for example saying there is a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (safe back garden and that people have an acute care plan when they are ill. We did )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (not find evidence to support either of these statements. There was a copy of the most )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (recent key inspection report available in the entrance hall. However we did not see a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (copy of the Service User Guide.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm ()Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (In the AQAA the service says that it carries out comprehensive pre admission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (assessments. We looked in detail at the file of one person who had recently been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (admitted to Bluebrooke. There was a pre admission assessment on his file but it was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (not comprehensive and provided only limited information about his care needs. He had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (been admitted six days before the inspection and we found that there was no care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (available on his file and that most of the assessments that we expect to be carried out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (following admission had not been completed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Prospective residents and their families are encouraged to visit the home to help them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (make up their minds about whether it is the right place for them to live. A resident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (was admitted on the day of our inspection and although he had visited with a family )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (member during the previous week, he was unable to remember this. It was evident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (that he found the experience of admission unsettling. There was no member of staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (allocated to help orientate him during the first few hours. His confusion was not helped )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (by another resident who kept coming up to him. This situation was not managed in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (way that helped his transition into the home.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 277.44 w 33.45 324.01 m 563.65 324.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 254.94 w 32.32 312.76 m 564.78 312.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 183.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 183.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 184.17 m 566.98 184.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 425.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People's care needs are sometimes not being met. This is because care plans do not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (provide staff with all the information they need to ensure people get the care they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (need in the way they prefer or to safeguard them from potential harm. Care plans do )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (not show that the person, or someone close to them, has been involved in deciding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (how they will be supported. Staff are not adequately trained to understand the needs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (of people with dementia illnesses and to meet them in an appropriate way. There are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (times when the principles of respect and dignity are not put into practice and people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 245.72 Tm (are not treated respectfully.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 210.72 Tm (The home's system for handling, storing and administering medication generally )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 193.23 Tm (ensures that people are safeguarded in this area of practice.)Tj ET 0.99608 0.9451 0.76078 RG 90.07 w 33.45 113.26 m 563.65 113.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 149.3 m 565.9 149.3 l S 0.001 w 68.7 w 32.32 101.45 m 564.78 101.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 136.93 m 566.98 136.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 138 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 138 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 136.93 m 565.9 136.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 145.99 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (We looked at the experience of three people who lived in the home in some detail. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (read their files and found that, whilst the home is in the process of upgrading their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (care plans, the ones we sampled did not contain sufficient assessment and guidance )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (for staff. For example, one person whose file we read was diabetic but there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (assessment or information on their file about their needs relating to this condition. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (There was an entry on the health professional record requesting regular monitoring of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (this resident's blood sugar levels. The last entry on the chart was in January 2009 but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (there was no indication that the health care professional had said that the monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (could stop. For another resident who had a tendency to be noisy, there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (guidance available for staff about how to manage this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (We observed situations in the lounge that needed careful management but where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (there was no guidance available for staff to follow to take the potential for conflict out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (of situations. We spoke with staff who told us that they had no written guidance in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (care plans about how to manage difficult or challenging behaviour. One example we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (saw was a resident who became agitated and was waving her stick around. The carer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (tried to take it off her and became involved in a battle of tugging rather than moving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (other vulnerable people away from the area. A couple of minutes later she moved this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (resident's chair backwards without telling her what she intended to do which caused )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (her to become upset. The Expert observed another situation where again the staff did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (not have the guidance to manage a situation, "Two ladies were wandering round )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (aimlessly. These were .., who was on a respite stay and ..., who was actually getting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (more and more agitated and aggressive as the morning progressed. I observed as .. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (went from one resident to another asking them questions. She came to me and then )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (to a member of the care staff for a hug. The member of staff told her to "Get off" and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (then walked away from her muttering, "Euch! I hate that, slobbering all over me".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We were able to speak to some family members who visited the home at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (the inspection and they told us that they were satisfied with the care that their relative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (was receiving. They also told us that the home contacted them if they had any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (concerns about their relative and that they were good with communication. However, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (we did not find evidence of the involvement of families in the assessment or care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (planning process.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (There was a book for recording all residents weights. The information in this is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (communal and would be better in a format where information about each person is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (kept separately so interested parties could read it without seeing personal information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (about other people who live in the home. For one person that we examined there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (no record of her weight since January with no explanation of why this had not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (taken.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (There were records in individual files of bathing. For one resident the last recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (shower was on 24th March with one refused on 14th April. This person's hair did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (look as though it had been washed for some time.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The home had also not reviewed risk assessments on a regular basis. We read one file )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (where the resident's last manual handling assessment was dated May 2008. There was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (no evidence of review since that date and no written guidance to staff about how to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (meet her moving and handling needs, which were significant as she was not mobile )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and used a hoist. We wrote to the home to ask them to review this as a matter of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (urgency, so they were sure that staff were provided with the right guidance about how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (to deal with her manual handling.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (When we read the accident record we found that one resident had fallen out of bed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (and had sustained some injuries. We asked to read her falls risk assessment and found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that it had not been reviewed following this fall. The cleaner told us that she had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (moved this resident's room round to help prevent this happening again. Whilst this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (may be the correct course of action, the management of the home have not assessed, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (through her risk assessment, whether this would help prevent further falls or whether )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (there was any further action they should take. We wrote to the home to ask them to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (deal with this as a matter of urgency. This had been completed by the second day of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (our inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (We read one file where there was a generic risk assessment for nutrition and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (hydration, that was not written in a way that was personal to the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (resident. The scoring for this had been done wrongly and he came out as low risk not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (at the top of medium as he should have been. This had implications for the way that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the home managed his nutrition and hydration. Some risk assessments were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (personal to the people living in the home, for example each person had one for risk of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (scalding and burning that was not individual to them.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (We noticed that most of the residents appeared well presented. The Expert )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (commented "They appeared appropriately and individually dressed in clean clothing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (with slippers and stockings or socks in place. The ladies and gents I spent time close )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (to had clean eyes and mouths and well manicured fingers, some of the ladies had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (painted nails.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (We observed a number of positive interactions between the staff and the people living )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (in the home. Most of the time the staff were kindly, helpful and considerate of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (dignity. However, there were times when we saw interactions that were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (appropriate. The Expert described one situation, "I noticed with horror a senior carer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (standing over two ladies who were still eating, shouting at the top of her voice, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (quite aggressively, to a carer at the other side of the adjoining lounge "Who the hell )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (has done this? and given ... so and so's dinner." The carer explained that these two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (ladies regularly, because of their confusion, swapped dinners. The senior carer )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 356.3 w 33.45 633.26 m 563.65 633.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 334.92 w 32.32 621.45 m 564.78 621.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 451.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 451.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 452.86 m 566.98 452.86 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (swapped their dinners back, mid meal, whilst still standing over them." We also found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (that we were not introduced to people livng in the home as we were shown round. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (was not respectful of the people living there or the fact that it was their home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Most aspects of the management of medication were carried out in a satisfactory way. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The home has introduced the use of electric trolleys for medication. These were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (fixed to the wall but need a key to start their operation and movement. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (medication was stored in an organised way. There was no thermometer to monitor the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (temperature at which medication is stored. We looked at the record of administration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (for three people in detail. The records appeared to be fully recorded although we could )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (not determine what had happened for one resident with one medication where there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (was a signature with an O over it so we could not tell whether it had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (administered or not. We were told that this person did not like the taste of this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (medication and refused it but there was nothing in the care plan about how this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (situation was managed or monitored. We also looked at one person's medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (record who had a medication on an "as required" basis. The acting manager said that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (she was about to introduce sheets with guidance for staff about the circumstances in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (which as required medication could be administered but at the time of the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (these were not available.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 428 m 563.65 428 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.14 m 566.98 358.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (The home is developing a range of activities for people to take part in but the activity )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (programme is in the early stages. There is a varied menu available but the process of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (mealtimes is functional and not promoted as a social occasion.)Tj ET 0.99608 0.9451 0.76078 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 0.001 w 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.89 m 566.98 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.89 m 565.9 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (We found that there was little information in people's files about their interests or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (about their personal history. People appeared to choose their own daily routine )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (although we did find that a number of people were up and dressed by 5.30am when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (we did a random inspection in December 2008. In these circumstances care must be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (taken to ensure that this suits resident's needs and decisions made about whether )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (they should more appropriately be encouraged to return to bed. Most residents were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (downstairs in the communal rooms throughout the day. There was little activity going )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (on and many spent the day dozing or watching any people who were walking around.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (The Expert commented that at one point she and the acting manager "went through a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (dining area adjoining the main L shaped lounge and I noticed a lady and two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (gentlemen slumped over dining tables with their heads resting on the tables, sleeping. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (I asked \(the acting manager\) if she thought this looked comfortable for them and she )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (told me that these people liked to do that. I asked why they weren't encouraged into a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (more comfortable chair. She told me they chose to do this and she didn't think it was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (their place to force them to sit somewhere else if they didn't want to. \(The acting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (manager\) said not to worry that they always sat like that. I pointed out that I didn't )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (think they looked safe or comfortable.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home employed an activities organiser about five weeks before the inspection. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (spoke with her and she said that she is getting to know the residents. On the day we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (visited a small group of about five residents were painting St George's Day flags with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (her. There was no evidence of other activities although she said that she hoped )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (eventually to have some activity available in each of the lounges. In the first month )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (she said that such activities as bowls, poetry club, bingo and knitting had been offered. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (She also said that they are hoping to have a monthly entertainer but at the moment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (there is no residents fund to allow this provision.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The Expert commented on the lack of stimulation in the communal areas. When )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (entering one lounge she said, "It appeared instantly stark to me and devoid of any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (stimulation. There wasn't a TV or any music in here, no magazines, books or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (newspapers or bits and bobs to pick up and put down. It was quite a sterile )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (atmosphere. There were no staff in attendance and the ladies and gents were just )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (sitting and staring into space.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (People were not able to go outside into the garden because, although it was enclosed, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (it was not safe for people living in the home to use without a member of staff in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (attendance. We saw residents who asked to go out on the day we were there but who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (were told they could not do so.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (We spoke with three groups of visitors to the home and they all told us that they were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (able to visit at any time and that they were made welcome.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (There was a small notice board in one corridor in the home that detailed activities but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (no information that we saw that detailed the menu for the day. Further information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (about daily life in the home would be helpful for the people who live there and for their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (visitors.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (We watched lunch being served: it was minced beef, with mashed potatoes and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (cabbage and apple charlotte and custard. It looked appetising and those who needed a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (soft diet were provided with separate pureed components. There was no choice of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (main meal offered routinely. The residents who prefered a vegetarian diet were offered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (an omelette as an alternative. The Expert joined the residents for lunch and said that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ("What I ate was very tasty and of a pleasant temperature." We noticed that some )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 181.34 w 33.45 720.74 m 563.65 720.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 159.96 w 32.32 708.93 m 564.78 708.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 626.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 626.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 627.82 m 566.98 627.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (people were given their food in bowls but no one had a plate guard which would have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (provided them with more dignity when eating their meal.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The Expert commented on the meal being a functional affair and lack of individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (support for residents, "There was no background music or offer of different drinks and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (with the exception of a gentleman sitting near to me where one carer sat with him a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (assisted him all the way through, there was very little organised assistance with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (eating. It was simply a carer bobbing around giving a mouthful here and a forkful )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (there." We expect people to be assisted on a one to one basis.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 470.25 m 563.65 470.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 132.47 w 32.32 459 m 564.78 459 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 390.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 390.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 391.64 m 566.98 391.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 510.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People who use the service are free to express their concerns and have access to a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (complaints procedure. There are policies in place to prevent people from experiencing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (abuse or neglect but the home is not being managed in a way that ensures people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 400.7 Tm (receive safe care.)Tj ET 0.99608 0.9451 0.76078 RG 297.54 w 33.45 217 m 563.65 217 l S 0.001 w 1 1 1 RG 22.5 w 31.2 356.77 m 565.9 356.77 l S 0.001 w 276.17 w 32.32 205.19 m 564.78 205.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.4 m 566.98 344.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.4 m 565.9 344.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (In their surveys people told us that they knew how to make a complaint if they were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (unhappy about the service they receive. Because many of the residents do not have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (the capacity it is more likely that their representative will make a complaint on their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (behalf. We did not notice a copy of the complaints procedure in the entrance hall for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (people to access easily although the company director said that there was one there. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (He also told us that each resident is provided with a personal copy of the complaints )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (procedure at the time of their admission to the home. The home aims to have an open )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (door approach to the management team so that any concerns can be dealt with at an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (early stage before they become a formal complaint.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (The AQAA referred to five complaints that had been received by the home. During the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (inspection, the acting manager told us that they had not received any complaints )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (during the last twelve months. She was unable to find the complaints log but said that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (two complaints received by the Commission and referred to the provider for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (investigation had not been recorded in there as we would expect. However by the )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.88 m 566.98 347.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (second day of our inspection this log had been found and one of the complaints we had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (referred was detailed in there. There were also records of two further complaints made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (to the home that had been looked into with appropriate responses to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (complainants. In addition there was a log of informal complaints that had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (recorded when people made criticisms verbally but did not put them in writing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home has a safeguarding policy and in the AQAA the home said that it makes sure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (adult protection training is implemented on a regular basis. However, we were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (provided with a training matrix that showed that the majority of staff had not received )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (training in this essential area of practice. The information in the AQAA may not, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (therefore, be accurate although the home did acknowledge in this document that it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (could improve by ensuring there was more in house information pertaining to abuse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (and signs of abuse and that it should check staff understanding in supervisions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (We were not confident that staff always understood the physical and verbal aggression )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (displayed by the people living in the home and that they dealt with this in a way that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (safeguarded people appropriately \(see Health and Personal Care section of this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (report\). Some other aspects of the management, referred to elsewhere in this report, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (also failed to provide people with the safeguards from abuse and neglect that are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (required by regulation. Care plans failed to provide up to date and detailed enough )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (information about how needs should be met and risk assessments relating to people's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (state of health were not always in place. We found that staff recruitment checks were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (not carried out in a way that safeguarded the people living in the home from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (employment of unsuitable people, and the acting manager had not applied for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (registration.)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The home provides a safe and comfortable environment for the people who live there. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (The gardens are not a safe place for people to access and further attention needs to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (paid to ensuring the environment is suitable for the client group who live there, most )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (of whom have dementia illnesses.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (The home smelled fresh and this was also commented on by the Expert. With the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (exception of one bedroom that we visited we found the home was odour free.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (The Expert commented that she "arrived at 10.20am and although there is a small car )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (park this was full and parking was impossible on the main road. This could create )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (difficulties for people visiting the home.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (The communal areas in the home comprise a dining room and four lounges that can be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (accessed off the dining area. Whilst the quality of the decoration and soft furnishing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (was suitable, there was a lack of pictures, ornaments and items for stimulation. In the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (AQAA the home told us that they have carried out some redecoration over the last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (twelve months. They said that when bedroms are empty they will be properly assessed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (for redecoration and carpeting. There is a kitchenette close by one of the lounges that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (visitors can use to make a drink for themselves and the person living in the home.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.88 m 566.98 347.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (They also told us that "We are aware of the environment that people with dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (live in, providing prompts with colours and equipment in order for them to remember )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (or recognise." We found little in the home that helped people to orientate pthemselves )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to their surroundings. The Expert also commented on this, "I noticed as we passed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (through the ground floor that none of the doors held pictorial or written signage on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (rooms such as the toilet or bathroom to assist the residents with using or moving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (around their home. The corridor areas I feel need brightening and cheering up with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (stimulating, possibly tactile things on the walls. Bold, colourful, pictorial, signage with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (arrows to the lounge, to room numbers, or staircase would help to guide and remind )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the people living here and provide some much needed stimulus for them when moving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (from one area to another in the home.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Also there was no indication on people's bedroom doors about which was their room )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and the expert commented in her report that during her visit, she was asked seven )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (times by residents to help her find their rooms. We were also asked by someone who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (was standing by her room. There was no name or picture on the door to help her )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (recognise that it was actually her room.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (The home was generally clean and there were domestic staff working in the home each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (day. There was liquid soap and paper towels in the bathrooms and toilets to help with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (infection control. Information from the training matrix showed that only eight staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (working in the home had received training in infection control. A new system called )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (OTEX has been introduced in the laundry to help with infection control when washing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (people's laundry and llinen.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People living in the home do not always receive the care they need because the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (deployment and training of the staff means that there are not always sufficient staff, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (with the right skills, available to meet their needs. The staff recruitment procedures do )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (not protect the people living in the home from the employment of unsuitable staff.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (The staffing rota showed that on the day of inspection there was one senior carer on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (duty throughout the day with five care staff in the mornings until 2pm, four in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (afternoons and three overnight. In addition there were domestic and catering staff. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (found that there were times when the staff were very busy. In particular we saw that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (the new resident admitted in the late afternoon was disoriented and there was no staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (member allocated to him to help him settle down for the first few hours in the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (Staff told us that several residents became restless in the late afternoon and that this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (was a busy time of the day. The home may need to look at the deployment of staff at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (busier times of the day for example the Expert reported that, "When walking around )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (the ground floor alone, later in the day I found two carers standing in here \(the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (kitchenette\) having a natter here whilst other care staff were trying to placate a lady, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (who by this time was getting very aggressive with staff and residents alike.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (Most of the staff interactions we saw were kindly and helpful. However there were )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (times that staff did not speak appropriately to the residents or provide them with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (support that they needed. The Expert said "I saw very few positive sociable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (interactions between the care staff and the residents throughout the day or occasions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (where they attempted to entertain or occupy the residents." "Their lack of responses )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to displays of frustrated and challenging behaviour, probably borne out of boredom, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (beggar belief, as does their inability to prevent such incidents by appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (managing and working with the ladies and gents who live in Bluebrooke.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (We started to look at files of care staff but the acting manager said that they have not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (recruited any care staff for over a year. They have employed new ancilliary staff. On )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (those files we found that the recruitment had not been carried out to the standard we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (would expect to protect the residents in the home. For one person we found no copies )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (of references on her file and the acting manager could not find her Criminal Records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Bureau \(CRB\) disclosure check. Her POVAfirst was on her file. There was also a new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (member of domestic staff who was working in the home without a CRB disclosure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (check having been received. She had also started to work before her POVAfirst had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (been received. We looked at the file of a new bank carer who had been employed this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (year and found that her CRB disclosure check was dated after she had started )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (employment and that her references were not taken up. The home were unable to find )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (a training file for this employee.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The service provider said that the acting manager had not known the expected )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (standards with regard to recruitment practice and that this had been identified and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (missing documents sent for. In the AQAA the home reported that all staff who had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (started working in the home in the last 12 months had satisfactory pre recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (checks. This information is incorrect.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (We found that there were aspects of staff training that needed attention. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (indicated that only five staff have done structured induction training to the expected )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (standard. We identified that one carer had started her NVQ 2 without doing any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (induction training in the home. We also found that there were gaps in the expected )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (training that staff should have done, examples of this include staff not completing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (training in safeguarding and infection control. The home has identified that there are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (times when there is no staff member on the premises who has trained in first aid and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (some staff are currently taking training in this area. There has also been training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (health and safety and moving and handling this year. We pointed out to the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (provider that 34 staff had completed moving and handling training in one day and that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (he needed to confirm that the training course contained the information and practical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (sessions that staff would need to work safely in this area of practice. We later spoke to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (a member of staff who confirmed that she had been involved in a practical session )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (with her moving and handling training. Staff who undertake risk assessments have not )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (taken any training in how to undertake this function.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Of particular concern was that the training matrix indicated that only ten of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (group had taken any training in dementia care. The majority of the residents living in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Bluebrooke have a dementia illness and care needs to be taken that staff have a good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (understanding of the condition and how to provide best care. There are examples )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (throughout this report of staff working with residents in a way that does not show )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (understanding of this illness.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Staff are encouraged to take an NVQ qualification and a significant number have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (achieved this.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 408.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The home is not managed in a way that promotes the health and wellbeing of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (people who use the service.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (There is a legal requirement that people who are in day to day charge of a care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (register with us in that capacity. The previous acting manager left the home in January )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (2009. There is currently an acting manager in the home who has not yet applied for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (registration. We will write to her and to the service provider about this need for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (registration. She is very caring and committed but we had some concerns about her )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (ability to manage a care home of the size of Bluebrooke and with the complexity of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (care needs of some of the people living there. She showed some areas of lack of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (knowledge and inexperience for the role. For example she did not know about proper )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (recruitment procedures and did not review people's risk assessments in a timely )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (manner. She is in the process of taking training relevant for the manager of a care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (home. She has not received a period of induction herself from the service providers.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.92 m 566.98 172.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The acting manager spends some time working on the floor with the residents and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (staff. We found that there were times when she tried to work with residents to diffuse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (potentially difficult situations. Care needs to be taken to ensure that this does not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (remove her from the task of managing the home. The acting manager completed the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (AQAA and in this she gave some well detailed information about the service. However )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (some of this did not accurately reflect what we found at the inspection. For example )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (the AQAA states "We employ a rigorous employment programme in the home"and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ("Risk assessments are in place and monitored monthly by senior staff." Neither of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (these statements is accurate.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (We saw a number of situations with residents and staff during the time of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (inspection that we considered inappropriate. In particular there were situations where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (we observed the inability of the staff to intervene to diffuse behavioural issues with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (residents. These are referred to throughout the report. These reflect on the oversight )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (of the management of the home in managing difficult or challenging situations.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (The acting manager told us that she receives good support from the service provider )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (and the director of operations for the company. She said that they visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (regularly. There were records of monthly visits undertaken by the service provider as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (required by regulation. The content of these was general in nature.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Equipment in the home is serviced regularly and the home employs a maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (man to carry out minor repairs, attend to the grden and decoration in the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (home has bought new wheelchairs recently to make sure that these pieces of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (equipment are safe and comfortable for people to use.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (We looked at the fire log. This showed that various checks and tests are carried out on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (a regular basis. Staff employed in the home receive training in fire safety from an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (external consultant once a year and there are occasional fire drills during the year. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (fire safety risk assessment has not been reviewed since September 2006. The service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (provider said that he was following guidance form the person who prepared this for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (him. However we advised him to contact the fire brigade regarding this as inevitably )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (things change within a care home and we considered he should seek another source of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (advice.)Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 221 w 31.2 439.13 m 91.05 439.13 l S 0.001 w 221 w 93.3 439.13 m 197.4 439.13 l S 0.001 w 221 w 199.65 439.13 m 289.45 439.13 l S 0.001 w 221 w 291.7 439.13 m 473.8 439.13 l S 0.001 w 221 w 476.05 439.13 m 566.1 439.13 l S 0.001 w 221 w 31.2 215.88 m 91.05 215.88 l S 0.001 w 221 w 93.3 215.88 m 197.4 215.88 l S 0.001 w 221 w 199.65 215.88 m 289.45 215.88 l S 0.001 w 221 w 291.7 215.88 m 473.8 215.88 l S 0.001 w 221 w 476.05 215.88 m 566.1 215.88 l S 0.001 w 40.23 w 31.2 83.02 m 91.05 83.02 l S 0.001 w 40.23 w 93.3 83.02 m 197.4 83.02 l S 0.001 w 40.23 w 199.65 83.02 m 289.45 83.02 l S 0.001 w 40.23 w 291.7 83.02 m 473.8 83.02 l S 0.001 w 40.23 w 476.05 83.02 m 566.1 83.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 326.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 290.62 326.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.39 m 475.02 326.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.51 m 568.3 327.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 104.26 m 568.3 104.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.3 m 568.4 652.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.3 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.51 m 568.3 327.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 104.26 m 568.3 104.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.38 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.84 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.39 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.84 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.84 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.38 m 567.32 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 639.11 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 619.11 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (Regulation 19\(1\).)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (You must secure sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (information about the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (suitability of potential )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (employees before they start )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (working in the home. This )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (must include two references, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (a CRB check and a POVAfirst )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (check.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (This will help to prevent the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (home from employing )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm (unsuitable people.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (03/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 314.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 314.32 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 314.32 Tm (Regulation 18\(1\)\(c\).)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 297.32 Tm (You must ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 280.32 Tm (receive the training that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (they need both at induction )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (and ongoing throughout )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 229.32 Tm (their employment. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 212.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 195.32 Tm (This will help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 178.32 Tm (people living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 161.32 Tm (receive the care they need )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 144.32 Tm (from staff who have taken )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 127.32 Tm (training relevant to the work )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 110.32 Tm (they are doing.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 314.32 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 314.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 91.07 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 91.07 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 91.07 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 91.07 Tm (Regulation 12\(1\).)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 74.07 Tm (You must make sure that )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 91.07 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 91.07 Tm ()Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 153 w 31.2 736.03 m 91.05 736.03 l S 0.001 w 153 w 93.3 736.03 m 197.4 736.03 l S 0.001 w 153 w 199.65 736.03 m 289.45 736.03 l S 0.001 w 153 w 291.7 736.03 m 473.8 736.03 l S 0.001 w 153 w 476.05 736.03 m 566.1 736.03 l S 0.001 w 136 w 31.2 589.28 m 91.05 589.28 l S 0.001 w 136 w 93.3 589.28 m 197.4 589.28 l S 0.001 w 136 w 199.65 589.28 m 289.45 589.28 l S 0.001 w 136 w 291.7 589.28 m 473.8 589.28 l S 0.001 w 136 w 476.05 589.28 m 566.1 589.28 l S 0.001 w 153 w 31.2 442.53 m 91.05 442.53 l S 0.001 w 153 w 93.3 442.53 m 197.4 442.53 l S 0.001 w 153 w 199.65 442.53 m 289.45 442.53 l S 0.001 w 153 w 291.7 442.53 m 473.8 442.53 l S 0.001 w 153 w 476.05 442.53 m 566.1 442.53 l S 0.001 w 289 w 31.2 219.28 m 91.05 219.28 l S 0.001 w 289 w 93.3 219.28 m 197.4 219.28 l S 0.001 w 289 w 199.65 219.28 m 289.45 219.28 l S 0.001 w 289 w 291.7 219.28 m 473.8 219.28 l S 0.001 w 289 w 476.05 219.28 m 566.1 219.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 658.4 m 568.3 658.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.15 m 568.3 520.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 364.9 m 568.3 364.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 658.4 m 568.3 658.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.15 m 568.3 520.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 364.9 m 568.3 364.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 73.65 m 568.3 73.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 72.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 72.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 72.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 72.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 72.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 72.58 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 295.8 802.72 Tm (the home makes proper )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 785.72 Tm (provision for for the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 768.72 Tm (people living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 751.72 Tm (with dementia illnesses.)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 734.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 717.72 Tm (This will help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 700.72 Tm (they receive the care that )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 683.72 Tm (they need appropriate to )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 666.72 Tm (their condition.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 645.22 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 645.22 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 645.22 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 645.22 Tm (Regulation 14\(2\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 628.22 Tm (Each person's assessments )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 611.22 Tm (must be kept under review.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 594.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 577.22 Tm (This will ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 560.22 Tm (home has up to date )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.22 Tm (information about each )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.22 Tm (person's care needs .)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 645.22 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 645.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 506.97 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 506.97 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 506.97 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 506.97 Tm (Regulation 15\(2\)\(b\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 489.97 Tm (Each person's plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 472.97 Tm (must be kept under review.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 455.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 438.97 Tm (This will ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 421.97 Tm (home provides up to date )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 404.97 Tm (information to care staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 387.97 Tm (about how to make sure )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 370.97 Tm (people's needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 506.97 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 506.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 351.72 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 351.72 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 351.72 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 351.72 Tm (Regulation 15\(1\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 334.72 Tm (People living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 317.72 Tm (should have a detailed plan )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 300.72 Tm (of care that describes how )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 283.72 Tm (all their care needs in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 266.72 Tm (respect of health and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 249.72 Tm (welfare are to be met. The )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 232.72 Tm (people living in the home, or )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 215.72 Tm (their representative, must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 198.72 Tm (be involved in the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 181.72 Tm (preparation of the care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 164.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 147.72 Tm (This will provide care staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 130.72 Tm (with the information they )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 113.72 Tm (need to ensure all the needs )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 96.72 Tm (are met of people who live )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 79.72 Tm (in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 351.72 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 351.72 Tm ()Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w 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/F2 12 Tf BT 1 0 0 1 298.05 647.47 Tm (This will help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 630.47 Tm (any unnecessary risks to the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 613.47 Tm (health and safety of people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 596.47 Tm (who use the service are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 579.47 Tm (identifed and so far as )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 562.47 Tm (possible eliminated.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 800.47 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 800.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 543.22 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 543.22 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 543.22 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.22 Tm (Regulation 12\(5\)\(b\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.22 Tm (You must put arrangements )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.22 Tm (in place to ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 492.22 Tm (treat residents with respect )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 475.22 Tm 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Tf BT 1 0 0 1 298.05 268.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 251.97 Tm (This will help to promote )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 234.97 Tm (dignity and a sensitive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 217.97 Tm (approach to mealtimes.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 370.97 Tm (03/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 370.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 198.72 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 198.72 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 198.72 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 198.72 Tm (Regulation 13\(6\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 181.72 Tm (You must ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 164.72 Tm (staff receive training in how )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 147.72 Tm (to protect vulnerable people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 130.72 Tm (from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 113.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 96.72 Tm (This will help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 79.72 Tm (they recognise abuse and )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 198.72 Tm (14/08/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 198.72 Tm ()Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 85 w 31.2 770.03 m 91.05 770.03 l S 0.001 w 85 w 93.3 770.03 m 197.4 770.03 l S 0.001 w 85 w 199.65 770.03 m 289.45 770.03 l S 0.001 w 85 w 291.7 770.03 m 473.8 770.03 l S 0.001 w 85 w 476.05 770.03 m 566.1 770.03 l 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586.25 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 586.25 Tm (A system should be put into place to ensure that there is an )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 571.67 Tm (initial care plan prepared for each person admitted to the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 557.09 Tm (home. This will ensure that staff working in the home )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 542.51 Tm (understand what the care needs of new residents are and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 527.93 Tm (what action they need to take to meet these.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 505.1 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 505.1 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 505.1 Tm (Consideration should be given as to how to best help )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 490.52 Tm (people at the time of moving into the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 467.69 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 467.69 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 467.69 Tm (You should ensure that continence is managed )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 453.11 Tm (appropriately in the home so that people's dignity is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 438.53 Tm (promoted.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 415.7 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 415.7 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 415.7 Tm (You should put a system into place to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 401.12 Tm (medication is stored at a suitable temperature.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.29 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 378.29 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 378.29 Tm (You should make sure that it is always possible to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 363.71 Tm (determine from the record of administration of medication )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 349.13 Tm (whether a medication has actually been administered.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.3 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 326.3 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 326.3 Tm (You should continue to develop greater opportunities for )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 311.72 Tm (stimulation and leisure. Recreational activities should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 297.14 Tm (reviewed with people living in the home to ensure they )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 282.56 Tm (meet individual need and preferences. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 259.73 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 259.73 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 259.73 Tm (You should ensure that mealtimes are a pleasant, social )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 245.15 Tm (occasion so that people enjoy the experience.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 222.32 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 222.32 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 222.32 Tm (You should ensure that you record all complaints that are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 207.74 Tm (received by the home are recorded in the complaints log )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 193.16 Tm (togehter with details of the investigation and any action )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 178.58 Tm (taken. This will show that the home takes complaints )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 164 Tm (seriously.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 141.17 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 141.17 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 141.17 Tm (You should continue with your plans to make the garden )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 126.59 Tm (safe and accessible for the people who llive in the home to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 112.01 Tm (use.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 89.18 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 89.18 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 89.18 Tm (You should use a quality assurance system and monthly )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 74.6 Tm (monitoring visits, carried out under Regulation 26, more )Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 31.2 796.45 m 91.05 796.45 l S 0.001 w 32.16 w 93.3 796.45 m 197.4 796.45 l S 0.001 w 32.16 w 199.65 796.45 m 566.1 796.45 l S 0.001 w 49.74 w 31.2 753.25 m 91.05 753.25 l S 0.001 w 49.74 w 93.3 753.25 m 197.4 753.25 l S 0.001 w 49.74 w 199.65 753.25 m 566.1 753.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 779.24 m 568.3 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 779.24 m 568.3 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 727.25 m 568.3 727.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 726.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 726.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 726.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 726.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 200.25 802.72 Tm (effectively so that you are aware of deficiencies where they )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 788.14 Tm (occur and can take action to remedy them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 763.06 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 763.06 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 763.06 Tm (The service provider should consult with the fire brigade )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 748.48 Tm (about the frequency with which the fire safety risk )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 733.9 Tm (assessment for the home should be reviewed.)Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. 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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 89 0 obj<> endobj 32 0 obj<> endobj 90 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 91 0 obj<> endobj 92 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/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 <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> 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 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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 99 0 obj<> endobj 100 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 101 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 71 0 obj<> endobj 102 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. 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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Tr 1 0 0 1 165.48 467.67 Tm (Bluebrooke Residential Care Home)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (242 Stourbridge Road )Tj 1 0 0 1 165.48 427.26 Tm (Catshill)Tj 1 0 0 1 165.48 409.68 Tm (Bromsgrove)Tj 1 0 0 1 165.48 392.1 Tm (Worcestershire)Tj 1 0 0 1 165.48 374.52 Tm (B61 9LE)Tj /C2_1 10 Tf 1 0 0 1 28.35 355.62 Tm <0003>Tj 1 0 0 1 28.35 338.62 Tm <0003>Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 1 1 1 RG 361.2 319.08 m 565.9 319.08 l S 0.992 0.898 0.545 RG 2.25 w 28.99 330.5 m 568.1 330.5 l S 28.99 307.67 m 568.1 307.67 l S 30.07 331.57 m 30.07 306.59 l S 360.07 331.57 m 360.07 306.59 l S 567.02 331.57 m 567.02 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 399.3 314.31 Tm (zero star poor service)Tj /C2_1 10 Tf 1 0 0 1 28.35 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.2 259.36 Tm (\240 )Tj 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35 225.36 Tm (\240)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 317.5 207.88 m 565.9 207.88 l S 1 1 1 RG 317.5 185.05 m 346.55 185.05 l S 348.8 185.05 m 377.9 185.05 l S 380.15 185.05 m 409.2 185.05 l S 411.45 185.05 m 440.55 185.05 l S 442.8 185.05 m 471.9 185.05 l S 474.15 185.05 m 503.2 185.05 l S 505.45 185.05 m 534.55 185.05 l S 536.8 185.05 m 565.9 185.05 l S 0.992 0.898 0.545 RG 2.25 w 28.99 196.46 m 568.1 196.46 l S 28.99 219.29 m 568.1 219.29 l S 28.99 196.46 m 568.1 196.46 l S 28.99 173.63 m 568.1 173.63 l S 30.07 220.37 m 30.07 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The following\ table explains )Tj 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.15 653.87 l S 22.69 320.23 m 572.15 320.23 l S 22.7 653.87 m 22.7 320.23 l S 572.15 653.87 m 572.15 320.23 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.79 610.27 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 0.945 0.761 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.992 0.898 0.545 RG 2.25 w 27.27 534.5 m 565.77 534.5 l S 27.27 576.74 m 565.77 576.74 l S 27.27 534.5 m 565.77 534.5 l S 27.27 492.26 m 565.77 492.26 l S 28.35 577.82 m 28.35 491.18 l S 564.7 577.82 m 564.7 491.18 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 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.32 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 1 131.32 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.945 0.761 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 1 1 1 RG 29.47 394.47 m 563.57 394.47 l S 0.992 0.898 0.545 RG 2.25 w 27.27 415.59 m 565.77 415.59 l S 27.27 373.35 m 565.77 373.35 l S 28.35 416.67 m 28.35 372.27 l S 564.7 416.67 m 564.7 372.27 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 1 517.79 399.91 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 28.35 356.54 Tm (Evidence:)Tj ET 1 0.945 0.761 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 1 1 1 RG 29.47 335.11 m 563.57 335.11 l S 0.992 0.898 0.545 RG 2.25 w 27.27 347.48 m 565.77 347.48 l S 27.27 322.73 m 565.77 322.73 l S 28.35 348.55 m 28.35 321.65 l S 564.7 348.55 m 564.7 321.65 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj 1 0 0 1 290.49 285.18 Tm (\226 )Tj 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj 1 0 0 1 477.18 285.18 Tm ( can be found )Tj 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 210 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 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 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.996 0.945 0.761 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 1 1 1 RG 226.3 774.22 m 567 774.22 l S 0.996 0.945 0.761 RG 28.35 751.39 m 224.05 751.39 l S 1 1 1 RG 226.3 751.39 m 567 751.39 l S 0.996 0.945 0.761 RG 28.35 728.56 m 224.05 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.996 0.945 0.761 RG 28.35 705.73 m 224.05 705.73 l S 1 1 1 RG 226.3 705.73 m 567 705.73 l S 0.996 0.945 0.761 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 1 1 1 RG 226.3 617.29 m 567 617.29 l S 0.996 0.945 0.761 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 1 1 1 RG 226.3 528.85 m 567 528.85 l S 0.992 0.898 0.545 RG 2.25 w 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 785.63 m 569.2 785.63 l S 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 517.43 m 569.2 517.43 l S 27.22 786.71 m 27.22 516.35 l S 225.17 786.71 m 225.17 516.35 l S 568.12 786.71 m 568.12 516.35 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.15 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.79 Tm (Audience)Tj 1 0 0 1 229.15 723.79 Tm (General public)Tj 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.15 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.49 678.13 Tm (2009)Tj 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.15 546.91 Tm (document specified.)Tj 1 0 0 1 31.2 524.08 Tm (Internet address)Tj 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 211 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 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 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm 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567.85 669.65 l S 28.99 646.82 m 567.85 646.82 l S 28.99 623.99 m 567.85 623.99 l S 28.99 601.16 m 567.85 601.16 l S 28.99 578.33 m 567.85 578.33 l S 30.07 786.71 m 30.07 577.26 l S 269.07 786.71 m 269.07 577.26 l S 566.77 786.71 m 566.77 577.26 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj 1 0 0 1 273.05 769.45 Tm (Bluebrooke Residential Care Home)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.05 746.62 Tm (242 Stourbridge Road)Tj 1 0 0 1 273.05 729.04 Tm (Catshill)Tj 1 0 0 1 273.05 711.46 Tm (Bromsgrove)Tj 1 0 0 1 273.05 693.88 Tm (Worcestershire)Tj 1 0 0 1 273.05 676.3 Tm (B61 9LE)Tj 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj 1 0 0 1 273.05 653.47 Tm (01527877152)Tj 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj 1 0 0 1 273.05 630.64 Tm (01527557409)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 1 1 1 RG 355.5 546.54 m 565.9 546.54 l S 0.996 0.945 0.761 RG 31.2 523.71 m 353.25 523.71 l S 1 1 1 RG 355.5 523.71 m 565.9 523.71 l S 0.996 0.945 0.761 RG 31.2 500.88 m 353.25 500.88 l S 1 1 1 RG 355.5 500.88 m 565.9 500.88 l S 0.992 0.898 0.545 RG 2.25 w 28.99 535.13 m 568.1 535.13 l S 28.99 512.3 m 568.1 512.3 l S 28.99 557.96 m 568.1 557.96 l S 28.99 535.13 m 568.1 535.13 l S 28.99 512.3 m 568.1 512.3 l S 28.99 489.47 m 568.1 489.47 l S 30.07 559.03 m 30.07 488.39 l S 354.37 559.03 m 354.37 488.39 l S 567.02 559.03 m 567.02 488.39 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35 541.77 Tm (Oldfield Residential Care Limited)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj 1 0 0 1 358.35 496.11 Tm (46)Tj /T1_0 10 Tf 1 0 0 1 28.35 477.17 Tm (\240)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 41.16 w 31.2 424.56 m 297.2 424.56 l S 20.58 w 299.45 434.85 m 565.6 434.85 l S 299.45 414.27 m 432.52 414.27 l S 432.52 414.27 m 565.6 414.27 l S 0.992 0.898 0.545 RG 2.25 w 28.99 446.26 m 567.8 446.26 l S 28.99 469.09 m 567.8 469.09 l S 28.99 446.26 m 567.8 446.26 l S 28.99 402.85 m 567.8 402.85 l S 30.07 470.17 m 30.07 401.77 l S 298.32 447.34 m 298.32 401.77 l S 566.72 470.17 m 566.72 401.77 l S BT /T1_0 12 Tf 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 430.08 Tm (Category\(ies\) :)Tj 1 0 0 1 302.3 430.08 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.3 409.5 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 297.3 388.06 l S 299.55 388.06 m 431.45 388.06 l S 433.7 388.06 m 565.6 388.06 l S 35.16 w 31.2 357.94 m 297.3 357.94 l S 299.55 357.94 m 431.45 357.94 l S 433.7 357.94 m 565.6 357.94 l S 20.58 w 31.2 327.82 m 297.3 327.82 l S 299.55 327.82 m 431.45 327.82 l S 433.7 327.82 m 565.6 327.82 l S 0.996 0.945 0.761 RG 31.2 304.99 m 565.6 304.99 l S 0.992 0.898 0.545 RG 2.25 w 28.99 376.65 m 567.8 376.65 l S 28.99 339.24 m 567.8 339.24 l S 28.99 316.41 m 567.8 316.41 l S 28.99 293.58 m 567.8 293.58 l S 28.99 270.75 m 568.1 270.75 l S 28.99 247.92 m 568.1 247.92 l S 28.99 399.48 m 567.8 399.48 l S 28.99 376.65 m 567.8 376.65 l S 28.99 339.24 m 567.8 339.24 l S 28.99 316.41 m 567.8 316.41 l S 28.99 293.58 m 568.1 293.58 l S 28.99 270.75 m 568.1 270.75 l S 28.99 247.92 m 568.1 247.92 l S 28.99 166.77 m 568.1 166.77 l S 30.07 400.55 m 30.07 165.69 l S 298.42 400.55 m 298.42 315.33 l S 432.57 400.55 m 432.57 315.33 l S 566.72 400.55 m 566.72 165.69 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.29 Tm (dementia)Tj 1 0 0 1 302.4 383.29 Tm (46)Tj 1 0 0 1 436.55 383.29 Tm (0)Tj 1 0 0 1 34.05 360.46 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 345.88 Tm (category)Tj 1 0 0 1 302.4 360.46 Tm (0)Tj 1 0 0 1 436.55 360.46 Tm (46)Tj 1 0 0 1 34.05 323.05 Tm (physical disability)Tj 1 0 0 1 302.4 323.05 Tm (0)Tj 1 0 0 1 436.55 323.05 Tm (46)Tj 1 0 0 1 34.05 300.22 Tm (Additional conditions: )Tj 1 0 0 1 34.05 277.39 Tm (Age: Dementia \(DE\) age 55 and above. )Tj 1 0 0 1 34.05 254.56 Tm (The maximum number of service users who can be accommodated is: 46 )Tj 1 0 0 1 34.05 231.73 Tm (The registered person may provide the following category of service only\ : Care Home )Tj 1 0 0 1 34.05 217.15 Tm (Only \(Code PC\) To service users of the following gender: Either Whose \ primary care )Tj 1 0 0 1 34.05 202.57 Tm (needs on admission to the home are within the following categories: Phys\ ical disability )Tj 1 0 0 1 34.05 187.99 Tm (- over 65 years of age \(PD\(E\)\) 46 Old age, not falling within any ot\ her category \(OP\) )Tj 1 0 0 1 34.05 173.41 Tm (46 Dementia \(DE\) 46)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 151.98 m 315.25 151.98 l S 1 1 1 RG 317.5 151.98 m 346.55 151.98 l S 348.8 151.98 m 377.9 151.98 l S 380.15 151.98 m 409.2 151.98 l S 411.45 151.98 m 440.55 151.98 l S 442.8 151.98 m 471.9 151.98 l S 474.15 151.98 m 503.2 151.98 l S 505.45 151.98 m 534.55 151.98 l S 536.8 151.98 m 565.9 151.98 l S 0.992 0.898 0.545 RG 2.25 w 28.99 163.39 m 568.1 163.39 l S 28.99 140.56 m 568.1 140.56 l S 30.07 164.47 m 30.07 139.49 l S 316.37 164.47 m 316.37 139.49 l S 347.67 164.47 m 347.67 139.49 l S 379.02 164.47 m 379.02 139.49 l S 410.32 164.47 m 410.32 139.49 l S 441.67 164.47 m 441.67 139.49 l S 473.02 164.47 m 473.02 139.49 l S 504.32 164.47 m 504.32 139.49 l S 535.67 164.47 m 535.67 139.49 l S 567.02 164.47 m 567.02 139.49 l S BT /T1_0 12 Tf 1 0 0 1 34.05 147.21 Tm (\240Date of last inspection)Tj ET 0.996 0.945 0.761 RG 17 w 31.2 128.69 m 565.9 128.69 l S 0.992 0.898 0.545 RG 2.25 w 28.99 119.06 m 568.1 119.06 l S 30.07 120.14 m 30.07 39.15 l S 567.02 120.14 m 567.02 39.15 l S 28.99 138.31 m 568.1 138.31 l S 28.99 119.06 m 568.1 119.06 l S 28.99 40.22 m 568.1 40.22 l S 30.07 139.39 m 30.07 117.99 l S 567.02 139.39 m 567.02 117.99 l S BT /T1_0 12 Tf 1 0 0 1 35.5 125.13 Tm (Brief description of the )Tj 1 0 0 1 177.31 125.13 Tm (care home)Tj 1 0 0 1 35.5 105.88 Tm (Bluebrooke Residential Care Home is registered to provide personal care \ for up to )Tj 1 0 0 1 35.5 88.88 Tm (forty-six older people who are frail, or who may have a physical disabil\ ity. The home )Tj 1 0 0 1 35.5 71.88 Tm (may also accommodate people over the age of 55 years who have a dementia\ illness. )Tj 1 0 0 1 35.5 54.88 Tm (The total number of people who can live in the home is forty six.)Tj ET endstream endobj 212 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 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 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.996 0.945 0.761 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.992 0.898 0.545 RG 2.25 w 28.99 794.4 m 568.1 794.4 l S 30.07 795.48 m 30.07 519.08 l S 567.02 795.48 m 567.02 519.08 l S 28.99 813.65 m 568.1 813.65 l S 28.99 794.4 m 568.1 794.4 l S 28.99 520.15 m 568.1 520.15 l S 30.07 814.73 m 30.07 793.33 l S 567.02 814.73 m 567.02 793.33 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.47 Tm (care home)Tj 1 0 0 1 33.25 783.47 Tm (\240)Tj 1 0 0 1 33.25 766.47 Tm (The large, detached property, standing in its own grounds, is situated i\ n a pleasant )Tj 1 0 0 1 33.25 749.47 Tm (residential area, approximately two miles from Bromsgrove town centre. T\ here is also )Tj 1 0 0 1 33.25 732.47 Tm (a small enclosed garden that is accessible to residents. This is not saf\ e for residents to )Tj 1 0 0 1 33.25 715.47 Tm (use without supervision by staff.)Tj 1 0 0 1 33.25 698.47 Tm (\240)Tj 1 0 0 1 33.25 681.47 Tm (The home was purchased by Oldfield Residential Care Limited in April 200\ 4. The )Tj 1 0 0 1 33.25 664.47 Tm (Responsible Individual is Mr Anastasis Kayiatou, and the Company has sev\ eral homes )Tj 1 0 0 1 33.25 647.47 Tm (in the group.)Tj 1 0 0 1 33.25 630.47 Tm (\240)Tj 1 0 0 1 33.25 613.47 Tm (There is no registered care manager in post. There is an acting manager \ , Ms Lianne )Tj 1 0 0 1 33.25 596.47 Tm (Sturmey. We have not received an application from Ms Sturmey for registr\ ation as the )Tj 1 0 0 1 33.25 579.47 Tm (manager of the home.)Tj 1 0 0 1 33.25 562.47 Tm (\240)Tj 1 0 0 1 33.25 545.47 Tm (The Service User Guide indicates that the fees for the home are from \243\ 400 - \243450 a )Tj 1 0 0 1 33.25 528.47 Tm (week. )Tj 1 0 0 1 28.35 508.09 Tm (\240)Tj 1 0 0 1 28.35 491.09 Tm (\240)Tj ET endstream endobj 213 0 obj<>stream 0.984 0.788 0.086 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35 55.27 m 568.35 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 51.96 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 1 514.27 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.27 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (35)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35 786.6 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35 761.65 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 1 1 1 RG 383.3 720.22 m 566.2 720.22 l S 0.992 0.898 0.545 RG 2.25 w 28.99 731.64 m 568.4 731.64 l S 28.99 708.81 m 568.4 708.81 l S 30.07 732.71 m 30.07 707.73 l S 382.17 732.71 m 382.17 707.73 l S 567.32 732.71 m 567.32 707.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45 Tm (care home)Tj 1 0 0 1 255.59 715.45 Tm ( is:)Tj 1 0 0 1 410.5 715.45 Tm (zero star poor service)Tj /C2_0 12 Tf 1 0 0 1 28.35 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.27 Tm (Environment)Tj 1 0 0 1 251.17 406.02 Tm (Staffing)Tj 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3200073 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.992 0.898 0.545 RG 2.25 w 31.2 237.66 m 567.85 237.66 l S 30.12 237.66 m 568.92 237.66 l S 30.12 64.02 m 568.92 64.02 l S 31.2 238.74 m 31.2 62.94 l S 567.85 238.74 m 567.85 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 (We spent two days at the home, talking to the people who live there and \ the staff. We )Tj 1 0 0 1 35.17 206.9 Tm (also spent time talking with the manager on the first day, and a company\ director and )Tj 1 0 0 1 35.17 192.32 Tm (operations manager on the second day. We looked at some records that mus\ t be kept )Tj 1 0 0 1 35.17 177.74 Tm (by the home to show that it is being run properly. These included record\ s that related )Tj 1 0 0 1 35.17 163.15 Tm (to people who lived in the home and to staff who worked there.)Tj 1 0 0 1 35.17 148.57 Tm (\240)Tj 1 0 0 1 35.17 133.99 Tm (Before the inspection we asked the home to complete an Annual Quality As\ surance )Tj 1 0 0 1 35.17 119.42 Tm (Assessment referred to in the report as the AQAA. This is a self assessm\ ent document, )Tj 1 0 0 1 35.17 104.83 Tm (that was completed by the acting manager. It allows the home to tell us \ what they are )Tj 1 0 0 1 35.17 90.25 Tm (doing well, improvements they have made and plans for future improvement\ s. It )Tj 1 0 0 1 35.17 75.68 Tm (helped us to plan for the inspection and some of the acting manager's co\ mments are )Tj ET endstream endobj 214 0 obj<>stream 1 1 1 RG 1 i 148.8 w 10 M 0 j 0 J []0 d 32.32 738.13 m 566.72 738.13 l S 0.992 0.898 0.545 RG 2.25 w 30.12 813.65 m 568.92 813.65 l S 30.12 662.6 m 568.92 662.6 l S 31.2 814.73 m 31.2 661.53 l S 567.85 814.73 m 567.85 661.53 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 32.92 802.72 Tm (included in this inspection report.)Tj 1 0 0 1 32.92 788.14 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (We were accompanied for part of the first day by an Expert by Experience\ . This is a )Tj 1 0 0 1 32.92 758.98 Tm (person who has personal experience of using care services. Following the\ ir visit they )Tj 1 0 0 1 32.92 744.4 Tm (wrote a report and their findings are reflected in this inspection repor\ t.)Tj 1 0 0 1 32.92 729.82 Tm (\240)Tj 1 0 0 1 32.92 715.24 Tm (We also received completed survey forms from people who live in Bluebroo\ ke )Tj 1 0 0 1 32.92 700.66 Tm (\(completed by the activities organiser\), staff and some health and soc\ ial care )Tj 1 0 0 1 32.92 686.08 Tm (professionals. The information from these helped us to understand how we\ ll the home )Tj 1 0 0 1 32.92 671.5 Tm (is meeeting the needs of the people who live there.)Tj ET endstream endobj 215 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 224.7 w 32.32 678.47 m 566.72 678.47 l S 20.58 w 32.7 553.58 m 569.35 553.58 l S 224.7 w 33.82 428.69 m 568.22 428.69 l S 20.58 w 33.45 303.8 m 570.1 303.8 l S 200.29 w 34.57 191.12 m 568.97 191.12 l S 0.992 0.898 0.545 RG 2.25 w 31.2 791.95 m 567.85 791.95 l S 30.12 791.95 m 568.92 791.95 l S 30.12 565 m 568.92 565 l S 31.2 793.03 m 31.2 563.92 l S 31.2 565 m 569.35 565 l S 32.7 542.17 m 569.35 542.17 l S 31.62 542.17 m 570.42 542.17 l S 31.62 315.22 m 570.42 315.22 l S 33.45 292.39 m 570.1 292.39 l S 33.45 315.22 m 570.1 315.22 l S 32.37 292.39 m 571.17 292.39 l S 32.37 89.85 m 571.17 89.85 l S 32.7 543.25 m 32.7 314.14 l S 33.45 293.47 m 33.45 88.77 l S 567.85 793.03 m 567.85 563.92 l S 569.35 543.25 m 569.35 314.14 l S 570.1 293.47 m 570.1 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.59 Tm (What the )Tj 1 0 0 1 90.52 798.59 Tm (care home)Tj 1 0 0 1 154.2 798.59 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.85 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76 Tm (The home provides a warm and friendly environment for people to live in \ and visit. )Tj 1 0 0 1 35.17 761.18 Tm (There is written information about the home and this is available to hel\ p people decide )Tj 1 0 0 1 35.17 746.6 Tm (if they want to come and live there. They are also welcome to come and v\ isit to help )Tj 1 0 0 1 35.17 732.02 Tm (them make up their minds. Visitors are welcome to the home and there is \ an open )Tj 1 0 0 1 35.17 717.44 Tm (door approach to the management team.)Tj 1 0 0 1 35.17 702.86 Tm (\240)Tj 1 0 0 1 35.17 688.28 Tm (There is a complaints procedure available for people if they wish to rai\ se a concern )Tj 1 0 0 1 35.17 673.7 Tm (with the home.)Tj 1 0 0 1 35.17 659.12 Tm (\240)Tj 1 0 0 1 35.17 644.54 Tm (The premises are generally clean and fresh. There are several communal r\ ooms where )Tj 1 0 0 1 35.17 629.96 Tm (people can choose to sit and there is ample space on the ground floor fo\ r those who )Tj 1 0 0 1 35.17 615.38 Tm (like to wander about.)Tj 1 0 0 1 35.17 600.8 Tm (\240)Tj 1 0 0 1 35.17 586.22 Tm (The medication is well organised and managed and the home has introduced\ a new )Tj 1 0 0 1 35.17 571.64 Tm (system for the storage of medication.)Tj /T1_0 10 Tf 1 0 0 1 568.97 676.92 Tm (\240)Tj 1 0 0 1 31.2 551.47 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 548.81 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.35 552.03 Tm (\240)Tj 1 0 0 1 31.2 427.14 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 525.98 Tm (The home has employed an activites organiser and there are now regular a\ ctivities )Tj 1 0 0 1 36.67 511.4 Tm (available within the home. This process contines to need development.)Tj 1 0 0 1 36.67 496.82 Tm (\240)Tj 1 0 0 1 36.67 482.24 Tm (There has been a programme of redecoration and replacement of carpets in\ the )Tj 1 0 0 1 36.67 467.66 Tm (communal areas.)Tj 1 0 0 1 36.67 453.08 Tm (\240)Tj 1 0 0 1 36.67 438.5 Tm (The home is in the process of rewriting the resident assessments and car\ e plans into a )Tj 1 0 0 1 36.67 423.92 Tm (new format. There is a considerable amount of work needed before this pr\ ocess is )Tj 1 0 0 1 36.67 409.34 Tm (completed.)Tj 1 0 0 1 36.67 394.76 Tm (\240)Tj 1 0 0 1 36.67 380.18 Tm (There is now a more stable staff team and the home does not use agency s\ taff on a )Tj 1 0 0 1 36.67 365.6 Tm (regular basis.)Tj 1 0 0 1 36.67 351.02 Tm (\240)Tj 1 0 0 1 36.67 336.44 Tm (Action has been taken to comply with the requirements made following the\ last key )Tj 1 0 0 1 36.67 321.86 Tm (inspection.)Tj /T1_0 10 Tf 1 0 0 1 570.47 427.14 Tm (\240)Tj 1 0 0 1 31.2 302.25 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 299.03 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 189.57 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 276.2 Tm (Whilst most staff were kind and respectful to the people living in the h\ ome, we saw )Tj 1 0 0 1 37.42 261.62 Tm (some examples of staff being critical or unsupportive of situations with\ residents. There )Tj 1 0 0 1 37.42 247.04 Tm (were also examples that we saw of staff not having the knowledge to deal\ with )Tj 1 0 0 1 37.42 232.46 Tm (situations of challenging behaviour. Staff need more training in how to \ meet the needs )Tj 1 0 0 1 37.42 217.88 Tm (of people with dementia so that they gain further understanding of how t\ o meet their )Tj 1 0 0 1 37.42 203.3 Tm (needs. The home needs to asssess more carefully the needs that are assoc\ iated with )Tj 1 0 0 1 37.42 188.72 Tm (people's dementia and to provide guidance and support for care staff in \ how to deal )Tj 1 0 0 1 37.42 174.14 Tm (with these challenges.)Tj 1 0 0 1 37.42 159.56 Tm (\240)Tj 1 0 0 1 37.42 144.98 Tm (The home needs to take more care to help new residents moving into the h\ ome settle )Tj 1 0 0 1 37.42 130.4 Tm (into their new environment.)Tj 1 0 0 1 37.42 115.82 Tm (\240)Tj 1 0 0 1 37.42 101.24 Tm (The assessments of people's needs were not fully completed. In particula\ r risk )Tj ET endstream endobj 216 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 1 1 1 RG 163.38 w 34.57 730.84 m 568.97 730.84 l S 0.992 0.898 0.545 RG 2.25 w 32.37 813.65 m 571.17 813.65 l S 32.37 648.02 m 571.17 648.02 l S 33.45 814.73 m 33.45 646.95 l S 570.1 814.73 m 570.1 646.95 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.72 Tm (assessments were not up to date and did not therefore draw the staff att\ ention to )Tj 1 0 0 1 35.17 788.14 Tm (where people were at risk of harm or injury. The care plans were in the \ process of )Tj 1 0 0 1 35.17 773.56 Tm (being transferred to a new system and people did not reliably have a car\ e plan in place )Tj 1 0 0 1 35.17 758.98 Tm (that made clear the action that needed to be taken to meet people's care\ needs.)Tj 1 0 0 1 35.17 744.4 Tm (\240)Tj 1 0 0 1 35.17 729.82 Tm (The garden is not safe for the residents to use. There are plans to impr\ ove it over the )Tj 1 0 0 1 35.17 715.24 Tm (next twelve months.)Tj 1 0 0 1 35.17 700.66 Tm (\240)Tj 1 0 0 1 35.17 686.08 Tm (There is no registered manager in post and the home needs to ensure that\ steps are )Tj 1 0 0 1 35.17 671.5 Tm (taken for the appointment of a permanent manager who submits an applicat\ ion for )Tj 1 0 0 1 35.17 656.92 Tm (registration.)Tj 1 0 0 1 28.35 633.46 Tm (\240)Tj 1 0 0 1 28.35 613.47 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 613.47 Tm (care home)Tj 1 0 0 1 480.04 613.47 Tm ( is taking )Tj 1 0 0 1 28.35 595.97 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35 575.98 Tm (\240)Tj 1 0 0 1 28.35 555.98 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85 555.98 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 555.98 Tm (You can get )Tj 1 0 0 1 28.35 538.48 Tm (printed copies from )Tj 1 0 0 1 149.87 538.48 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.4 538.48 Tm (0870 240 )Tj 1 0 0 1 28.35 520.99 Tm (7535.)Tj ET endstream endobj 217 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.984 0.788 0.086 RG 26 w 32.32 746.27 m 562.53 746.27 l S 0.992 0.898 0.545 RG 2.25 w 28.99 761.52 m 565.85 761.52 l S 28.99 733.27 m 565.85 733.27 l S 30.07 762.6 m 30.07 732.19 l S 564.78 762.6 m 564.78 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.39 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 695.96 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35 678.02 m 566.93 678.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 673.96 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35 656.02 m 566.93 656.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 651.96 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35 634.02 m 566.93 634.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 629.96 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35 612.02 m 566.93 612.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 607.96 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35 590.02 m 566.93 590.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 585.96 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35 568.02 m 566.93 568.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 563.96 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 218 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 490.17 m 565.85 490.17 l S 30.07 699.74 m 30.07 489.09 l S 564.78 699.74 m 564.78 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 449.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 432.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 360 m 563.65 360 l S 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 407.36 m 566.98 407.36 l S 31.2 408.44 m 31.2 289.06 l S 565.9 408.44 m 565.9 289.06 l S 31.2 407.36 m 565.9 407.36 l S 30.12 290.14 m 566.98 290.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (poor)Tj 0 Tr 1 0 0 1 289.42 391.68 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 374.18 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 354.18 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (People are provided with information about Bluebrooke before moving into\ the home. )Tj 1 0 0 1 35.47 316.69 Tm (Their needs are not given sufficient consideration either before or at t\ he time of their )Tj 1 0 0 1 35.47 299.2 Tm (admission to the home.)Tj ET 0.996 0.945 0.761 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.992 0.898 0.545 RG 2.25 w 30.12 242.89 m 566.98 242.89 l S 31.2 243.97 m 31.2 64.9 l S 565.9 243.97 m 565.9 64.9 l S 31.2 242.89 m 565.9 242.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj 1 0 0 1 35.47 227.21 Tm (There is information available for people moving into the home. This has\ been revised )Tj 1 0 0 1 35.47 209.71 Tm (since our last inspection and is more comprehensive. Four of the five re\ sidents who )Tj 1 0 0 1 35.47 192.22 Tm (replied to our surveys said that they found the information available su\ fficient. We )Tj 1 0 0 1 35.47 174.72 Tm (found that some of the information may be misleading for example saying \ there is a )Tj 1 0 0 1 35.47 157.22 Tm (safe back garden and that people have an acute care plan when they are i\ ll. We did )Tj 1 0 0 1 35.47 139.73 Tm (not find evidence to support either of these statements. There was a cop\ y of the most )Tj 1 0 0 1 35.47 122.23 Tm (recent key inspection report available in the entrance hall. However we \ did not see a )Tj 1 0 0 1 35.47 104.74 Tm (copy of the Service User Guide.)Tj 1 0 0 1 35.47 87.24 Tm (\240)Tj ET endstream endobj 219 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 504.27 l S 565.9 791.11 m 565.9 504.27 l S 31.2 790.03 m 565.9 790.03 l S 30.12 505.35 m 566.98 505.35 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (In the AQAA the service says that it carries out comprehensive pre admis\ sion )Tj 1 0 0 1 33.22 761.6 Tm (assessments. We looked in detail at the file of one person who had recen\ tly been )Tj 1 0 0 1 33.22 744.11 Tm (admitted to Bluebrooke. There was a pre admission assessment on his file\ but it was )Tj 1 0 0 1 33.22 726.61 Tm (not comprehensive and provided only limited information about his care n\ eeds. He had )Tj 1 0 0 1 33.22 709.11 Tm (been admitted six days before the inspection and we found that there was\ no care plan )Tj 1 0 0 1 33.22 691.62 Tm (available on his file and that most of the assessments that we expect to\ be carried out )Tj 1 0 0 1 33.22 674.12 Tm (following admission had not been completed.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (Prospective residents and their families are encouraged to visit the hom\ e to help them )Tj 1 0 0 1 33.22 621.63 Tm (make up their minds about whether it is the right place for them to live\ . A resident )Tj 1 0 0 1 33.22 604.14 Tm (was admitted on the day of our inspection and although he had visited wi\ th a family )Tj 1 0 0 1 33.22 586.64 Tm (member during the previous week, he was unable to remember this. It was \ evident )Tj 1 0 0 1 33.22 569.15 Tm (that he found the experience of admission unsettling. There was no membe\ r of staff )Tj 1 0 0 1 33.22 551.65 Tm (allocated to help orientate him during the first few hours. His confusio\ n was not helped )Tj 1 0 0 1 33.22 534.15 Tm (by another resident who kept coming up to him. This situation was not ma\ naged in a )Tj 1 0 0 1 33.22 516.66 Tm (way that helped his transition into the home.)Tj ET endstream endobj 220 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 594.42 m 565.85 594.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 594.42 m 565.85 594.42 l S 28.99 524.17 m 565.85 524.17 l S 30.07 699.74 m 30.07 523.09 l S 564.78 699.74 m 564.78 523.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.48 Tm (dignity.)Tj 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 483.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 466.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 277.44 w 33.45 324.01 m 563.65 324.01 l S 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 254.94 w 32.32 312.76 m 564.78 312.76 l S 0.992 0.898 0.545 RG 2.25 w 30.12 441.36 m 566.98 441.36 l S 31.2 442.44 m 31.2 183.09 l S 565.9 442.44 m 565.9 183.09 l S 31.2 441.36 m 565.9 441.36 l S 30.12 184.17 m 566.98 184.17 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (poor)Tj 0 Tr 1 0 0 1 289.42 425.68 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 408.18 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 388.18 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (People's care needs are sometimes not being met. This is because care pl\ ans do not )Tj 1 0 0 1 35.47 350.69 Tm (provide staff with all the information they need to ensure people get th\ e care they )Tj 1 0 0 1 35.47 333.2 Tm (need in the way they prefer or to safeguard them from potential harm. Ca\ re plans do )Tj 1 0 0 1 35.47 315.7 Tm (not show that the person, or someone close to them, has been involved in\ deciding )Tj 1 0 0 1 35.47 298.2 Tm (how they will be supported. Staff are not adequately trained to understa\ nd the needs )Tj 1 0 0 1 35.47 280.71 Tm (of people with dementia illnesses and to meet them in an appropriate way\ . There are )Tj 1 0 0 1 35.47 263.21 Tm (times when the principles of respect and dignity are not put into practi\ ce and people )Tj 1 0 0 1 35.47 245.72 Tm (are not treated respectfully.)Tj 1 0 0 1 35.47 228.22 Tm (\240)Tj 1 0 0 1 35.47 210.72 Tm (The home's system for handling, storing and administering medication gen\ erally )Tj 1 0 0 1 35.47 193.23 Tm (ensures that people are safeguarded in this area of practice.)Tj ET 0.996 0.945 0.761 RG 90.07 w 33.45 113.26 m 563.65 113.26 l S 1 1 1 RG 22.5 w 31.2 149.3 m 565.9 149.3 l S 68.7 w 32.32 101.45 m 564.78 101.45 l S 0.992 0.898 0.545 RG 2.25 w 30.12 136.93 m 566.98 136.93 l S 31.2 138 m 31.2 64.9 l S 565.9 138 m 565.9 64.9 l S 31.2 136.93 m 565.9 136.93 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 145.99 Tm (Evidence:)Tj 1 0 0 1 35.47 121.24 Tm (We looked at the experience of three people who lived in the home in som\ e detail. We )Tj 1 0 0 1 35.47 103.74 Tm (read their files and found that, whilst the home is in the process of up\ grading their )Tj 1 0 0 1 35.47 86.25 Tm (care plans, the ones we sampled did not contain sufficient assessment an\ d guidance )Tj ET endstream endobj 221 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (for staff. For example, one person whose file we read was diabetic but t\ here was no )Tj 1 0 0 1 33.22 761.6 Tm (assessment or information on their file about their needs relating to th\ is condition. )Tj 1 0 0 1 33.22 744.11 Tm (There was an entry on the health professional record requesting regular \ monitoring of )Tj 1 0 0 1 33.22 726.61 Tm (this resident's blood sugar levels. The last entry on the chart was in J\ anuary 2009 but )Tj 1 0 0 1 33.22 709.11 Tm (there was no indication that the health care professional had said that \ the monitoring )Tj 1 0 0 1 33.22 691.62 Tm (could stop. For another resident who had a tendency to be noisy, there w\ as no )Tj 1 0 0 1 33.22 674.12 Tm (guidance available for staff about how to manage this.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We observed situations in the lounge that needed careful management but \ where )Tj 1 0 0 1 33.22 621.63 Tm (there was no guidance available for staff to follow to take the potentia\ l for conflict out )Tj 1 0 0 1 33.22 604.14 Tm (of situations. We spoke with staff who told us that they had no written \ guidance in the )Tj 1 0 0 1 33.22 586.64 Tm (care plans about how to manage difficult or challenging behaviour. One e\ xample we )Tj 1 0 0 1 33.22 569.15 Tm (saw was a resident who became agitated and was waving her stick around. \ The carer )Tj 1 0 0 1 33.22 551.65 Tm (tried to take it off her and became involved in a battle of tugging rath\ er than moving )Tj 1 0 0 1 33.22 534.15 Tm (other vulnerable people away from the area. A couple of minutes later sh\ e moved this )Tj 1 0 0 1 33.22 516.66 Tm (resident's chair backwards without telling her what she intended to do w\ hich caused )Tj 1 0 0 1 33.22 499.16 Tm (her to become upset. The Expert observed another situation where again t\ he staff did )Tj 1 0 0 1 33.22 481.67 Tm (not have the guidance to manage a situation, "Two ladies were wandering \ round )Tj 1 0 0 1 33.22 464.17 Tm (aimlessly. These were .., who was on a respite stay and ..., who was act\ ually getting )Tj 1 0 0 1 33.22 446.67 Tm (more and more agitated and aggressive as the morning progressed. I obser\ ved as .. )Tj 1 0 0 1 33.22 429.18 Tm (went from one resident to another asking them questions. She came to me \ and then )Tj 1 0 0 1 33.22 411.68 Tm (to a member of the care staff for a hug. The member of staff told her to\ "Get off" and )Tj 1 0 0 1 33.22 394.19 Tm (then walked away from her muttering, "Euch! I hate that, slobbering all \ over me".)Tj 1 0 0 1 33.22 376.69 Tm (\240)Tj 1 0 0 1 33.22 359.19 Tm (We were able to speak to some family members who visited the home at the\ time of )Tj 1 0 0 1 33.22 341.7 Tm (the inspection and they told us that they were satisfied with the care t\ hat their relative )Tj 1 0 0 1 33.22 324.2 Tm (was receiving. They also told us that the home contacted them if they ha\ d any )Tj 1 0 0 1 33.22 306.71 Tm (concerns about their relative and that they were good with communication\ . However, )Tj 1 0 0 1 33.22 289.21 Tm (we did not find evidence of the involvement of families in the assessmen\ t or care )Tj 1 0 0 1 33.22 271.71 Tm (planning process.)Tj 1 0 0 1 33.22 254.22 Tm (\240)Tj 1 0 0 1 33.22 236.72 Tm (There was a book for recording all residents weights. The information in\ this is )Tj 1 0 0 1 33.22 219.23 Tm (communal and would be better in a format where information about each pe\ rson is )Tj 1 0 0 1 33.22 201.73 Tm (kept separately so interested parties could read it without seeing perso\ nal information )Tj 1 0 0 1 33.22 184.23 Tm (about other people who live in the home. For one person that we examined\ there was )Tj 1 0 0 1 33.22 166.74 Tm (no record of her weight since January with no explanation of why this ha\ d not been )Tj 1 0 0 1 33.22 149.24 Tm (taken.)Tj 1 0 0 1 33.22 131.75 Tm (\240)Tj 1 0 0 1 33.22 114.25 Tm (There were records in individual files of bathing. For one resident the \ last recorded )Tj 1 0 0 1 33.22 96.75 Tm (shower was on 24th March with one refused on 14th April. This person's h\ air did not )Tj 1 0 0 1 33.22 79.26 Tm (look as though it had been washed for some time.)Tj ET endstream endobj 222 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (The home had also not reviewed risk assessments on a regular basis. We r\ ead one file )Tj 1 0 0 1 33.22 744.11 Tm (where the resident's last manual handling assessment was dated May 2008.\ There was )Tj 1 0 0 1 33.22 726.61 Tm (no evidence of review since that date and no written guidance to staff a\ bout how to )Tj 1 0 0 1 33.22 709.11 Tm (meet her moving and handling needs, which were significant as she was no\ t mobile )Tj 1 0 0 1 33.22 691.62 Tm (and used a hoist. We wrote to the home to ask them to review this as a m\ atter of )Tj 1 0 0 1 33.22 674.12 Tm (urgency, so they were sure that staff were provided with the right guida\ nce about how )Tj 1 0 0 1 33.22 656.63 Tm (to deal with her manual handling.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (When we read the accident record we found that one resident had fallen o\ ut of bed )Tj 1 0 0 1 33.22 604.14 Tm (and had sustained some injuries. We asked to read her falls risk assessm\ ent and found )Tj 1 0 0 1 33.22 586.64 Tm (that it had not been reviewed following this fall. The cleaner told us t\ hat she had )Tj 1 0 0 1 33.22 569.15 Tm (moved this resident's room round to help prevent this happening again. W\ hilst this )Tj 1 0 0 1 33.22 551.65 Tm (may be the correct course of action, the management of the home have not\ assessed, )Tj 1 0 0 1 33.22 534.15 Tm (through her risk assessment, whether this would help prevent further fal\ ls or whether )Tj 1 0 0 1 33.22 516.66 Tm (there was any further action they should take. We wrote to the home to a\ sk them to )Tj 1 0 0 1 33.22 499.16 Tm (deal with this as a matter of urgency. This had been completed by the se\ cond day of )Tj 1 0 0 1 33.22 481.67 Tm (our inspection.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (We read one file where there was a generic risk assessment for nutrition\ and )Tj 1 0 0 1 33.22 429.18 Tm (hydration, that was not written in a way that was personal to the needs \ of the )Tj 1 0 0 1 33.22 411.68 Tm (resident. The scoring for this had been done wrongly and he came out as \ low risk not )Tj 1 0 0 1 33.22 394.19 Tm (at the top of medium as he should have been. This had implications for t\ he way that )Tj 1 0 0 1 33.22 376.69 Tm (the home managed his nutrition and hydration. Some risk assessments were\ not )Tj 1 0 0 1 33.22 359.19 Tm (personal to the people living in the home, for example each person had o\ ne for risk of )Tj 1 0 0 1 33.22 341.7 Tm (scalding and burning that was not individual to them.)Tj 1 0 0 1 33.22 324.2 Tm (\240)Tj 1 0 0 1 33.22 306.71 Tm (We noticed that most of the residents appeared well presented. The Exper\ t )Tj 1 0 0 1 33.22 289.21 Tm (commented "They appeared appropriately and individually dressed in clean\ clothing )Tj 1 0 0 1 33.22 271.71 Tm (with slippers and stockings or socks in place. The ladies and gents I sp\ ent time close )Tj 1 0 0 1 33.22 254.22 Tm (to had clean eyes and mouths and well manicured fingers, some of the lad\ ies had )Tj 1 0 0 1 33.22 236.72 Tm (painted nails.)Tj 1 0 0 1 33.22 219.23 Tm (\240)Tj 1 0 0 1 33.22 201.73 Tm (We observed a number of positive interactions between the staff and the \ people living )Tj 1 0 0 1 33.22 184.23 Tm (in the home. Most of the time the staff were kindly, helpful and conside\ rate of their )Tj 1 0 0 1 33.22 166.74 Tm (dignity. However, there were times when we saw interactions that were no\ t )Tj 1 0 0 1 33.22 149.24 Tm (appropriate. The Expert described one situation, "I noticed with horror \ a senior carer )Tj 1 0 0 1 33.22 131.75 Tm (standing over two ladies who were still eating, shouting at the top of h\ er voice, and )Tj 1 0 0 1 33.22 114.25 Tm (quite aggressively, to a carer at the other side of the adjoining lounge\ "Who the hell )Tj 1 0 0 1 33.22 96.75 Tm (has done this? and given ... so and so's dinner." The carer explained th\ at these two )Tj 1 0 0 1 33.22 79.26 Tm (ladies regularly, because of their confusion, swapped dinners. The senio\ r carer )Tj ET endstream endobj 223 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 356.3 w 33.45 633.26 m 563.65 633.26 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 334.92 w 32.32 621.45 m 564.78 621.45 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 451.78 l S 565.9 791.11 m 565.9 451.78 l S 31.2 790.03 m 565.9 790.03 l S 30.12 452.86 m 566.98 452.86 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (swapped their dinners back, mid meal, whilst still standing over them." \ We also found )Tj 1 0 0 1 33.22 761.6 Tm (that we were not introduced to people livng in the home as we were shown\ round. This )Tj 1 0 0 1 33.22 744.11 Tm (was not respectful of the people living there or the fact that it was th\ eir home.)Tj 1 0 0 1 33.22 726.61 Tm (\240)Tj 1 0 0 1 33.22 709.11 Tm (Most aspects of the management of medication were carried out in a satis\ factory way. )Tj 1 0 0 1 33.22 691.62 Tm (The home has introduced the use of electric trolleys for medication. The\ se were not )Tj 1 0 0 1 33.22 674.12 Tm (fixed to the wall but need a key to start their operation and movement. \ The )Tj 1 0 0 1 33.22 656.63 Tm (medication was stored in an organised way. There was no thermometer to m\ onitor the )Tj 1 0 0 1 33.22 639.13 Tm (temperature at which medication is stored. We looked at the record of ad\ ministration )Tj 1 0 0 1 33.22 621.63 Tm (for three people in detail. The records appeared to be fully recorded al\ though we could )Tj 1 0 0 1 33.22 604.14 Tm (not determine what had happened for one resident with one medication whe\ re there )Tj 1 0 0 1 33.22 586.64 Tm (was a signature with an O over it so we could not tell whether it had be\ en )Tj 1 0 0 1 33.22 569.15 Tm (administered or not. We were told that this person did not like the tast\ e of this )Tj 1 0 0 1 33.22 551.65 Tm (medication and refused it but there was nothing in the care plan about h\ ow this )Tj 1 0 0 1 33.22 534.15 Tm (situation was managed or monitored. We also looked at one person's medic\ ation )Tj 1 0 0 1 33.22 516.66 Tm (record who had a medication on an "as required" basis. The acting manage\ r said that )Tj 1 0 0 1 33.22 499.16 Tm (she was about to introduce sheets with guidance for staff about the circ\ umstances in )Tj 1 0 0 1 33.22 481.67 Tm (which as required medication could be administered but at the time of th\ e inspection )Tj 1 0 0 1 33.22 464.17 Tm (these were not available.)Tj ET endstream endobj 224 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 577.42 m 565.85 577.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 577.42 m 565.85 577.42 l S 28.99 558.17 m 565.85 558.17 l S 30.07 699.74 m 30.07 557.09 l S 564.78 699.74 m 564.78 557.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 539.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 517.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 500.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 428 m 563.65 428 l S 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 475.36 m 566.98 475.36 l S 31.2 476.44 m 31.2 357.06 l S 565.9 476.44 m 565.9 357.06 l S 31.2 475.36 m 565.9 475.36 l S 30.12 358.14 m 566.98 358.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 459.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.18 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The home is developing a range of activities for people to take part in \ but the activity )Tj 1 0 0 1 35.47 384.69 Tm (programme is in the early stages. There is a varied menu available but t\ he process of )Tj 1 0 0 1 35.47 367.2 Tm (mealtimes is functional and not promoted as a social occasion.)Tj ET 0.996 0.945 0.761 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.992 0.898 0.545 RG 2.25 w 30.12 310.89 m 566.98 310.89 l S 31.2 311.97 m 31.2 64.9 l S 565.9 311.97 m 565.9 64.9 l S 31.2 310.89 m 565.9 310.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.95 Tm (Evidence:)Tj 1 0 0 1 35.47 295.21 Tm (We found that there was little information in people's files about their\ interests or )Tj 1 0 0 1 35.47 277.71 Tm (about their personal history. People appeared to choose their own daily \ routine )Tj 1 0 0 1 35.47 260.22 Tm (although we did find that a number of people were up and dressed by 5.30\ am when )Tj 1 0 0 1 35.47 242.72 Tm (we did a random inspection in December 2008. In these circumstances care\ must be )Tj 1 0 0 1 35.47 225.22 Tm (taken to ensure that this suits resident's needs and decisions made abou\ t whether )Tj 1 0 0 1 35.47 207.73 Tm (they should more appropriately be encouraged to return to bed. Most resi\ dents were )Tj 1 0 0 1 35.47 190.23 Tm (downstairs in the communal rooms throughout the day. There was little ac\ tivity going )Tj 1 0 0 1 35.47 172.74 Tm (on and many spent the day dozing or watching any people who were walking\ around.)Tj 1 0 0 1 35.47 155.24 Tm (\240)Tj 1 0 0 1 35.47 137.74 Tm (The Expert commented that at one point she and the acting manager "went \ through a )Tj 1 0 0 1 35.47 120.25 Tm (dining area adjoining the main L shaped lounge and I noticed a lady and \ two )Tj 1 0 0 1 35.47 102.75 Tm (gentlemen slumped over dining tables with their heads resting on the tab\ les, sleeping. )Tj 1 0 0 1 35.47 85.26 Tm (I asked \(the acting manager\) if she thought this looked comfortable fo\ r them and she )Tj ET endstream endobj 225 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (told me that these people liked to do that. I asked why they weren't enc\ ouraged into a )Tj 1 0 0 1 33.22 761.6 Tm (more comfortable chair. She told me they chose to do this and she didn't\ think it was )Tj 1 0 0 1 33.22 744.11 Tm (their place to force them to sit somewhere else if they didn't want to. \ \(The acting )Tj 1 0 0 1 33.22 726.61 Tm (manager\) said not to worry that they always sat like that. I pointed ou\ t that I didn't )Tj 1 0 0 1 33.22 709.11 Tm (think they looked safe or comfortable.")Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The home employed an activities organiser about five weeks before the in\ spection. We )Tj 1 0 0 1 33.22 656.63 Tm (spoke with her and she said that she is getting to know the residents. O\ n the day we )Tj 1 0 0 1 33.22 639.13 Tm (visited a small group of about five residents were painting St George's \ Day flags with )Tj 1 0 0 1 33.22 621.63 Tm (her. There was no evidence of other activities although she said that sh\ e hoped )Tj 1 0 0 1 33.22 604.14 Tm (eventually to have some activity available in each of the lounges. In th\ e first month )Tj 1 0 0 1 33.22 586.64 Tm (she said that such activities as bowls, poetry club, bingo and knitting \ had been offered. )Tj 1 0 0 1 33.22 569.15 Tm (She also said that they are hoping to have a monthly entertainer but at \ the moment )Tj 1 0 0 1 33.22 551.65 Tm (there is no residents fund to allow this provision.)Tj 1 0 0 1 33.22 534.15 Tm (\240)Tj 1 0 0 1 33.22 516.66 Tm (The Expert commented on the lack of stimulation in the communal areas. W\ hen )Tj 1 0 0 1 33.22 499.16 Tm (entering one lounge she said, "It appeared instantly stark to me and dev\ oid of any )Tj 1 0 0 1 33.22 481.67 Tm (stimulation. There wasn't a TV or any music in here, no magazines, books\ or )Tj 1 0 0 1 33.22 464.17 Tm (newspapers or bits and bobs to pick up and put down. It was quite a ster\ ile )Tj 1 0 0 1 33.22 446.67 Tm (atmosphere. There were no staff in attendance and the ladies and gents w\ ere just )Tj 1 0 0 1 33.22 429.18 Tm (sitting and staring into space.")Tj 1 0 0 1 33.22 411.68 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (People were not able to go outside into the garden because, although it \ was enclosed, )Tj 1 0 0 1 33.22 376.69 Tm (it was not safe for people living in the home to use without a member of\ staff in )Tj 1 0 0 1 33.22 359.19 Tm (attendance. We saw residents who asked to go out on the day we were ther\ e but who )Tj 1 0 0 1 33.22 341.7 Tm (were told they could not do so.)Tj 1 0 0 1 33.22 324.2 Tm (\240)Tj 1 0 0 1 33.22 306.71 Tm (We spoke with three groups of visitors to the home and they all told us \ that they were )Tj 1 0 0 1 33.22 289.21 Tm (able to visit at any time and that they were made welcome.)Tj 1 0 0 1 33.22 271.71 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (There was a small notice board in one corridor in the home that detailed\ activities but )Tj 1 0 0 1 33.22 236.72 Tm (no information that we saw that detailed the menu for the day. Further i\ nformation )Tj 1 0 0 1 33.22 219.23 Tm (about daily life in the home would be helpful for the people who live th\ ere and for their )Tj 1 0 0 1 33.22 201.73 Tm (visitors.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.74 Tm (We watched lunch being served: it was minced beef, with mashed potatoes \ and )Tj 1 0 0 1 33.22 149.24 Tm (cabbage and apple charlotte and custard. It looked appetising and those \ who needed a )Tj 1 0 0 1 33.22 131.75 Tm (soft diet were provided with separate pureed components. There was no ch\ oice of )Tj 1 0 0 1 33.22 114.25 Tm (main meal offered routinely. The residents who prefered a vegetarian die\ t were offered )Tj 1 0 0 1 33.22 96.75 Tm (an omelette as an alternative. The Expert joined the residents for lunch\ and said that )Tj 1 0 0 1 33.22 79.26 Tm ("What I ate was very tasty and of a pleasant temperature." We noticed th\ at some )Tj ET endstream endobj 226 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 181.34 w 33.45 720.74 m 563.65 720.74 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 159.96 w 32.32 708.93 m 564.78 708.93 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 626.74 l S 565.9 791.11 m 565.9 626.74 l S 31.2 790.03 m 565.9 790.03 l S 30.12 627.82 m 566.98 627.82 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (people were given their food in bowls but no one had a plate guard which\ would have )Tj 1 0 0 1 33.22 761.6 Tm (provided them with more dignity when eating their meal.)Tj 1 0 0 1 33.22 744.11 Tm (\240)Tj 1 0 0 1 33.22 726.61 Tm (The Expert commented on the meal being a functional affair and lack of i\ ndividual )Tj 1 0 0 1 33.22 709.11 Tm (support for residents, "There was no background music or offer of differ\ ent drinks and )Tj 1 0 0 1 33.22 691.62 Tm (with the exception of a gentleman sitting near to me where one carer sat\ with him a )Tj 1 0 0 1 33.22 674.12 Tm (assisted him all the way through, there was very little organised assist\ ance with )Tj 1 0 0 1 33.22 656.63 Tm (eating. It was simply a carer bobbing around giving a mouthful here and \ a forkful )Tj 1 0 0 1 33.22 639.13 Tm (there." We expect people to be assisted on a one to one basis.)Tj ET endstream endobj 227 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 628.42 m 565.85 628.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 628.42 m 565.85 628.42 l S 28.99 609.17 m 565.85 609.17 l S 30.07 699.74 m 30.07 608.09 l S 564.78 699.74 m 564.78 608.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.48 Tm (allegations.)Tj 1 0 0 1 35.5 615.23 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35 590.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 568.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 551.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 470.25 m 563.65 470.25 l S 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 132.47 w 32.32 459 m 564.78 459 l S 0.992 0.898 0.545 RG 2.25 w 30.12 526.36 m 566.98 526.36 l S 31.2 527.44 m 31.2 390.56 l S 565.9 527.44 m 565.9 390.56 l S 31.2 526.36 m 565.9 526.36 l S 30.12 391.64 m 566.98 391.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (poor)Tj 0 Tr 1 0 0 1 289.42 510.68 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 493.18 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 473.18 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People who use the service are free to express their concerns and have a\ ccess to a )Tj 1 0 0 1 35.47 435.69 Tm (complaints procedure. There are policies in place to prevent people from\ experiencing )Tj 1 0 0 1 35.47 418.2 Tm (abuse or neglect but the home is not being managed in a way that ensures\ people )Tj 1 0 0 1 35.47 400.7 Tm (receive safe care.)Tj ET 0.996 0.945 0.761 RG 297.54 w 33.45 217 m 563.65 217 l S 1 1 1 RG 22.5 w 31.2 356.77 m 565.9 356.77 l S 276.17 w 32.32 205.19 m 564.78 205.19 l S 0.992 0.898 0.545 RG 2.25 w 30.12 344.4 m 566.98 344.4 l S 31.2 345.47 m 31.2 64.9 l S 565.9 345.47 m 565.9 64.9 l S 31.2 344.4 m 565.9 344.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.46 Tm (Evidence:)Tj 1 0 0 1 35.47 328.71 Tm (In their surveys people told us that they knew how to make a complaint i\ f they were )Tj 1 0 0 1 35.47 311.22 Tm (unhappy about the service they receive. Because many of the residents do\ not have )Tj 1 0 0 1 35.47 293.72 Tm (the capacity it is more likely that their representative will make a com\ plaint on their )Tj 1 0 0 1 35.47 276.22 Tm (behalf. We did not notice a copy of the complaints procedure in the entr\ ance hall for )Tj 1 0 0 1 35.47 258.73 Tm (people to access easily although the company director said that there wa\ s one there. )Tj 1 0 0 1 35.47 241.23 Tm (He also told us that each resident is provided with a personal copy of t\ he complaints )Tj 1 0 0 1 35.47 223.74 Tm (procedure at the time of their admission to the home. The home aims to h\ ave an open )Tj 1 0 0 1 35.47 206.24 Tm (door approach to the management team so that any concerns can be dealt w\ ith at an )Tj 1 0 0 1 35.47 188.74 Tm (early stage before they become a formal complaint.)Tj 1 0 0 1 35.47 171.25 Tm (\240)Tj 1 0 0 1 35.47 153.75 Tm (The AQAA referred to five complaints that had been received by the home.\ During the )Tj 1 0 0 1 35.47 136.26 Tm (inspection, the acting manager told us that they had not received any co\ mplaints )Tj 1 0 0 1 35.47 118.76 Tm (during the last twelve months. She was unable to find the complaints log\ but said that )Tj 1 0 0 1 35.47 101.26 Tm (two complaints received by the Commission and referred to the provider f\ or )Tj 1 0 0 1 35.47 83.77 Tm (investigation had not been recorded in there as we would expect. However\ by the )Tj ET endstream endobj 228 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 346.81 l S 565.9 791.11 m 565.9 346.81 l S 31.2 790.03 m 565.9 790.03 l S 30.12 347.88 m 566.98 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (second day of our inspection this log had been found and one of the comp\ laints we had )Tj 1 0 0 1 33.22 761.6 Tm (referred was detailed in there. There were also records of two further c\ omplaints made )Tj 1 0 0 1 33.22 744.11 Tm (to the home that had been looked into with appropriate responses to the \ )Tj 1 0 0 1 33.22 726.61 Tm (complainants. In addition there was a log of informal complaints that ha\ d been )Tj 1 0 0 1 33.22 709.11 Tm (recorded when people made criticisms verbally but did not put them in wr\ iting.)Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The home has a safeguarding policy and in the AQAA the home said that it\ makes sure )Tj 1 0 0 1 33.22 656.63 Tm (adult protection training is implemented on a regular basis. However, we\ were )Tj 1 0 0 1 33.22 639.13 Tm (provided with a training matrix that showed that the majority of staff h\ ad not received )Tj 1 0 0 1 33.22 621.63 Tm (training in this essential area of practice. The information in the AQAA\ may not, )Tj 1 0 0 1 33.22 604.14 Tm (therefore, be accurate although the home did acknowledge in this documen\ t that it )Tj 1 0 0 1 33.22 586.64 Tm (could improve by ensuring there was more in house information pertaining\ to abuse )Tj 1 0 0 1 33.22 569.15 Tm (and signs of abuse and that it should check staff understanding in super\ visions.)Tj 1 0 0 1 33.22 551.65 Tm (\240)Tj 1 0 0 1 33.22 534.15 Tm (We were not confident that staff always understood the physical and verb\ al aggression )Tj 1 0 0 1 33.22 516.66 Tm (displayed by the people living in the home and that they dealt with this\ in a way that )Tj 1 0 0 1 33.22 499.16 Tm (safeguarded people appropriately \(see Health and Personal Care section \ of this )Tj 1 0 0 1 33.22 481.67 Tm (report\). Some other aspects of the management, referred to elsewhere in\ this report, )Tj 1 0 0 1 33.22 464.17 Tm (also failed to provide people with the safeguards from abuse and neglect\ that are )Tj 1 0 0 1 33.22 446.67 Tm (required by regulation. Care plans failed to provide up to date and deta\ iled enough )Tj 1 0 0 1 33.22 429.18 Tm (information about how needs should be met and risk assessments relating \ to people's )Tj 1 0 0 1 33.22 411.68 Tm (state of health were not always in place. We found that staff recruitmen\ t checks were )Tj 1 0 0 1 33.22 394.19 Tm (not carried out in a way that safeguarded the people living in the home \ from the )Tj 1 0 0 1 33.22 376.69 Tm (employment of unsuitable people, and the acting manager had not applied \ for )Tj 1 0 0 1 33.22 359.19 Tm (registration.)Tj ET endstream endobj 229 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 662.42 m 565.85 662.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 662.42 m 565.85 662.42 l S 28.99 592.17 m 565.85 592.17 l S 30.07 699.74 m 30.07 591.09 l S 564.78 699.74 m 564.78 591.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.23 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 28.35 573.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 551.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 534.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 132.47 w 32.32 442 m 564.78 442 l S 0.992 0.898 0.545 RG 2.25 w 30.12 509.36 m 566.98 509.36 l S 31.2 510.44 m 31.2 373.56 l S 565.9 510.44 m 565.9 373.56 l S 31.2 509.36 m 565.9 509.36 l S 30.12 374.64 m 566.98 374.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.18 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (The home provides a safe and comfortable environment for the people who \ live there. )Tj 1 0 0 1 35.47 418.69 Tm (The gardens are not a safe place for people to access and further attent\ ion needs to be )Tj 1 0 0 1 35.47 401.2 Tm (paid to ensuring the environment is suitable for the client group who li\ ve there, most )Tj 1 0 0 1 35.47 383.7 Tm (of whom have dementia illnesses.)Tj ET 0.996 0.945 0.761 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 327.4 m 566.98 327.4 l S 31.2 328.47 m 31.2 64.9 l S 565.9 328.47 m 565.9 64.9 l S 31.2 327.4 m 565.9 327.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj 1 0 0 1 35.47 311.71 Tm (The home smelled fresh and this was also commented on by the Expert. Wit\ h the )Tj 1 0 0 1 35.47 294.22 Tm (exception of one bedroom that we visited we found the home was odour fre\ e.)Tj 1 0 0 1 35.47 276.72 Tm (\240)Tj 1 0 0 1 35.47 259.22 Tm (The Expert commented that she "arrived at 10.20am and although there is \ a small car )Tj 1 0 0 1 35.47 241.73 Tm (park this was full and parking was impossible on the main road. This cou\ ld create )Tj 1 0 0 1 35.47 224.23 Tm (difficulties for people visiting the home.")Tj 1 0 0 1 35.47 206.74 Tm (\240)Tj 1 0 0 1 35.47 189.24 Tm (The communal areas in the home comprise a dining room and four lounges t\ hat can be )Tj 1 0 0 1 35.47 171.74 Tm (accessed off the dining area. Whilst the quality of the decoration and s\ oft furnishing )Tj 1 0 0 1 35.47 154.25 Tm (was suitable, there was a lack of pictures, ornaments and items for stim\ ulation. In the )Tj 1 0 0 1 35.47 136.75 Tm (AQAA the home told us that they have carried out some redecoration over \ the last )Tj 1 0 0 1 35.47 119.26 Tm (twelve months. They said that when bedroms are empty they will be proper\ ly assessed )Tj 1 0 0 1 35.47 101.76 Tm (for redecoration and carpeting. There is a kitchenette close by one of t\ he lounges that )Tj 1 0 0 1 35.47 84.26 Tm (visitors can use to make a drink for themselves and the person living in\ the home.)Tj ET endstream endobj 230 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 346.81 l S 565.9 791.11 m 565.9 346.81 l S 31.2 790.03 m 565.9 790.03 l S 30.12 347.88 m 566.98 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (They also told us that "We are aware of the environment that people with\ dementia )Tj 1 0 0 1 33.22 744.11 Tm (live in, providing prompts with colours and equipment in order for them \ to remember )Tj 1 0 0 1 33.22 726.61 Tm (or recognise." We found little in the home that helped people to orienta\ te pthemselves )Tj 1 0 0 1 33.22 709.11 Tm (to their surroundings. The Expert also commented on this, "I noticed as \ we passed )Tj 1 0 0 1 33.22 691.62 Tm (through the ground floor that none of the doors held pictorial or writte\ n signage on )Tj 1 0 0 1 33.22 674.12 Tm (rooms such as the toilet or bathroom to assist the residents with using \ or moving )Tj 1 0 0 1 33.22 656.63 Tm (around their home. The corridor areas I feel need brightening and cheeri\ ng up with )Tj 1 0 0 1 33.22 639.13 Tm (stimulating, possibly tactile things on the walls. Bold, colourful, pict\ orial, signage with )Tj 1 0 0 1 33.22 621.63 Tm (arrows to the lounge, to room numbers, or staircase would help to guide \ and remind )Tj 1 0 0 1 33.22 604.14 Tm (the people living here and provide some much needed stimulus for them wh\ en moving )Tj 1 0 0 1 33.22 586.64 Tm (from one area to another in the home.")Tj 1 0 0 1 33.22 569.15 Tm (\240)Tj 1 0 0 1 33.22 551.65 Tm (Also there was no indication on people's bedroom doors about which was t\ heir room )Tj 1 0 0 1 33.22 534.15 Tm (and the expert commented in her report that during her visit, she was as\ ked seven )Tj 1 0 0 1 33.22 516.66 Tm (times by residents to help her find their rooms. We were also asked by s\ omeone who )Tj 1 0 0 1 33.22 499.16 Tm (was standing by her room. There was no name or picture on the door to he\ lp her )Tj 1 0 0 1 33.22 481.67 Tm (recognise that it was actually her room.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (The home was generally clean and there were domestic staff working in th\ e home each )Tj 1 0 0 1 33.22 429.18 Tm (day. There was liquid soap and paper towels in the bathrooms and toilets\ to help with )Tj 1 0 0 1 33.22 411.68 Tm (infection control. Information from the training matrix showed that only\ eight staff )Tj 1 0 0 1 33.22 394.19 Tm (working in the home had received training in infection control. A new sy\ stem called )Tj 1 0 0 1 33.22 376.69 Tm (OTEX has been introduced in the laundry to help with infection control w\ hen washing )Tj 1 0 0 1 33.22 359.19 Tm (people's laundry and llinen.)Tj ET endstream endobj 231 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 592.17 m 565.85 592.17 l S 30.07 699.74 m 30.07 591.09 l S 564.78 699.74 m 564.78 591.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.48 Tm (managers.)Tj 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 573.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 551.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 534.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 132.47 w 32.32 442 m 564.78 442 l S 0.992 0.898 0.545 RG 2.25 w 30.12 509.36 m 566.98 509.36 l S 31.2 510.44 m 31.2 373.56 l S 565.9 510.44 m 565.9 373.56 l S 31.2 509.36 m 565.9 509.36 l S 30.12 374.64 m 566.98 374.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj 0 Tr 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 456.18 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (People living in the home do not always receive the care they need becau\ se the )Tj 1 0 0 1 35.47 418.69 Tm (deployment and training of the staff means that there are not always suf\ ficient staff, )Tj 1 0 0 1 35.47 401.2 Tm (with the right skills, available to meet their needs. The staff recruitm\ ent procedures do )Tj 1 0 0 1 35.47 383.7 Tm (not protect the people living in the home from the employment of unsuita\ ble staff.)Tj ET 0.996 0.945 0.761 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 327.4 m 566.98 327.4 l S 31.2 328.47 m 31.2 64.9 l S 565.9 328.47 m 565.9 64.9 l S 31.2 327.4 m 565.9 327.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj 1 0 0 1 35.47 311.71 Tm (The staffing rota showed that on the day of inspection there was one sen\ ior carer on )Tj 1 0 0 1 35.47 294.22 Tm (duty throughout the day with five care staff in the mornings until 2pm, \ four in the )Tj 1 0 0 1 35.47 276.72 Tm (afternoons and three overnight. In addition there were domestic and cate\ ring staff. We )Tj 1 0 0 1 35.47 259.22 Tm (found that there were times when the staff were very busy. In particular\ we saw that )Tj 1 0 0 1 35.47 241.73 Tm (the new resident admitted in the late afternoon was disoriented and ther\ e was no staff )Tj 1 0 0 1 35.47 224.23 Tm (member allocated to him to help him settle down for the first few hours \ in the home. )Tj 1 0 0 1 35.47 206.74 Tm (Staff told us that several residents became restless in the late afterno\ on and that this )Tj 1 0 0 1 35.47 189.24 Tm (was a busy time of the day. The home may need to look at the deployment \ of staff at )Tj 1 0 0 1 35.47 171.74 Tm (busier times of the day for example the Expert reported that, "When walk\ ing around )Tj 1 0 0 1 35.47 154.25 Tm (the ground floor alone, later in the day I found two carers standing in \ here \(the )Tj 1 0 0 1 35.47 136.75 Tm (kitchenette\) having a natter here whilst other care staff were trying t\ o placate a lady, )Tj 1 0 0 1 35.47 119.26 Tm (who by this time was getting very aggressive with staff and residents al\ ike.")Tj 1 0 0 1 35.47 101.76 Tm (\240)Tj 1 0 0 1 35.47 84.26 Tm (Most of the staff interactions we saw were kindly and helpful. However t\ here were )Tj ET endstream endobj 232 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (times that staff did not speak appropriately to the residents or provide\ them with the )Tj 1 0 0 1 33.22 761.6 Tm (support that they needed. The Expert said "I saw very few positive socia\ ble )Tj 1 0 0 1 33.22 744.11 Tm (interactions between the care staff and the residents throughout the day\ or occasions )Tj 1 0 0 1 33.22 726.61 Tm (where they attempted to entertain or occupy the residents." "Their lack \ of responses )Tj 1 0 0 1 33.22 709.11 Tm (to displays of frustrated and challenging behaviour, probably borne out \ of boredom, )Tj 1 0 0 1 33.22 691.62 Tm (beggar belief, as does their inability to prevent such incidents by appr\ opriately )Tj 1 0 0 1 33.22 674.12 Tm (managing and working with the ladies and gents who live in Bluebrooke.")Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We started to look at files of care staff but the acting manager said th\ at they have not )Tj 1 0 0 1 33.22 621.63 Tm (recruited any care staff for over a year. They have employed new ancilli\ ary staff. On )Tj 1 0 0 1 33.22 604.14 Tm (those files we found that the recruitment had not been carried out to th\ e standard we )Tj 1 0 0 1 33.22 586.64 Tm (would expect to protect the residents in the home. For one person we fou\ nd no copies )Tj 1 0 0 1 33.22 569.15 Tm (of references on her file and the acting manager could not find her Crim\ inal Records )Tj 1 0 0 1 33.22 551.65 Tm (Bureau \(CRB\) disclosure check. Her POVAfirst was on her file. There wa\ s also a new )Tj 1 0 0 1 33.22 534.15 Tm (member of domestic staff who was working in the home without a CRB discl\ osure )Tj 1 0 0 1 33.22 516.66 Tm (check having been received. She had also started to work before her POVA\ first had )Tj 1 0 0 1 33.22 499.16 Tm (been received. We looked at the file of a new bank carer who had been em\ ployed this )Tj 1 0 0 1 33.22 481.67 Tm (year and found that her CRB disclosure check was dated after she had sta\ rted )Tj 1 0 0 1 33.22 464.17 Tm (employment and that her references were not taken up. The home were unab\ le to find )Tj 1 0 0 1 33.22 446.67 Tm (a training file for this employee.)Tj 1 0 0 1 33.22 429.18 Tm (\240)Tj 1 0 0 1 33.22 411.68 Tm (The service provider said that the acting manager had not known the expe\ cted )Tj 1 0 0 1 33.22 394.19 Tm (standards with regard to recruitment practice and that this had been ide\ ntified and the )Tj 1 0 0 1 33.22 376.69 Tm (missing documents sent for. In the AQAA the home reported that all staff\ who had )Tj 1 0 0 1 33.22 359.19 Tm (started working in the home in the last 12 months had satisfactory pre r\ ecruitment )Tj 1 0 0 1 33.22 341.7 Tm (checks. This information is incorrect.)Tj 1 0 0 1 33.22 324.2 Tm (\240)Tj 1 0 0 1 33.22 306.71 Tm (We found that there were aspects of staff training that needed attention\ . The AQAA )Tj 1 0 0 1 33.22 289.21 Tm (indicated that only five staff have done structured induction training t\ o the expected )Tj 1 0 0 1 33.22 271.71 Tm (standard. We identified that one carer had started her NVQ 2 without doi\ ng any )Tj 1 0 0 1 33.22 254.22 Tm (induction training in the home. We also found that there were gaps in th\ e expected )Tj 1 0 0 1 33.22 236.72 Tm (training that staff should have done, examples of this include staff not\ completing )Tj 1 0 0 1 33.22 219.23 Tm (training in safeguarding and infection control. The home has identified \ that there are )Tj 1 0 0 1 33.22 201.73 Tm (times when there is no staff member on the premises who has trained in f\ irst aid and )Tj 1 0 0 1 33.22 184.23 Tm (some staff are currently taking training in this area. There has also be\ en training in )Tj 1 0 0 1 33.22 166.74 Tm (health and safety and moving and handling this year. We pointed out to t\ he service )Tj 1 0 0 1 33.22 149.24 Tm (provider that 34 staff had completed moving and handling training in one\ day and that )Tj 1 0 0 1 33.22 131.75 Tm (he needed to confirm that the training course contained the information \ and practical )Tj 1 0 0 1 33.22 114.25 Tm (sessions that staff would need to work safely in this area of practice. \ We later spoke to )Tj 1 0 0 1 33.22 96.75 Tm (a member of staff who confirmed that she had been involved in a practica\ l session )Tj 1 0 0 1 33.22 79.26 Tm (with her moving and handling training. Staff who undertake risk assessme\ nts have not )Tj ET endstream endobj 233 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 591.75 l S 565.9 791.11 m 565.9 591.75 l S 31.2 790.03 m 565.9 790.03 l S 30.12 592.83 m 566.98 592.83 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (taken any training in how to undertake this function.)Tj 1 0 0 1 33.22 761.6 Tm (\240)Tj 1 0 0 1 33.22 744.11 Tm (Of particular concern was that the training matrix indicated that only t\ en of the staff )Tj 1 0 0 1 33.22 726.61 Tm (group had taken any training in dementia care. The majority of the resid\ ents living in )Tj 1 0 0 1 33.22 709.11 Tm (Bluebrooke have a dementia illness and care needs to be taken that staff\ have a good )Tj 1 0 0 1 33.22 691.62 Tm (understanding of the condition and how to provide best care. There are e\ xamples )Tj 1 0 0 1 33.22 674.12 Tm (throughout this report of staff working with residents in a way that doe\ s not show )Tj 1 0 0 1 33.22 656.63 Tm (understanding of this illness.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (Staff are encouraged to take an NVQ qualification and a significant numb\ er have )Tj 1 0 0 1 33.22 604.14 Tm (achieved this.)Tj ET endstream endobj 234 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 507.17 m 565.85 507.17 l S 30.07 699.74 m 30.07 506.09 l S 564.78 699.74 m 564.78 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 466.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 449.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 424.36 m 566.98 424.36 l S 31.2 425.44 m 31.2 323.55 l S 565.9 425.44 m 565.9 323.55 l S 31.2 424.36 m 565.9 424.36 l S 30.12 324.63 m 566.98 324.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (poor)Tj 0 Tr 1 0 0 1 289.42 408.68 Tm (quality outcomes in this area. We have made )Tj 1 0 0 1 35.47 391.18 Tm (this judgement using a range of evidence, including a visit to this serv\ ice.)Tj 1 0 0 1 35.47 371.18 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is not managed in a way that promotes the health and wellbeing \ of the )Tj 1 0 0 1 35.47 333.69 Tm (people who use the service.)Tj ET 0.996 0.945 0.761 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.992 0.898 0.545 RG 2.25 w 30.12 277.39 m 566.98 277.39 l S 31.2 278.47 m 31.2 64.9 l S 565.9 278.47 m 565.9 64.9 l S 31.2 277.39 m 565.9 277.39 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj 1 0 0 1 35.47 261.7 Tm (There is a legal requirement that people who are in day to day charge of\ a care home )Tj 1 0 0 1 35.47 244.21 Tm (register with us in that capacity. The previous acting manager left the \ home in January )Tj 1 0 0 1 35.47 226.71 Tm (2009. There is currently an acting manager in the home who has not yet a\ pplied for )Tj 1 0 0 1 35.47 209.22 Tm (registration. We will write to her and to the service provider about thi\ s need for )Tj 1 0 0 1 35.47 191.72 Tm (registration. She is very caring and committed but we had some concerns \ about her )Tj 1 0 0 1 35.47 174.22 Tm (ability to manage a care home of the size of Bluebrooke and with the com\ plexity of )Tj 1 0 0 1 35.47 156.73 Tm (care needs of some of the people living there. She showed some areas of \ lack of )Tj 1 0 0 1 35.47 139.23 Tm (knowledge and inexperience for the role. For example she did not know ab\ out proper )Tj 1 0 0 1 35.47 121.74 Tm (recruitment procedures and did not review people's risk assessments in a\ timely )Tj 1 0 0 1 35.47 104.24 Tm (manner. She is in the process of taking training relevant for the manage\ r of a care )Tj 1 0 0 1 35.47 86.74 Tm (home. She has not received a period of induction herself from the servic\ e providers.)Tj ET endstream endobj 235 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 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 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.996 0.945 0.761 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 171.85 l S 565.9 791.11 m 565.9 171.85 l S 31.2 790.03 m 565.9 790.03 l S 30.12 172.92 m 566.98 172.92 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (The acting manager spends some time working on the floor with the reside\ nts and )Tj 1 0 0 1 33.22 744.11 Tm (staff. We found that there were times when she tried to work with reside\ nts to diffuse )Tj 1 0 0 1 33.22 726.61 Tm (potentially difficult situations. Care needs to be taken to ensure that \ this does not )Tj 1 0 0 1 33.22 709.11 Tm (remove her from the task of managing the home. The acting manager comple\ ted the )Tj 1 0 0 1 33.22 691.62 Tm (AQAA and in this she gave some well detailed information about the servi\ ce. However )Tj 1 0 0 1 33.22 674.12 Tm (some of this did not accurately reflect what we found at the inspection.\ For example )Tj 1 0 0 1 33.22 656.63 Tm (the AQAA states "We employ a rigorous employment programme in the home"a\ nd )Tj 1 0 0 1 33.22 639.13 Tm ("Risk assessments are in place and monitored monthly by senior staff." N\ either of )Tj 1 0 0 1 33.22 621.63 Tm (these statements is accurate.)Tj 1 0 0 1 33.22 604.14 Tm (\240)Tj 1 0 0 1 33.22 586.64 Tm (We saw a number of situations with residents and staff during the time o\ f the )Tj 1 0 0 1 33.22 569.15 Tm (inspection that we considered inappropriate. In particular there were si\ tuations where )Tj 1 0 0 1 33.22 551.65 Tm (we observed the inability of the staff to intervene to diffuse behaviour\ al issues with the )Tj 1 0 0 1 33.22 534.15 Tm (residents. These are referred to throughout the report. These reflect on\ the oversight )Tj 1 0 0 1 33.22 516.66 Tm (of the management of the home in managing difficult or challenging situa\ tions.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.67 Tm (The acting manager told us that she receives good support from the servi\ ce provider )Tj 1 0 0 1 33.22 464.17 Tm (and the director of operations for the company. She said that they visit\ the home )Tj 1 0 0 1 33.22 446.67 Tm (regularly. There were records of monthly visits undertaken by the servic\ e provider as )Tj 1 0 0 1 33.22 429.18 Tm (required by regulation. The content of these was general in nature.)Tj 1 0 0 1 33.22 411.68 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (Equipment in the home is serviced regularly and the home employs a maint\ enance )Tj 1 0 0 1 33.22 376.69 Tm (man to carry out minor repairs, attend to the grden and decoration in th\ e home. The )Tj 1 0 0 1 33.22 359.19 Tm (home has bought new wheelchairs recently to make sure that these pieces \ of )Tj 1 0 0 1 33.22 341.7 Tm (equipment are safe and comfortable for people to use.)Tj 1 0 0 1 33.22 324.2 Tm (\240)Tj 1 0 0 1 33.22 306.71 Tm (We looked at the fire log. This showed that various checks and tests are\ carried out on )Tj 1 0 0 1 33.22 289.21 Tm (a regular basis. Staff employed in the home receive training in fire saf\ ety from an )Tj 1 0 0 1 33.22 271.71 Tm (external consultant once a year and there are occasional fire drills dur\ ing the year. The )Tj 1 0 0 1 33.22 254.22 Tm (fire safety risk assessment has not been reviewed since September 2006. \ The service )Tj 1 0 0 1 33.22 236.72 Tm (provider said that he was following guidance form the person who prepare\ d this for )Tj 1 0 0 1 33.22 219.23 Tm (him. However we advised him to contact the fire brigade regarding this a\ s inevitably )Tj 1 0 0 1 33.22 201.73 Tm (things change within a care home and we considered he should seek anothe\ r source of )Tj 1 0 0 1 33.22 184.23 Tm (advice.)Tj ET endstream endobj 236 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 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 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.992 0.945 0.761 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.996 0.945 0.761 RG 17 w 28.35 784.78 m 422.1 784.78 l S 424.35 784.78 m 467.1 784.78 l S 1 1 1 RG 469.35 784.78 m 494.1 784.78 l S 0.996 0.945 0.761 RG 496.35 784.78 m 539.1 784.78 l S 1 1 1 RG 541.35 784.78 m 566.1 784.78 l S 0.992 0.898 0.545 RG 2.25 w 26.14 794.4 m 568.3 794.4 l S 26.14 813.65 m 568.3 813.65 l S 26.14 794.4 m 568.3 794.4 l S 26.14 775.15 m 568.3 775.15 l S 27.22 814.73 m 27.22 774.08 l S 423.22 795.48 m 423.22 774.08 l S 468.22 795.48 m 468.22 774.08 l S 495.22 795.48 m 495.22 774.08 l S 540.22 795.48 m 540.22 774.08 l S 567.22 814.73 m 567.22 774.08 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.22 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.16 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.22 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.16 Tm <0035>Tj ET 0.996 0.945 0.761 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 30.3 w 31.2 631.95 m 91 631.95 l S 93.25 631.95 m 197.4 631.95 l S 199.65 631.95 m 289.5 631.95 l S 291.75 631.95 m 473.9 631.95 l S 476.15 631.95 m 566.2 631.95 l S 0.992 0.898 0.545 RG 2.25 w 28.99 648.22 m 568.4 648.22 l S 28.99 719.65 m 568.4 719.65 l S 28.99 648.22 m 568.4 648.22 l S 28.99 615.67 m 568.4 615.67 l S 30.07 720.73 m 30.07 614.6 l S 92.12 649.3 m 92.12 614.6 l S 198.52 649.3 m 198.52 614.6 l S 290.62 649.3 m 290.62 614.6 l S 475.02 649.3 m 475.02 614.6 l S 567.32 720.73 m 567.32 614.6 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45 Tm (been met.)Tj 1 0 0 1 95.57 669.45 Tm (\240 )Tj 1 0 0 1 104.02 669.45 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 31.2 637.05 Tm (No.)Tj 1 0 0 1 96.1 634.05 Tm (Standard)Tj 1 0 0 1 202.5 634.05 Tm (Regulation)Tj 1 0 0 1 294.6 634.05 Tm (Requirement)Tj 1 0 0 1 479 634.05 Tm (Timescale for )Tj 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 237 0 obj<> endobj 238 0 obj<> endobj 239 0 obj<>stream HlVXTW{`W`ftMĎ*0 vGcKT>b/1fwd5Ff/`nERo!7)15dl<&D%eEr(*Oj35wb^1|d՜4i4v3L8ljܦ^X>[Sol\/s^7R*UUQs:.uoаQ㷚5Ս&s3whʳuiݿtԹKn{|ϫWz8h9*8$Ȩ1q I)ic32ƍ0q)SM1slۜ(7od埬X*o(trm; 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If you would like \ a summary in a )Tj 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35 602.63 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 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35 532.64 Tm (misleading context. 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