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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put 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/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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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 80 0 obj<> endobj 81 0 obj<>/FontDescriptor 80 0 R/DW 1000>> endobj 82 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 31 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> <0037><0037><0054> <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> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 83 0 obj<>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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 y_~IF}dUBfHQԙNM{&%S)XL`Gļ jPo_`p5NMbNzwst/ KC7JdTi@,$^-GFIkYJ.G926VFAq21Ƃ٣/ יtZa)9Og % XRgø+q`h~S 5R_CqD׹9ՅZ]yEK#sk* YbQ ɬXM]S~+x dXn7Y>y_u2b%_sU,;byga6 ;߷@# 3[WQOӗH\ަբHπ/nWUXFٓ%u_`Fo7e"ƢF G] l T`ca]Qߝ|Y+5DmA˗oRsl_x-!Е3X0S%l4 iݭq9ę>)h%3 #=W6Y'P=yxRX)vh,KGD{4|l^kw%4 8=sMDF~;`Q*lpQ&7A^q-9B1GvRM9~'QZ]_ȏ% G;W8m׍9C`Wnb˻mR,ͤ29-a+ᒶᑝ豤n*9Ckxf'qB[t@@˛/QȒ ԻѢkleCD1o2]'9y3Sř+V0r ЯU 7=Ѕ݉r/}g(U d`QxGOveߺa?! ބdA70nylFZ({Dƪؠ kM >d\l>B͹"GI Td u~bJ|hJ>]Vn?Q55߯JG@Jmd'2u:{El8FD(W7)v8`|d`vci={ah,,ݘH{DW3C<ź|Y/ϼAc4<@Gsfp0ڃ8Gw di+Hu'^-bZh҉bꏱ<+ϋM#A{OJ5`8蜌8?""TF '>֐f z׫ÚZ@BG!MC,>b {Xyk',XNx 'ދ!Y-2+W+/7xCkҮ[T<(|+AiBㆼ,X׶|t˯hzVxMF[~sHQ# S4֦5!p%Ra#wfM@wB:H֜KF<SZ%H'6zU)(.t!zr6لY4*0G˒hTvYKa@$ioahىϚ1fn=lOn..):Z`(Ǽl}yZmDP;${%RK a$e+WD:(_yNw/Ya kF?4"dKg?7PV O#=GDGބEOBDCƲ(<;̘Fl@V}O.{3X6V<-^7z|Indc.<67ͼBk\~ctg. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.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 (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} 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 T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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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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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 417 0 obj 5469 endobj 418 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 419 0 obj 8609 endobj 420 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 707.44 m 267.94998 707.44 l S 1 1 1 RG 270.20001 707.44 m 565.64996 707.44 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 640.65997 m 267.94998 640.65997 l S 1 1 1 RG 270.20001 640.65997 m 565.64996 640.65997 l S 0.95294 0.95294 0.95294 RG 31.2 617.82996 m 267.94998 617.82996 l S 1 1 1 RG 270.20001 617.82996 m 565.64996 617.82996 l S 0.95294 0.95294 0.95294 RG 31.2 595 m 267.94998 595 l S 1 1 1 RG 270.20001 595 m 565.64996 595 l S 0.95294 0.95294 0.95294 RG 31.2 572.16998 m 267.94998 572.16998 l S 1 1 1 RG 270.20001 572.16998 m 565.64996 572.16998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. The )Tj ET endstream endobj 421 0 obj 1597 endobj 422 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65 years plus.)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 423 0 obj 3807 endobj 424 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 425 0 obj 1322 endobj 426 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 427 0 obj 6691 endobj 428 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 429 0 obj 1825 endobj 430 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 431 0 obj 1804 endobj 432 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 433 0 obj 6042 endobj 434 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 435 0 obj 1739 endobj 436 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 437 0 obj 6047 endobj 438 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 439 0 obj 2375 endobj 440 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 441 0 obj 6064 endobj 442 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 443 0 obj 2060 endobj 444 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 445 0 obj 5514 endobj 446 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 447 0 obj 5899 endobj 448 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 449 0 obj 1294 endobj 450 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 451 0 obj 5903 endobj 452 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 453 0 obj 2816 endobj 454 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 455 0 obj 5956 endobj 456 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. Both )Tj 1 0 0 1 36.57001 93.81 Tm (supervisors frequently provide hands-on care and are able to ensure supe\ rvised )Tj ET endstream endobj 457 0 obj 2807 endobj 458 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 318.80002 w 34.60001 652 m 562.53998 652 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 297.42999 w 33.47 640.19 m 563.65997 640.19 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 489.26999 l S 564.78998 791.10999 m 564.78998 489.26999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 490.34998 m 565.87 490.34998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (practice. Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. Policies and procedures are i\ n place )Tj 1 0 0 1 34.32001 499.16 Tm (promoting health and safety practices. )Tj ET endstream endobj 459 0 obj 3690 endobj 460 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 461 0 obj 6170 endobj 462 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 463 0 obj 1872 endobj 464 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 465 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 0 466 0000000007 65535 f 0000000016 00000 n 0000002250 00000 n 0000018185 00000 n 0000018317 00000 n 0000018869 00000 n 0000018996 00000 n 0000000010 00001 f 0000019191 00000 n 0000019319 00000 n 0000000013 00001 f 0000019441 00000 n 0000019598 00000 n 0000000015 00001 f 0000019750 00000 n 0000000017 00001 f 0000019922 00000 n 0000000021 00001 f 0000020068 00000 n 0000020203 00000 n 0000020954 00000 n 0000000023 00001 f 0000021042 00000 n 0000000025 00001 f 0000021211 00000 n 0000000027 00001 f 0000021346 00000 n 0000000029 00001 f 0000021481 00000 n 0000000033 00001 f 0000021616 00000 n 0000021762 00000 n 0000021894 00000 n 0000000036 00001 f 0000022016 00000 n 0000022146 00000 n 0000000038 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0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 473 0 obj 1596 endobj 474 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65 years plus)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 475 0 obj 1595 endobj 476 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65 years plu)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 477 0 obj 1594 endobj 478 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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28.35001 384.91 Tm <0003>Tj 1 0 0 1 28.35001 367.91 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 348.38 m 358.94998 348.38 l S 1 1 1 RG 361.20001 348.38 m 565.90002 348.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 359.78998 m 568.10004 359.78998 l S 28.99001 336.95999 m 568.10004 336.95999 l S 30.07001 360.87 m 30.07001 335.88998 l S 360.06998 360.87 m 360.06998 335.88998 l S 567.01996 360.87 m 567.01996 335.88998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 343.60999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 343.60999 Tm (care home)Tj 1 0 0 1 255.59 343.60999 Tm ( is:)Tj 0 Tr 1 0 0 1 383.07999 343.60999 Tm (three star excellent service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 324.70999 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 305.64999 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 305.64999 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 288.64999 Tm (people who use it.)Tj 1 0 0 1 138.92999 288.64999 Tm (\240 )Tj 1 0 0 1 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endstream endobj 481 0 obj 5623 endobj 482 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 483 0 obj 5469 endobj 484 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 485 0 obj 8606 endobj 486 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65 y)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 502 0 obj 1586 endobj 503 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65 )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 504 0 obj 1585 endobj 505 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 65)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 506 0 obj 1584 endobj 507 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged 6)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 508 0 obj 1583 endobj 509 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 510 0 obj 1582 endobj 511 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, aged)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 512 0 obj 1581 endobj 513 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, age)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 514 0 obj 1580 endobj 515 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, ag)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 516 0 obj 1579 endobj 517 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, a)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 518 0 obj 1578 endobj 519 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders, )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 520 0 obj 1577 endobj 521 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (genders,)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 522 0 obj 1576 endobj 523 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female service users \ of both )Tj 1 0 0 1 33.25 732.46997 Tm (ge)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 534 0 obj 1570 endobj 535 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. 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It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female ser)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 576 0 obj 1515 endobj 577 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female se)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 578 0 obj 1514 endobj 579 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female s)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 580 0 obj 1513 endobj 581 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 582 0 obj 1512 endobj 583 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & female)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 584 0 obj 1511 endobj 585 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & femal)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 586 0 obj 1510 endobj 587 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & fema)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 588 0 obj 1509 endobj 589 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & fem)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 590 0 obj 1508 endobj 591 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & fe)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 592 0 obj 1507 endobj 593 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & f)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 594 0 obj 1506 endobj 595 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male & )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 596 0 obj 1505 endobj 597 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male &)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 598 0 obj 1504 endobj 599 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 600 0 obj 1503 endobj 601 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 male)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 602 0 obj 1502 endobj 603 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 mal)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 604 0 obj 1501 endobj 605 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 ma)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 606 0 obj 1500 endobj 607 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 m)Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 608 0 obj 1499 endobj 609 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. It is a sh\ ort journey to )Tj 1 0 0 1 33.25 766.46997 Tm (the local amenities and is situated on a bus route. The local general ho\ spital is situated )Tj 1 0 0 1 33.25 749.46997 Tm (next to the Home. The Home is registered 26 )Tj 0 -17 TD (Information about the current scale of charges are summarised in the ser\ vice user )Tj T* (guide and are available on request from the service.)Tj ET endstream endobj 610 0 obj 1498 endobj 611 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Home was purpose built in the 1980s in a semi-rural location. 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(Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (Yoakley House)Tj 1 0 0 1 165.48 474.12988 Tm (Via Drapers Close )Tj 1 0 0 1 165.48 456.54999 Tm (St Peter`s Road)Tj 1 0 0 1 165.48 438.97 Tm (Margate)Tj 1 0 0 1 165.48 421.38998 Tm (Kent)Tj 1 0 0 1 165.48 403.81 Tm (CT9 4AJ)Tj /C2_1 10 Tf 1 0 0 1 28.35001 384.91 Tm <0003>Tj 1 0 0 1 28.35001 367.91 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 348.38 m 358.94998 348.38 l S 1 1 1 RG 361.20001 348.38 m 565.90002 348.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 359.78998 m 568.10004 359.78998 l S 28.99001 336.95999 m 568.10004 336.95999 l S 30.07001 360.87 m 30.07001 335.88998 l S 360.06998 360.87 m 360.06998 335.88998 l S 567.01996 360.87 m 567.01996 335.88998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 343.60999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 343.60999 Tm (care home)Tj 1 0 0 1 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(This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1058 0 obj 5469 endobj 1059 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1060 0 obj 8606 endobj 1061 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 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377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1062 0 obj 1189 endobj 1063 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1064 0 obj 3807 endobj 1065 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1066 0 obj 1322 endobj 1067 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1068 0 obj 6691 endobj 1069 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1070 0 obj 1825 endobj 1071 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1072 0 obj 1804 endobj 1073 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1074 0 obj 6042 endobj 1075 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1076 0 obj 1739 endobj 1077 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1078 0 obj 6047 endobj 1079 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1080 0 obj 2375 endobj 1081 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1082 0 obj 6064 endobj 1083 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1084 0 obj 2060 endobj 1085 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1086 0 obj 5514 endobj 1087 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1088 0 obj 5899 endobj 1089 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1090 0 obj 1294 endobj 1091 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1092 0 obj 5903 endobj 1093 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1094 0 obj 2816 endobj 1095 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1096 0 obj 5956 endobj 1097 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1102 0 obj 6170 endobj 1103 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1104 0 obj 1872 endobj 1105 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1106 0 obj 4655 endobj 1107 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1110 0 obj 5469 endobj 1111 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1112 0 obj 8606 endobj 1113 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1114 0 obj 1189 endobj 1115 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1116 0 obj 3807 endobj 1117 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1118 0 obj 1322 endobj 1119 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1120 0 obj 6691 endobj 1121 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1122 0 obj 1825 endobj 1123 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1124 0 obj 1804 endobj 1125 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1126 0 obj 6042 endobj 1127 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1128 0 obj 1739 endobj 1129 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1130 0 obj 6047 endobj 1131 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1132 0 obj 2375 endobj 1133 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1134 0 obj 6064 endobj 1135 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1136 0 obj 2060 endobj 1137 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1138 0 obj 5514 endobj 1139 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1140 0 obj 5899 endobj 1141 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1142 0 obj 1294 endobj 1143 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1144 0 obj 5903 endobj 1145 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1146 0 obj 2816 endobj 1147 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1148 0 obj 5956 endobj 1149 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1154 0 obj 6170 endobj 1155 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1156 0 obj 1872 endobj 1157 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1158 0 obj 4655 endobj 1159 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1162 0 obj 5469 endobj 1163 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1164 0 obj 8606 endobj 1165 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1166 0 obj 1189 endobj 1167 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1168 0 obj 3807 endobj 1169 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1170 0 obj 1322 endobj 1171 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1172 0 obj 6691 endobj 1173 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1174 0 obj 1825 endobj 1175 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1176 0 obj 1804 endobj 1177 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1178 0 obj 6042 endobj 1179 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1180 0 obj 1739 endobj 1181 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1182 0 obj 6047 endobj 1183 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1184 0 obj 2375 endobj 1185 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1186 0 obj 6064 endobj 1187 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1188 0 obj 2060 endobj 1189 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1190 0 obj 5514 endobj 1191 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1192 0 obj 5899 endobj 1193 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1194 0 obj 1294 endobj 1195 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1196 0 obj 5903 endobj 1197 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1198 0 obj 2816 endobj 1199 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1200 0 obj 5956 endobj 1201 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1206 0 obj 6170 endobj 1207 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1208 0 obj 1872 endobj 1209 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1210 0 obj 4655 endobj 1211 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1214 0 obj 5469 endobj 1215 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1216 0 obj 8606 endobj 1217 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1218 0 obj 1189 endobj 1219 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1220 0 obj 3807 endobj 1221 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1222 0 obj 1322 endobj 1223 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1224 0 obj 6691 endobj 1225 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1226 0 obj 1825 endobj 1227 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1228 0 obj 1804 endobj 1229 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1230 0 obj 6042 endobj 1231 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1232 0 obj 1739 endobj 1233 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1234 0 obj 6047 endobj 1235 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1236 0 obj 2375 endobj 1237 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1238 0 obj 6064 endobj 1239 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1240 0 obj 2060 endobj 1241 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1242 0 obj 5514 endobj 1243 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1244 0 obj 5899 endobj 1245 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1246 0 obj 1294 endobj 1247 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1248 0 obj 5903 endobj 1249 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1250 0 obj 2816 endobj 1251 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1252 0 obj 5956 endobj 1253 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1260 0 obj 1872 endobj 1261 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1262 0 obj 4655 endobj 1263 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1266 0 obj 5469 endobj 1267 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1268 0 obj 8606 endobj 1269 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1270 0 obj 1189 endobj 1271 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1272 0 obj 3807 endobj 1273 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1274 0 obj 1322 endobj 1275 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1276 0 obj 6691 endobj 1277 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1278 0 obj 1825 endobj 1279 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1280 0 obj 1804 endobj 1281 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1282 0 obj 6042 endobj 1283 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1284 0 obj 1739 endobj 1285 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1286 0 obj 6047 endobj 1287 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1288 0 obj 2375 endobj 1289 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1290 0 obj 6064 endobj 1291 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1292 0 obj 2060 endobj 1293 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1294 0 obj 5514 endobj 1295 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1296 0 obj 5899 endobj 1297 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1298 0 obj 1294 endobj 1299 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1300 0 obj 5903 endobj 1301 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1302 0 obj 2816 endobj 1303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1304 0 obj 5956 endobj 1305 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1312 0 obj 1872 endobj 1313 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1314 0 obj 4655 endobj 1315 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1318 0 obj 5469 endobj 1319 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1320 0 obj 8606 endobj 1321 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1322 0 obj 1189 endobj 1323 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1324 0 obj 3807 endobj 1325 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1326 0 obj 1322 endobj 1327 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1328 0 obj 6691 endobj 1329 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1330 0 obj 1825 endobj 1331 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1332 0 obj 1804 endobj 1333 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1334 0 obj 6042 endobj 1335 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1336 0 obj 1739 endobj 1337 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1338 0 obj 6047 endobj 1339 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1340 0 obj 2375 endobj 1341 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1342 0 obj 6064 endobj 1343 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1344 0 obj 2060 endobj 1345 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1346 0 obj 5514 endobj 1347 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1348 0 obj 5899 endobj 1349 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1350 0 obj 1294 endobj 1351 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1352 0 obj 5903 endobj 1353 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1354 0 obj 2816 endobj 1355 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1356 0 obj 5956 endobj 1357 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1364 0 obj 1872 endobj 1365 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1366 0 obj 4655 endobj 1367 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1370 0 obj 5469 endobj 1371 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1372 0 obj 8606 endobj 1373 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1374 0 obj 1189 endobj 1375 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1376 0 obj 3807 endobj 1377 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1378 0 obj 1322 endobj 1379 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1380 0 obj 6691 endobj 1381 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1382 0 obj 1825 endobj 1383 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1384 0 obj 1804 endobj 1385 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1386 0 obj 6042 endobj 1387 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1388 0 obj 1739 endobj 1389 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1390 0 obj 6047 endobj 1391 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1392 0 obj 2375 endobj 1393 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1394 0 obj 6064 endobj 1395 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1396 0 obj 2060 endobj 1397 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1398 0 obj 5514 endobj 1399 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1400 0 obj 5899 endobj 1401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1402 0 obj 1294 endobj 1403 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1404 0 obj 5903 endobj 1405 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1406 0 obj 2816 endobj 1407 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1408 0 obj 5956 endobj 1409 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. Policies and procedures are i\ n place )Tj 1 0 0 1 34.32001 499.16 Tm (promoting health and safety practices. )Tj ET endstream endobj 1412 0 obj 3690 endobj 1413 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1414 0 obj 6170 endobj 1415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1416 0 obj 1872 endobj 1417 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1418 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0000411358 00000 n 11 1 0000411554 00000 n 14 1 0000411712 00000 n 16 1 0000411885 00000 n 18 1 0000412032 00000 n 22 1 0000412168 00000 n 24 1 0000412338 00000 n 26 1 0000412474 00000 n 28 1 0000412610 00000 n 30 1 0000412746 00000 n 35 1 0000412893 00000 n 37 1 0000413065 00000 n 39 1 0000413214 00000 n 41 1 0000413386 00000 n 43 1 0000413535 00000 n 45 1 0000413707 00000 n 47 1 0000413856 00000 n 49 1 0000414028 00000 n 51 1 0000414200 00000 n 53 1 0000414349 00000 n 56 1 0000414521 00000 n 58 1 0000414670 00000 n 60 1 0000414842 00000 n 63 1 0000414991 00000 n 65 1 0000415140 00000 n 67 1 0000415277 00000 n 92 2 0000415414 00000 n 0000415491 00000 n 488 931 0000415709 00000 n 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1455 0 obj 5469 endobj 1456 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1457 0 obj 8606 endobj 1458 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 707.44 m 267.94998 707.44 l S 1 1 1 RG 270.20001 707.44 m 565.64996 707.44 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 640.65997 m 267.94998 640.65997 l S 1 1 1 RG 270.20001 640.65997 m 565.64996 640.65997 l S 0.95294 0.95294 0.95294 RG 31.2 617.82996 m 267.94998 617.82996 l S 1 1 1 RG 270.20001 617.82996 m 565.64996 617.82996 l S 0.95294 0.95294 0.95294 RG 31.2 595 m 267.94998 595 l S 1 1 1 RG 270.20001 595 m 565.64996 595 l S 0.95294 0.95294 0.95294 RG 31.2 572.16998 m 267.94998 572.16998 l S 1 1 1 RG 270.20001 572.16998 m 565.64996 572.16998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1459 0 obj 1189 endobj 1460 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1461 0 obj 3807 endobj 1462 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1463 0 obj 1322 endobj 1464 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1465 0 obj 6691 endobj 1466 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1467 0 obj 1825 endobj 1468 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1469 0 obj 1804 endobj 1470 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1471 0 obj 6042 endobj 1472 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1473 0 obj 1739 endobj 1474 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1475 0 obj 6047 endobj 1476 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1477 0 obj 2375 endobj 1478 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1479 0 obj 6064 endobj 1480 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1481 0 obj 2060 endobj 1482 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1483 0 obj 5514 endobj 1484 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1485 0 obj 5899 endobj 1486 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1487 0 obj 1294 endobj 1488 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1489 0 obj 5903 endobj 1490 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1491 0 obj 2816 endobj 1492 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1493 0 obj 5956 endobj 1494 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. Both )Tj 1 0 0 1 36.57001 93.81 Tm (supervisors frequently provide hands-on care and are able to ensure supe\ rvised )Tj ET endstream endobj 1495 0 obj 2807 endobj 1496 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 318.80002 w 34.60001 652 m 562.53998 652 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 297.42999 w 33.47 640.19 m 563.65997 640.19 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 489.26999 l S 564.78998 791.10999 m 564.78998 489.26999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 490.34998 m 565.87 490.34998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (practice. Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. Policies and procedures are i\ n place )Tj 1 0 0 1 34.32001 499.16 Tm (promoting health and safety practices. )Tj ET endstream endobj 1497 0 obj 3690 endobj 1498 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1501 0 obj 1872 endobj 1502 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1503 0 obj 4696 endobj 1504 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1507 0 obj 5469 endobj 1508 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1509 0 obj 8606 endobj 1510 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1511 0 obj 1189 endobj 1512 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1513 0 obj 3807 endobj 1514 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1515 0 obj 1322 endobj 1516 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1517 0 obj 6691 endobj 1518 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1519 0 obj 1825 endobj 1520 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1521 0 obj 1804 endobj 1522 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1523 0 obj 6042 endobj 1524 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1525 0 obj 1739 endobj 1526 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1527 0 obj 6047 endobj 1528 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1529 0 obj 2375 endobj 1530 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1531 0 obj 6064 endobj 1532 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1533 0 obj 2060 endobj 1534 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1535 0 obj 5514 endobj 1536 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1537 0 obj 5899 endobj 1538 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1539 0 obj 1294 endobj 1540 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1541 0 obj 5903 endobj 1542 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1543 0 obj 2816 endobj 1544 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1545 0 obj 5956 endobj 1546 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1553 0 obj 1872 endobj 1554 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1555 0 obj 4696 endobj 1556 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1559 0 obj 5469 endobj 1560 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1561 0 obj 8606 endobj 1562 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 322.60999 m 567.79999 322.60999 l S 30.07001 389.92999 m 30.07001 321.53998 l S 298.32001 367.10001 m 298.32001 321.53998 l S 566.71997 389.92999 m 566.71997 321.53998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 372.66998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 349.84 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 329.25998 Tm (Under 65)Tj 1 0 0 1 435.37 329.25998 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.30002 300.53 l S 299.54999 300.53 m 431.44998 300.53 l S 433.70001 300.53 m 565.60004 300.53 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.60004 270.41 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 567.79999 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 319.23999 m 567.79999 319.23999 l S 28.99001 281.82999 m 567.79999 281.82999 l S 28.99001 259 m 568.10004 259 l S 28.99001 236.17 m 568.10004 236.17 l S 28.99001 184.17999 m 568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1563 0 obj 1189 endobj 1564 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1565 0 obj 3807 endobj 1566 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1567 0 obj 1322 endobj 1568 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1569 0 obj 6691 endobj 1570 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1571 0 obj 1825 endobj 1572 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1573 0 obj 1804 endobj 1574 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1575 0 obj 6042 endobj 1576 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1577 0 obj 1739 endobj 1578 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1579 0 obj 6047 endobj 1580 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1581 0 obj 2375 endobj 1582 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1583 0 obj 6064 endobj 1584 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1585 0 obj 2060 endobj 1586 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1587 0 obj 5514 endobj 1588 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1589 0 obj 5899 endobj 1590 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1591 0 obj 1294 endobj 1592 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1593 0 obj 5903 endobj 1594 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1595 0 obj 2816 endobj 1596 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1597 0 obj 5956 endobj 1598 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1603 0 obj 6170 endobj 1604 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1605 0 obj 1872 endobj 1606 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1607 0 obj 4696 endobj 1608 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1611 0 obj 5469 endobj 1612 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1613 0 obj 8606 endobj 1614 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1615 0 obj 1189 endobj 1616 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1617 0 obj 3807 endobj 1618 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1619 0 obj 1322 endobj 1620 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1621 0 obj 6691 endobj 1622 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1623 0 obj 1825 endobj 1624 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1625 0 obj 1804 endobj 1626 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1627 0 obj 6042 endobj 1628 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1629 0 obj 1739 endobj 1630 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1631 0 obj 6047 endobj 1632 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1633 0 obj 2375 endobj 1634 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1635 0 obj 6064 endobj 1636 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1637 0 obj 2060 endobj 1638 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1639 0 obj 5514 endobj 1640 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1641 0 obj 5899 endobj 1642 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1643 0 obj 1294 endobj 1644 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1645 0 obj 5903 endobj 1646 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1647 0 obj 2816 endobj 1648 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1649 0 obj 5956 endobj 1650 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1657 0 obj 1872 endobj 1658 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1659 0 obj 4696 endobj 1660 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1663 0 obj 5469 endobj 1664 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1665 0 obj 8606 endobj 1666 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1667 0 obj 1189 endobj 1668 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1669 0 obj 3807 endobj 1670 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1671 0 obj 1322 endobj 1672 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1673 0 obj 6691 endobj 1674 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1675 0 obj 1825 endobj 1676 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1677 0 obj 1804 endobj 1678 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1679 0 obj 6042 endobj 1680 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1681 0 obj 1739 endobj 1682 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1683 0 obj 6047 endobj 1684 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1685 0 obj 2375 endobj 1686 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1687 0 obj 6064 endobj 1688 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1689 0 obj 2060 endobj 1690 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1691 0 obj 5514 endobj 1692 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1693 0 obj 5899 endobj 1694 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1695 0 obj 1294 endobj 1696 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1697 0 obj 5903 endobj 1698 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1699 0 obj 2816 endobj 1700 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1701 0 obj 5956 endobj 1702 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1709 0 obj 1872 endobj 1710 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1711 0 obj 4696 endobj 1712 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 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Tm (\240 )Tj 1 0 0 1 526.12 288.64999 Tm (We )Tj 1 0 0 1 28.35001 271.64999 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 254.64998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 317.5 237.17 m 565.90002 237.17 l S 1 1 1 RG 317.5 214.34 m 346.54999 214.34 l S 348.80002 214.34 m 377.89999 214.34 l S 380.14999 214.34 m 409.20001 214.34 l S 411.44998 214.34 m 440.54999 214.34 l S 442.80002 214.34 m 471.89993 214.34 l S 474.14993 214.34 m 503.20001 214.34 l S 505.44998 214.34 m 534.54999 214.34 l S 536.79999 214.34 m 565.90002 214.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 248.59 m 568.10004 248.59 l S 28.99001 225.75998 m 568.10004 225.75998 l S 28.99001 202.92998 m 568.10004 202.92998 l S 30.07001 249.65999 m 30.07001 201.84999 l S 316.37 249.65999 m 316.37 201.84999 l S 347.66998 226.83 m 347.66998 201.84999 l S 379.01999 226.83 m 379.01999 201.84999 l S 410.31998 226.83 m 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1715 0 obj 5469 endobj 1716 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1717 0 obj 8606 endobj 1718 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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762.79999 m 567.84998 762.79999 l S 28.99001 652.07001 m 567.84998 652.07001 l S 28.99001 629.23999 m 567.84998 629.23999 l S 28.99001 606.40997 m 567.84998 606.40997 l S 28.99001 583.58002 m 567.84998 583.58002 l S 28.99001 560.75 m 567.84998 560.75 l S 30.07001 786.70996 m 30.07001 559.66998 l S 269.07001 786.70996 m 269.07001 559.66998 l S 566.76996 786.70996 m 566.76996 559.66998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Yoakley House \(Michael Yoakley`s Charity\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Yoakley House)Tj 1 0 0 1 273.04999 729.03998 Tm (Via Drapers Close )Tj 1 0 0 1 273.04999 711.45996 Tm (St Peter`s Road)Tj 1 0 0 1 273.04999 693.88 Tm (Margate)Tj 1 0 0 1 273.04999 676.29999 Tm (Kent)Tj 1 0 0 1 273.04999 658.71997 Tm (CT9 4AJ)Tj 1 0 0 1 34.05 635.89001 Tm (Telephone number:)Tj 1 0 0 1 273.04999 635.89001 Tm (01843223652)Tj 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj 1 0 0 1 34.05 590.22998 Tm (Email address:)Tj 1 0 0 1 273.04999 590.22998 Tm (michaelyoakley@aol.com)Tj 1 0 0 1 34.05 567.40002 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 548.45001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 482.17999 m 564.76996 482.17999 l S 1 1 1 RG 20.58 w 355.5 528.95996 m 565.90002 528.95996 l S 31.2 483.30002 m 565.90002 483.30002 l S 0.95294 0.95294 0.95294 RG 31.2 460.47 m 353.25 460.47 l S 1 1 1 RG 355.5 460.47 m 565.90002 460.47 l S 0.95294 0.95294 0.95294 RG 31.2 437.63998 m 353.25 437.63998 l S 1 1 1 RG 355.5 437.63998 m 565.90002 437.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 517.54999 m 568.10004 517.54999 l S 28.99001 494.72 m 567.79999 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 354.37 541.45001 m 354.37 516.46997 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 540.38 m 568.10004 540.38 l S 28.99001 517.54999 m 567.79999 517.54999 l S 28.99001 494.72 m 568.10004 494.72 l S 28.99001 471.88992 m 568.10004 471.88992 l S 28.99001 449.06 m 568.10004 449.06 l S 28.99001 426.22998 m 568.10004 426.22998 l S 30.07001 541.45001 m 30.07001 425.14999 l S 354.37 472.95999 m 354.37 425.14999 l S 567.01996 541.45001 m 567.01996 425.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 524.19 Tm (Michael Yoakley`s Charity)Tj 1 0 0 1 34.05 501.35999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 478.53 Tm (\240)Tj 1 0 0 1 34.05 455.70001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 455.70001 Tm (care home)Tj 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 432.87 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 413.92999 Tm (\240)Tj 1 0 0 1 28.35001 396.92999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 354.60999 m 564.46997 354.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 366.01999 m 567.79999 366.01999 l S 28.99001 388.85001 m 567.79999 388.85001 l S 28.99001 366.01999 m 567.79999 366.01999 l 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1719 0 obj 1189 endobj 1720 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1721 0 obj 3807 endobj 1722 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1723 0 obj 1322 endobj 1724 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1725 0 obj 6691 endobj 1726 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1727 0 obj 1825 endobj 1728 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1729 0 obj 1804 endobj 1730 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1731 0 obj 6042 endobj 1732 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1733 0 obj 1739 endobj 1734 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1735 0 obj 6047 endobj 1736 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1737 0 obj 2375 endobj 1738 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1739 0 obj 6064 endobj 1740 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1741 0 obj 2060 endobj 1742 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1743 0 obj 5514 endobj 1744 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1745 0 obj 5899 endobj 1746 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1747 0 obj 1294 endobj 1748 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1749 0 obj 5903 endobj 1750 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1751 0 obj 2816 endobj 1752 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1753 0 obj 5956 endobj 1754 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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Care staff stated that they feel supported in their roles and \ that they are able )Tj 1 0 0 1 34.32001 761.60004 Tm (to approach the manager at any times should they have any concerns, worr\ ies or )Tj 1 0 0 1 34.32001 744.10999 Tm (issues.)Tj 1 0 0 1 34.32001 726.60999 Tm (The organisation has developed good quality monitoring processes. The ex\ ecutive )Tj 1 0 0 1 34.32001 709.10999 Tm (manager works within the building and, in conjunction with the trustees \ of the )Tj 1 0 0 1 34.32001 691.62 Tm (organisation, ensures the on-going monitoring and development of the ser\ vice )Tj 1 0 0 1 34.32001 674.12 Tm (through monthly monitoring visits and other frequent visits. Service use\ rs, staff, )Tj 1 0 0 1 34.32001 656.63 Tm (relatives and professionals are surveyed every 6-12 months and the feedb\ ack is )Tj 1 0 0 1 34.32001 639.13 Tm (collated within a report demonstrating any actions taken as a result of \ this feedback.)Tj 1 0 0 1 34.32001 621.63 Tm (The service does not act as a financial appointee for any service users,\ these )Tj 1 0 0 1 34.32001 604.14001 Tm (responsibilities are taken on by people independent of the home if requi\ red. A )Tj 1 0 0 1 34.32001 586.64001 Tm (safekeeping service is offered and records and receipts of all transacti\ ons are )Tj 1 0 0 1 34.32001 569.14996 Tm (maintained.)Tj 1 0 0 1 34.32001 551.64996 Tm (Records relating to health and safety issues were examined including ser\ vice safety )Tj 1 0 0 1 34.32001 534.14996 Tm (certificates, fire safety logs and accident records. All documents exami\ ned were up to )Tj 1 0 0 1 34.32001 516.65997 Tm (date demonstrating safe working practices. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1759 0 obj 6170 endobj 1760 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1761 0 obj 1872 endobj 1762 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1763 0 obj 33691 endobj 1764 0 obj<>stream HlTXTW{ߠ̈1`֮ADTl*:)"b2`#+Du-5kT&$n߻O߀~ 88(xa!GXBm3*6.>4:yLԴq'L̜4yԬig̴ϚŜ/XhK.[b9k֮[!鬒6-[mwعk8xG9zO9{._Akoܼu{/|͠ nr ̥NqZ%,'H-s%WydyF^%؃=^.,ps?{ҕX~7@f9C9!0 g1d+ ieUVcu@ҍd-v(2LY`]c"X=8x_'{w(,vY[afپW/ע;Ϊ骏m<_;c qs1&ԍ@(e&ÐfBЌu6Ѯ@'X'h jPuR"{A=={w={`0wxf>TiRɨ<3AİF RB,9A) ZZpjffɕ45Jj% YsEγ{Ǩޠ)˻+uyjIEBQ 6[ԒVPK8]VSә&v%@w~9A>6Q&(` BuV„Yi")~ƸM%[Fl+ U4mjj"*Tr,ʅswv`KUF=QS*VLw8ڍ 4UXƸOlܹfd*zؘ4V&a$5V؅x4^fF 3g{cxުD̑vdaٵm'%8!gZU$<22;9tuhp2y xMXF'F^+16FB6 ?* > ֙xp[+ҠSO &G$u H@@ գXvI& ^ocK.E\5MT\Y(wL{ [(rk&8"y!&>G cu6g-'Jt>.m1(wDN[M'7gBҪ u};_3/4?xtnlұ~#ABP/C 8N.&\Teܳyw): dB0x]_WE2. 9 q-NԥNTkAC &;!3N1ـi]5|?u53Vxڲ['jc'_?y?[ N'quOW.ښMHJ55lwj5y{FR}[捷%}yKsjU8>$0 U2GBAiĮiKLOxicJx3",C7uβX&`OX,,Xg cq"2]ef *:y[=sE ;\l \([&3n(~RDaVz8i\{Nueg ]>e#tXs{?@U2|||.bEJJFVC {8%Yc#rAq; ʼnZ/u2Ǝ`t2W Ⱥ&s{YMVsl˜Cd 8ȍFv%)|]*1bZ0CwK.',gJc.jL3+jfH$ `Wb jDZ#q/υg&~tcO_~xxK&19C.[% Xt$0Ǭ;;fiftX!k+(w|h:Ea5_hzei=&H4AnYIPľٍ,jV$#n1+$EE9DH\su,b dRRk|Yǫ r阼Qd +<lkp}譵dKizȒ%Y--%?,ʫb`& ! %N L(m0i0)MSgI'i[r]H;Ys~O:Lt>D%CR@w&"SM~o09\E1_G@ٷbqJ}eRbAߐ 1c3N9Bs ' zdV41C͉:<&P=/aߝv~ھYzs σ[?>9IsSssKC?Xټ%Q4{+D;aԤrV 9Zki$I,lk*ENnH8|T2]$ *?(@4% BHǹ+fzљ {&tO˦6 (waאK]W?ݾO^q7?Y2^v#}q\Ph2.U U_rjmB袻TBjT&EVV ^WS@ViF+v>h)2d"Hɳ6E䒬D֤nA( sTo"z xr)dEX#OkFn@2K? 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31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1773 0 obj 8606 endobj 1774 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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568.10004 184.17999 l S 30.07001 320.31 m 30.07001 183.10001 l S 298.41998 320.31 m 298.41998 280.75 l S 432.56998 320.31 m 432.56998 280.75 l S 566.71997 320.31 m 566.71997 183.10001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 303.04999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 288.47 Tm (category)Tj 1 0 0 1 302.39999 303.04999 Tm (0)Tj 1 0 0 1 436.54999 303.04999 Tm (26)Tj 1 0 0 1 34.05 265.63998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 242.81 Tm (The maximum number of service users to be accommodated is 26)Tj 1 0 0 1 34.05 219.98 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 205.40001 Tm (only \(PC\) to service users of the following gender; Either whose prima\ ry care needs on )Tj 1 0 0 1 34.05 190.81999 Tm (admission to the home are within the following category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.39 m 315.25 169.39 l S 1 1 1 RG 317.5 169.39 m 346.54999 169.39 l S 348.80002 169.39 m 377.89999 169.39 l S 380.14999 169.39 m 409.20001 169.39 l S 411.44998 169.39 m 440.54999 169.39 l S 442.80002 169.39 m 471.89993 169.39 l S 474.14993 169.39 m 503.20001 169.39 l S 505.44998 169.39 m 534.54999 169.39 l S 536.79999 169.39 m 565.90002 169.39 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.8 m 568.10004 180.8 l S 28.99001 157.97 m 568.10004 157.97 l S 30.07001 181.87999 m 30.07001 156.90001 l S 316.37 181.87999 m 316.37 156.90001 l S 347.66998 181.87999 m 347.66998 156.90001 l S 379.01999 181.87999 m 379.01999 156.90001 l S 410.31998 181.87999 m 410.31998 156.90001 l S 441.66998 181.87999 m 441.66998 156.90001 l S 473.01999 181.87999 m 473.01999 156.90001 l S 504.31998 181.87999 m 504.31998 156.90001 l S 535.66998 181.87999 m 535.66998 156.90001 l S 567.01996 181.87999 m 567.01996 156.90001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 164.62 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 146.10001 m 565.90002 146.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 136.47 m 568.10004 136.47 l S 30.07001 137.55 m 30.07001 39.14999 l S 567.01996 137.55 m 567.01996 39.14999 l S 28.99001 155.72 m 568.10004 155.72 l S 28.99001 136.47 m 568.10004 136.47 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 156.8 m 30.07001 135.40001 l S 567.01996 156.8 m 567.01996 135.40001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 142.53999 Tm (Brief description of the )Tj 1 0 0 1 177.31 142.53999 Tm (care home)Tj 1 0 0 1 35.5 123.29001 Tm (The Home was purpose built in the 1980s in a semi-rural location. It is \ a short journey )Tj 1 0 0 1 35.5 106.29001 Tm (to the local amenities and is situated on a bus route. The local general\ hospital is )Tj 1 0 0 1 35.5 89.29001 Tm (situated next to the Home. The Home is registered 26 male & female servi\ ce users of )Tj 1 0 0 1 35.5 72.29001 Tm (both genders, aged 65 years plus.)Tj 1 0 0 1 35.5 55.28999 Tm (The Home is all on one level and all bedrooms are single with en-suite f\ acilities. )Tj ET endstream endobj 1775 0 obj 1189 endobj 1776 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (26)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj -144.06 -17 Td (Information about the current scale of charges are summarised in the ser\ vice user )Tj 0 -17 TD (guide and are available on request from the service.)Tj ET endstream endobj 1777 0 obj 3807 endobj 1778 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 394.28 749.45001 Tm (three star excellent service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This key unannounced inspection process culminated in a site visit to th\ e service on the )Tj 1 0 0 1 35.17 240.90001 Tm (10th November 2009. The visit commenced at 10:00 hours and lasted for )Tj 1 0 0 1 35.17 226.31998 Tm (approximately 6 hours. Prior to the inspection visit a range of records \ and )Tj 1 0 0 1 35.17 211.73999 Tm (documentation were examined as part of the pre-inspection planning proce\ ss. These )Tj 1 0 0 1 35.17 197.14998 Tm (included the Annual Quality Assurance Assessment \(AQAA\) completed by t\ he service, )Tj 1 0 0 1 35.17 182.56999 Tm (previous inspection reports, information received from others about the \ service and )Tj 1 0 0 1 35.17 167.98999 Tm (any notifications detailing untoward occurrences and events. We also rev\ iewed any )Tj 1 0 0 1 35.17 153.41 Tm (complaints, concerns and allegations made in connection with the service\ . The AQAA is )Tj 1 0 0 1 35.17 138.84 Tm (a self-assessment document completed on a yearly basis by the service wh\ ich )Tj 1 0 0 1 35.17 124.25 Tm (summarises improvements made and planned and allows the service to ident\ ify any )Tj 1 0 0 1 35.17 109.68001 Tm (things that they could do better and how they plan to address these issu\ es. The AQAA )Tj 1 0 0 1 35.17 95.10001 Tm (focuses on the outcomes for service users and also provides statistical \ and numerical )Tj 1 0 0 1 35.17 80.50999 Tm (information about the home. The service completed their AQAA in good det\ ail and it )Tj 1 0 0 1 35.17 65.93001 Tm (provided all of the information that we asked for.)Tj ET endstream endobj 1779 0 obj 1322 endobj 1780 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 105.06 w 32.32001 760 m 566.71997 760 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (During the course of the site visit discussions were held with service u\ sers, visitors, the )Tj 1 0 0 1 32.92 773.56 Tm (manager, the executive manager and care staff. A tour of the premises wa\ s )Tj 1 0 0 1 32.92 758.97998 Tm (undertaken and staff were observed in their practice and interactions wi\ th service )Tj 1 0 0 1 32.92 744.40002 Tm (users. Records and documentation was examined including those relating t\ o service )Tj 1 0 0 1 32.92 729.82001 Tm (users, staff, health and safety, medication and quality monitoring among\ st other )Tj 1 0 0 1 32.92 715.23999 Tm (things.)Tj ET endstream endobj 1781 0 obj 6691 endobj 1782 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 472.56 w 32.32001 537.53998 m 566.71997 537.53998 l S 20.58 w 32.7 288.72 m 569.34998 288.72 l S 108.06 w 33.82001 222.14998 m 568.21997 222.14998 l S 20.58 w 33.45 155.58 m 570.10004 155.58 l S 79.02 w 34.57001 103.54001 m 568.96997 103.54001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 300.13998 m 568.91998 300.13998 l S 31.2 776.02997 m 31.2 299.06 l S 31.2 300.13998 m 569.34998 300.13998 l S 32.7 277.31 m 569.34998 277.31 l S 31.62 277.31 m 570.41998 277.31 l S 31.62 167 m 570.41998 167 l S 33.45 144.17 m 570.10004 144.17 l S 33.45 167 m 570.10004 167 l S 32.37 144.17 m 571.16998 144.17 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 278.38998 m 32.7 165.92 l S 33.45 145.25 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 299.06 l S 569.34998 278.38998 m 569.34998 165.92 l S 570.10004 145.25 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (Yoakley House provides care and support for up to 26 older people. The h\ ome is set in )Tj 1 0 0 1 35.17 744.17999 Tm (attractive and well-maintained grounds and is part of a charitable organ\ isation.)Tj 1 0 0 1 35.17 729.60004 Tm (The home is purpose built and is a single story building ensuring easy a\ ccess )Tj 1 0 0 1 35.17 715.01996 Tm (throughout for all service users. It provides excellent accommodation fo\ r the individual )Tj 1 0 0 1 35.17 700.44 Tm (and collective needs of the service users with a good range of communal \ space, )Tj 1 0 0 1 35.17 685.85999 Tm (adapted toilets and bathrooms and generous, personalised individual acco\ mmodation.)Tj 1 0 0 1 35.17 671.27997 Tm (There is a robust and detailed pre-admission assessment process that ens\ ures all )Tj 1 0 0 1 35.17 656.70001 Tm (necessary information is gathered in order that the needs of service use\ rs can be met.)Tj 1 0 0 1 35.17 642.12 Tm (Service users spoke positively about all aspects of the home and stated \ that they are )Tj 1 0 0 1 35.17 627.53998 Tm (able to retain control of their lives and are able to make decisions aff\ ecting their daily )Tj 1 0 0 1 35.17 612.95996 Tm (routines. One person said, 'I love it here, it's a great place. The staf\ f are wonderful and )Tj 1 0 0 1 35.17 598.38 Tm (the food is good.')Tj 1 0 0 1 35.17 583.79999 Tm (The service has established a clear complaints process the details of wh\ ich are )Tj 1 0 0 1 35.17 569.21997 Tm (provided to all service users and their representatives. A complaints bo\ ok and a )Tj 1 0 0 1 35.17 554.64001 Tm (compliments book are accessible at all times for people to register any \ issues that they )Tj 1 0 0 1 35.17 540.06 Tm (may have. Service users stated that they would know how to complain and \ that staff )Tj 1 0 0 1 35.17 525.47998 Tm (are approachable. All staff receive training in adult protection issues \ and demonstrated )Tj 1 0 0 1 35.17 510.8999 Tm (a good understanding of this topic. One resident said, 'I have absolutel\ y no complaints, )Tj 1 0 0 1 35.17 496.31998 Tm (there is nothing I would change.')Tj 1 0 0 1 35.17 481.73999 Tm (Almost all of the staff team have achieved at least a National Vocationa\ l Qualification )Tj 1 0 0 1 35.17 467.16 Tm (\(NVQ\) at level 2 or above and there is a training manager who ensures \ that all staff )Tj 1 0 0 1 35.17 452.57999 Tm (receive mandatory training and attend other service specific course. The\ home has a )Tj 1 0 0 1 35.17 438 Tm (dedicated training room enabling much of the training to be provided on \ site.)Tj 1 0 0 1 35.17 423.41998 Tm (Quality monitoring processes are in place including regular audits of ke\ y areas, )Tj 1 0 0 1 35.17 408.84 Tm (monthly monitoring visits and satisfaction surveys for service users, re\ latives, )Tj 1 0 0 1 35.17 394.25998 Tm (professionals and staff.)Tj 1 0 0 1 35.17 379.67999 Tm (There is an excellent activities programme that provides opportunities f\ or all to be )Tj 1 0 0 1 35.17 365.10001 Tm (involved in a diverse range of pastimes including regular groups and ses\ sions, trips )Tj 1 0 0 1 35.17 350.51999 Tm (out, visiting entertainers and one to one activities. A monthly newslett\ er is sent to all )Tj 1 0 0 1 35.17 335.94 Tm (residents so that they are aware of upcoming activities.)Tj 1 0 0 1 35.17 321.35999 Tm (All records relating to health and safety in the service were up to date\ and well )Tj 1 0 0 1 35.17 306.78 Tm (maintained and medication processes adhered to.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 535.98999 Tm (\240)Tj 1 0 0 1 31.2 286.60999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 283.94998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 287.16998 Tm (\240)Tj 1 0 0 1 31.2 220.60001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 261.12 Tm (The service is in the process of introducing a computerised care plannin\ g system which )Tj 1 0 0 1 36.67 246.53998 Tm (will promote greater consistency and depth to the plans of care, risk as\ sessments and )Tj 1 0 0 1 36.67 231.95999 Tm (healthcare monitoring.)Tj 1 0 0 1 36.67 217.37999 Tm (A new manager was appointed to the home in October 2009 who has made a p\ ositive )Tj 1 0 0 1 36.67 202.8 Tm (impact on the service. Staff and service users spoke positively about he\ r management )Tj 1 0 0 1 36.67 188.22 Tm (style and attitude. She is in the process of registering with the Care Q\ uality )Tj 1 0 0 1 36.67 173.64 Tm (Commission.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 220.60001 Tm (\240)Tj 1 0 0 1 31.2 154.03 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 150.81 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 101.99001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 127.98 Tm (One recommendation was made as a result of this inspection process.)Tj 1 0 0 1 37.42 113.40001 Tm (\240)Tj 1 0 0 1 37.42 98.82001 Tm (It is recommended that the service introduces clear protocols for the us\ e of PRN 'as )Tj 1 0 0 1 37.42 84.24001 Tm (required' medication ensuring that there is a consistency in the adminis\ tration of such )Tj 1 0 0 1 37.42 69.66 Tm (medications.)Tj ET endstream endobj 1783 0 obj 1825 endobj 1784 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (26)Tj ET 1 1 1 RG 61.32001 w 34.57001 781.87 m 568.96997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 750.07996 m 571.16998 750.07996 l S 33.45 814.72998 m 33.45 749.01001 l S 570.10004 814.72998 m 570.10004 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (The care planning and risk assessment processes currently in use are sui\ table, but not )Tj 1 0 0 1 35.17 788.13995 Tm (ideal. However the manager and executive manager have identified these s\ hortfalls )Tj 1 0 0 1 35.17 773.56 Tm (and are in the process of introducing new systems including a computer-b\ ased )Tj 1 0 0 1 35.17 758.97998 Tm (planning process and a back-up written version.)Tj 1 0 0 1 28.35001 735.51996 Tm (\240)Tj 1 0 0 1 28.35001 715.52997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 715.52997 Tm (care home)Tj 1 0 0 1 480.03998 715.52997 Tm ( is taking )Tj 1 0 0 1 28.35001 698.02997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 678.03998 Tm (\240)Tj 1 0 0 1 28.35001 658.03998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 658.03998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 638.03998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 638.03998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 618.04999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1785 0 obj 1804 endobj 1786 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1787 0 obj 6042 endobj 1788 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The needs of prospective service users are assessed and people are able \ to make an )Tj 1 0 0 1 36.62 341.25 Tm (informed choice about moving into the home.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The home has a clear statement of purpose and a service user guide in pl\ ace. The )Tj 1 0 0 1 36.57001 251.76999 Tm (guide provides prospective service users with a good level of informatio\ n to enable )Tj 1 0 0 1 36.57001 234.26999 Tm (them to make an informed choice about the service. Prospective service u\ sers are )Tj 1 0 0 1 36.57001 216.78 Tm (provided with a copy of the guide at the point of referral. The service \ users guide and )Tj 1 0 0 1 36.57001 199.28 Tm (the statement of purpose are reviewed and updated on an annual basis.)Tj 1 0 0 1 36.57001 181.78998 Tm (The service has a well developed pre-admission assessment process that i\ nvolves )Tj 1 0 0 1 36.57001 164.28999 Tm (gathering information from care managers and/or referrers including need\ s )Tj 1 0 0 1 36.57001 146.78999 Tm (assessments, care plans and risk assessments where possible. In the case\ of private )Tj 1 0 0 1 36.57001 129.3 Tm (referrals information is gathered from relatives and significant others.\ Prospective )Tj 1 0 0 1 36.57001 111.8 Tm (service users are involved in the assessment process and the manager vis\ its people in )Tj 1 0 0 1 36.57001 94.31 Tm (their current accommodation to assess their needs. Two examples of the )Tj 1 0 0 1 481.76999 94.31 Tm (pre-)Tj ET endstream endobj 1789 0 obj 1739 endobj 1790 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (admission)Tj 1 0 0 1 94.64 779.10004 Tm ( assessment process were examined and both were completed in good )Tj 1 0 0 1 34.32001 761.60004 Tm (detail.)Tj 1 0 0 1 34.32001 744.10999 Tm (The service does offer intermediate and respite care. 5 new dedicated re\ spite care )Tj 1 0 0 1 34.32001 726.60999 Tm (rooms have recently been completed for this purpose. Service users recei\ ving respite )Tj 1 0 0 1 34.32001 709.10999 Tm (care are encouraged to take an active part in the social aspects of the \ home. The )Tj 1 0 0 1 34.32001 691.62 Tm (manager stated that people receiving short-term care have their needs as\ sessed in )Tj 1 0 0 1 34.32001 674.12 Tm (accordance with the admission process.)Tj ET endstream endobj 1791 0 obj 6047 endobj 1792 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 429.48999 m 562.53998 429.48999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 66.86 w 33.47 418.23999 m 563.65997 418.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 382.60999 l S 564.78998 453.88 m 564.78998 382.60999 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 383.69 m 565.87 383.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The health and personal care needs of service users are met.)Tj 1 0 0 1 28.35001 368 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.79001 w 34.60001 219.92 m 562.53998 219.92 l S 1 1 1 RG 22.5 w 32.35001 348.82001 m 564.78998 348.82001 l S 254.42 w 33.47 208.11 m 563.65997 208.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 336.44998 m 565.87 336.44998 l S 32.35001 337.51999 m 32.35001 78.70001 l S 564.78998 337.51999 m 564.78998 78.70001 l S 32.35001 336.44998 m 564.78998 336.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.75998 Tm (All service users have a plan of care developed addressing all of their \ care and support )Tj 1 0 0 1 36.57001 303.26999 Tm (needs in sufficient detail. Three individual service user plans were exa\ mined during )Tj 1 0 0 1 36.57001 285.76999 Tm (the site visit. The level of information in these plans ensure that staf\ f are able to meet )Tj 1 0 0 1 36.57001 268.26999 Tm (the needs of the service users in a consistent manner. The current forma\ t of the plans )Tj 1 0 0 1 36.57001 250.78 Tm (is somewhat disjointed, but the manager stated that she is currently dev\ eloping a )Tj 1 0 0 1 36.57001 233.28 Tm (more coherent system of written care plans. In addition to this the serv\ ice manager )Tj 1 0 0 1 36.57001 215.78998 Tm (was able to demonstrate that the organisation have invested in a compute\ r based care )Tj 1 0 0 1 36.57001 198.28998 Tm (planning system, which is currently being developed and trialled by the \ service. )Tj 1 0 0 1 36.57001 180.78998 Tm (Service users are involved in the care planning process and the plans ar\ e reviewed )Tj 1 0 0 1 36.57001 163.3 Tm (and updated on a monthly basis or as required.)Tj 1 0 0 1 36.57001 145.8 Tm (The home maintains records of healthcare input from professionals and co\ mpletes key )Tj 1 0 0 1 36.57001 128.31 Tm (assessments covering service user's healthcare needs. The current system\ for )Tj 1 0 0 1 36.57001 110.81 Tm (recording the outcomes of health care appointments is under review. All \ service users )Tj 1 0 0 1 36.57001 93.31 Tm (are registered with local GPs and it was reported that the home receives\ good support )Tj ET endstream endobj 1793 0 obj 2375 endobj 1794 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 248.81998 w 34.60001 686.98999 m 562.53998 686.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 227.45 w 33.47 675.17999 m 563.65997 675.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 559.26001 l S 564.78998 791.10999 m 564.78998 559.26001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 560.33997 m 565.87 560.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (from community healthcare professionals. Complimentary healthcare needs \ are )Tj 1 0 0 1 34.32001 761.60004 Tm (addressed and service users have access to chirpodists, dentists and opt\ icians )Tj 1 0 0 1 34.32001 744.10999 Tm (amongst other services.)Tj 1 0 0 1 34.32001 726.60999 Tm (Care staff were observed to treat service users in a respectful and dign\ ified manner )Tj 1 0 0 1 34.32001 709.10999 Tm (and service users spoken to spoke highly of the staff with regard to bot\ h their )Tj 1 0 0 1 34.32001 691.62 Tm (attitudes and quality of support.)Tj 1 0 0 1 34.32001 674.12 Tm (The home has established medication processes that are generally well ma\ naged. )Tj 1 0 0 1 34.32001 656.63 Tm (Administration records are maintained and up to date and storage facilit\ ies are )Tj 1 0 0 1 34.32001 639.13 Tm (suitable for purpose. A number of relatively minor issues were discussed\ with the )Tj 1 0 0 1 34.32001 621.63 Tm (manager to promote safe administration of medications. The home should d\ evelop )Tj 1 0 0 1 34.32001 604.14001 Tm (clear protocols for the use of PRN 'as required' medication and all eye \ drops should )Tj 1 0 0 1 34.32001 586.64001 Tm (have a date of opening written to ensure that they are not used outside \ their expiry )Tj 1 0 0 1 34.32001 569.14996 Tm (date. Refer to recommendation 1.)Tj ET endstream endobj 1795 0 obj 6064 endobj 1796 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 463.48999 m 562.53998 463.48999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 66.86 w 33.47 452.23999 m 563.65997 452.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 416.60999 l S 564.78998 487.87988 m 564.78998 416.60999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 417.69 m 565.87 417.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (Service users have a lifestyle that suits their needs.)Tj 1 0 0 1 28.35001 402 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.78998 w 34.60001 236.92 m 562.53998 236.92 l S 1 1 1 RG 22.5 w 32.35001 382.81998 m 564.78998 382.81998 l S 288.41998 w 33.47 225.11 m 563.65997 225.11 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 370.44998 m 565.87 370.44998 l S 32.35001 371.51999 m 32.35001 78.70001 l S 564.78998 371.51999 m 564.78998 78.70001 l S 32.35001 370.44998 m 564.78998 370.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.75998 Tm (There is a very good range of activities open to the service users in th\ e home ranging )Tj 1 0 0 1 36.57001 337.26999 Tm (from daily events to outside entertainers visiting the service. The home\ publishes a )Tj 1 0 0 1 36.57001 319.76999 Tm (monthly newsletter for residents with details of all upcoming activities\ . The activities )Tj 1 0 0 1 36.57001 302.26999 Tm (co-ordinator has developed a programme of activities and ensures that al\ l service )Tj 1 0 0 1 36.57001 284.78 Tm (users has opportunities suited to their needs and wishes. Amongst the gr\ oups )Tj 1 0 0 1 36.57001 267.28 Tm (organised are quizzes, bingo, exercise classes and a knit and natter gro\ up. Singers, )Tj 1 0 0 1 36.57001 249.78998 Tm (musicians, choirs and comedians have visited the home over recent months\ and the )Tj 1 0 0 1 36.57001 232.28998 Tm (service explores alternative opportunities and entertainers. Residents c\ ommented )Tj 1 0 0 1 36.57001 214.78998 Tm (positively about the variety of activities in the home and some people s\ aid that they )Tj 1 0 0 1 36.57001 197.3 Tm (choose to spend more time in their rooms, but will attend groups if they\ want to. In )Tj 1 0 0 1 36.57001 179.8 Tm (response to surveys taken from residents the home has increased the leve\ l of )Tj 1 0 0 1 36.57001 162.31 Tm (opportunities for trips out. Service users are also encouraged to use th\ e substantial )Tj 1 0 0 1 36.57001 144.81 Tm (and attractively maintained gardens surrounding the home.)Tj 1 0 0 1 36.57001 127.31 Tm (Relatives and visitors are welcomed into the home and one visiting relat\ ive said, 'there )Tj 1 0 0 1 36.57001 109.82001 Tm (is always a warm welcome, it is a pleasure to come here'.)Tj 1 0 0 1 36.57001 92.32001 Tm (Residents were also extremely positive about the quality of the food in \ the home. One )Tj ET endstream endobj 1797 0 obj 2060 endobj 1798 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person said, 'the food is excellent, it is always well cooked and presen\ ted. I think the )Tj 1 0 0 1 34.32001 761.60004 Tm (cook does an excellent job.' A discussion was held with the cook who con\ firmed that )Tj 1 0 0 1 34.32001 744.10999 Tm (all of the equipment in the kitchen is in good working order and she is \ also able to )Tj 1 0 0 1 34.32001 726.60999 Tm (purchase and order good quality food. Menu records are maintained demons\ trating )Tj 1 0 0 1 34.32001 709.10999 Tm (that a healthy, balanced diet is provided with choices available at each\ mealtime. )Tj 1 0 0 1 34.32001 691.62 Tm (Special diets are catered for including those required for cultural and \ health reasons. )Tj 1 0 0 1 34.32001 674.12 Tm (The lunchtime service was observed, staff were unhurried and relaxed and\ there was a )Tj 1 0 0 1 34.32001 656.63 Tm (social and convivial atmosphere. Residents can choose to eat in the dini\ ng room or in )Tj 1 0 0 1 34.32001 639.13 Tm (their rooms dependent on individual choices.)Tj ET endstream endobj 1799 0 obj 5514 endobj 1800 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 505.73999 m 562.53998 505.73999 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 84.36 w 33.47 494.5 m 563.65997 494.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 450.12 l S 564.78998 538.88 m 564.78998 450.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 451.19 m 565.87 451.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The views of service users are listened to and acted upon. Service users\ are protected )Tj 1 0 0 1 36.62 460.25 Tm (from abuse.)Tj 1 0 0 1 28.35001 435.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 269.94 w 34.60001 290.35001 m 562.53998 290.35001 l S 1 1 1 RG 22.5 w 32.35001 416.31998 m 564.78998 416.31998 l S 247.43999 w 33.47 279.10001 m 563.65997 279.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 403.94998 m 565.87 403.94998 l S 32.35001 405.03 m 32.35001 153.17999 l S 564.78998 405.03 m 564.78998 153.17999 l S 32.35001 403.94998 m 564.78998 403.94998 l S 31.27 154.25998 m 565.87 154.25998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 413.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 388.26999 Tm (There is a clear complaints process in place that is summarised in the s\ ervice user )Tj 1 0 0 1 36.57001 370.76999 Tm (guide and displayed within the home. The manager stated that she operate\ s an 'open )Tj 1 0 0 1 36.57001 353.26999 Tm (door policy' and encourages service users and visitors to raise any conc\ erns that they )Tj 1 0 0 1 36.57001 335.78 Tm (may have. A complaints book and a compliments book are openly available \ at all )Tj 1 0 0 1 36.57001 318.28 Tm (times. No complaints have been reaised in connection with the home since\ the last )Tj 1 0 0 1 36.57001 300.78998 Tm (inspection. One service user said, 'I have absolutely no complaints, i t\ hink the home is )Tj 1 0 0 1 36.57001 283.29001 Tm (wonderful.' Another person said, 'I would feel comfortable in raising an\ y concerns, not )Tj 1 0 0 1 36.57001 265.79001 Tm (that i've ever had any.')Tj 1 0 0 1 36.57001 248.3 Tm (Policies and procedures are in place relating to adult protection and ab\ use awareness. )Tj 1 0 0 1 36.57001 230.8 Tm (all staff have attended courses covering these topics and they demonstra\ ted a good )Tj 1 0 0 1 36.57001 213.31 Tm (awareness of these issues. Information is available relating to the Ment\ al Capacity Act )Tj 1 0 0 1 36.57001 195.81 Tm (and the Deprivation of Liberty Safeguards \(DOLS\) and a DOLS checklist \ has been )Tj 1 0 0 1 36.57001 178.31 Tm (completed for all service users. No adult protection alerts have been ra\ ised in )Tj 1 0 0 1 36.57001 160.81999 Tm (connection with the service since the last inspection process.)Tj ET endstream endobj 1801 0 obj 5899 endobj 1802 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 488.73999 m 562.53998 488.73999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 84.36 w 33.47 477.5 m 563.65997 477.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 433.12 l S 564.78998 521.88 m 564.78998 433.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home provides a conducive environment suitable for the collective an\ d individual )Tj 1 0 0 1 36.62 443.25 Tm (needs of the service users.)Tj 1 0 0 1 28.35001 418.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 326.30002 w 34.60001 245.17 m 562.53998 245.17 l S 1 1 1 RG 22.5 w 32.35001 399.31998 m 564.78998 399.31998 l S 304.92999 w 33.47 233.36 m 563.65997 233.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.94998 m 565.87 386.94998 l S 32.35001 388.03 m 32.35001 78.70001 l S 564.78998 388.03 m 564.78998 78.70001 l S 32.35001 386.94998 m 564.78998 386.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 371.26999 Tm (A tour of the premises was undertaken. Throughout the home the accommoda\ tion, )Tj 1 0 0 1 36.57001 353.76999 Tm (facilities and decor is of a high standard, this was underlined by the l\ evels of )Tj 1 0 0 1 36.57001 336.26999 Tm (satisfaction service users stated about the home.)Tj 1 0 0 1 36.57001 318.78 Tm (There is a good range of communal space including two lounge areas, a di\ ning room )Tj 1 0 0 1 36.57001 301.28 Tm (and quiet areas around the home. The service user's bedrooms are spaciou\ s and well )Tj 1 0 0 1 36.57001 283.79001 Tm (furbished. They have been personalised to a good degree and provide a co\ mfortable )Tj 1 0 0 1 36.57001 266.29001 Tm (and conducive environment meeting individual needs. All bedrooms have en\ -suite )Tj 1 0 0 1 36.57001 248.78998 Tm (facilities and there are sufficient toilets and bathrooms including assi\ sted baths )Tj 1 0 0 1 36.57001 231.3 Tm (throughout the building. The home is surrounded by very attractive and w\ ell )Tj 1 0 0 1 36.57001 213.8 Tm (maintained gardens and there is parking space available within the groun\ ds.)Tj 1 0 0 1 36.57001 196.31 Tm (The kitchen and laundry facilities are suitable for the needs of the hom\ e and are clean )Tj 1 0 0 1 36.57001 178.81 Tm (and well maintained. It was reported that all equipment is in good worki\ ng order.)Tj 1 0 0 1 36.57001 161.31 Tm (Service users said, 'this is a lovely place to live. I really like my ro\ om. I have a print of )Tj 1 0 0 1 36.57001 143.81999 Tm (the garden showing the view from my favourite place.' 'The home is so cl\ ean and well )Tj 1 0 0 1 36.57001 126.32001 Tm (cared for.')Tj 1 0 0 1 36.57001 108.83 Tm (A new annexe has recently been built with a state of the art training ro\ om and )Tj 1 0 0 1 36.57001 91.33 Tm (additional office space. 5 new dedicated respite rooms have also been cr\ eated. There )Tj ET endstream endobj 1803 0 obj 1294 endobj 1804 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (are two full-time maintenance men and there is evidence of on-going impr\ ovement. )Tj 1 0 0 1 34.32001 761.60004 Tm (The home is purpose-built and is a single story building enabling easy a\ ccess )Tj 1 0 0 1 34.32001 744.10999 Tm (throughout.)Tj ET endstream endobj 1805 0 obj 5903 endobj 1806 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 480 m 562.53998 480 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 101.85001 w 33.47 468.75 m 563.65997 468.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 415.62 l S 564.78998 521.88 m 564.78998 415.62 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 416.70001 m 565.87 416.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is a well trained and competent staff team. The staffing complemen\ t is suitable )Tj 1 0 0 1 36.62 443.25 Tm (for the needs of the service users and recruitment procedures ensure the\ well-being of )Tj 1 0 0 1 36.62 425.75998 Tm (residents.)Tj 1 0 0 1 28.35001 401.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.80002 w 34.60001 236.42998 m 562.53998 236.42998 l S 1 1 1 RG 22.5 w 32.35001 381.82999 m 564.78998 381.82999 l S 287.42999 w 33.47 224.62 m 563.65997 224.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.44998 m 565.87 369.44998 l S 32.35001 370.53 m 32.35001 78.70001 l S 564.78998 370.53 m 564.78998 78.70001 l S 32.35001 369.44998 m 564.78998 369.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.76999 Tm (The staffing levels in the home ensure that the needs of the service use\ rs can be met )Tj 1 0 0 1 36.57001 336.26999 Tm (at all times. The home operates with 6 care staff every morning and 4 ca\ re staff in the )Tj 1 0 0 1 36.57001 318.78 Tm (afternoon with 3 waking night staff. Both staff and service users stated\ that there are )Tj 1 0 0 1 36.57001 301.28 Tm (sufficient staff on duty every day. The staff rotas for two weeks were e\ xamined )Tj 1 0 0 1 36.57001 283.79001 Tm (demonstrating this fact. The manager stated that if the needs of service\ users change )Tj 1 0 0 1 36.57001 266.29001 Tm (more care staff can be brought on shift. It was stated that staffing lev\ els have recently )Tj 1 0 0 1 36.57001 248.78998 Tm (been increased. There are ancillary staff to complement these numbers in\ cluding a )Tj 1 0 0 1 36.57001 231.3 Tm (cook on duty every day, an administrator, housekeepers and two full-time\ )Tj 1 0 0 1 36.57001 213.8 Tm (maintenance men as well as an activities person. The home is currently i\ n the process )Tj 1 0 0 1 36.57001 196.31 Tm (of employing a dedicated activities co-ordinator.)Tj 1 0 0 1 36.57001 178.81 Tm (Almost all of the care staff have achieved at least a National Vocationa\ l Qualification in )Tj 1 0 0 1 36.57001 161.31 Tm (care at level 2 or above. The only staff who have not done so are those \ that have )Tj 1 0 0 1 36.57001 143.81999 Tm (recently been employed. A number of staff members were spoken to during \ the course )Tj 1 0 0 1 36.57001 126.32001 Tm (of the site visit, all of whom demonstrated a good understanding of the \ needs of )Tj 1 0 0 1 36.57001 108.83 Tm (service users and related issues.)Tj 1 0 0 1 36.57001 91.33 Tm (The home operates a robust recruitment process and three staff personnel\ files were )Tj ET endstream endobj 1807 0 obj 2816 endobj 1808 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (examined demonstrating that all of the required checks had been complete\ d prior to )Tj 1 0 0 1 34.32001 761.60004 Tm (employment including the receipt of two written references, CRB and POVA\ checks and )Tj 1 0 0 1 34.32001 744.10999 Tm (proof of identity amongst other documents.)Tj 1 0 0 1 34.32001 726.60999 Tm (All new staff work through an induction process co-ordinated by the trai\ ning manager. )Tj 1 0 0 1 34.32001 709.10999 Tm (The induction process is based on the Common Induction Standards and exa\ mples of )Tj 1 0 0 1 34.32001 691.62 Tm (completed induction packs were examined. Care staff confirmed that they \ work )Tj 1 0 0 1 34.32001 674.12 Tm (through this process in a timely manner.)Tj 1 0 0 1 34.32001 656.63 Tm (An up to date staff training matrix was examined demonstrating that all \ staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received the required mandatory training and updates as required. The tr\ aining )Tj 1 0 0 1 34.32001 621.63 Tm (manager is a trained trainer in a number of the mandatory training topic\ s and can, )Tj 1 0 0 1 34.32001 604.14001 Tm (therefore deliver this training as and when new staff join the company a\ nd refresher )Tj 1 0 0 1 34.32001 586.64001 Tm (training is required. The manager is also a trained trainer in the Menta\ l Capacity Act. )Tj 1 0 0 1 34.32001 569.14996 Tm (She stated that she plans to deliver this training in the future. Additi\ onal service )Tj 1 0 0 1 34.32001 551.64996 Tm (specific training is provided based on the needs and requirements of the\ service users. )Tj 1 0 0 1 34.32001 534.14996 Tm (With the newly developed training room the service is able to deliver al\ l required )Tj 1 0 0 1 34.32001 516.65997 Tm (training in a conducive setting with the benefit of multi-media resource\ s.)Tj ET endstream endobj 1809 0 obj 5956 endobj 1810 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (26)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home is well managed in the best interests of the service users. Hea\ lth and safety )Tj 1 0 0 1 36.62 358.25 Tm (practices are maintained.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (A new manager was appointed in October 2009. She is currently in the pro\ cess of )Tj 1 0 0 1 36.57001 268.76999 Tm (applying for registration with the Care Quality Commission. She is worki\ ng towrds her )Tj 1 0 0 1 36.57001 251.26999 Tm (NVQ 4/Registered Managers Award and has a number of years of management \ )Tj 1 0 0 1 36.57001 233.78 Tm (experience working in the care home sector. Through discussion and feedb\ ack it was )Tj 1 0 0 1 36.57001 216.28 Tm (evident that she has had a positive influence on the home and has alread\ y introduced )Tj 1 0 0 1 36.57001 198.78998 Tm (a number of innovations to further improve the service. Staff and servic\ e users spoke )Tj 1 0 0 1 36.57001 181.28998 Tm (positively about her attitude and management style and she has developed\ and )Tj 1 0 0 1 36.57001 163.78999 Tm (fostered good relationships within the service.)Tj 1 0 0 1 36.57001 146.3 Tm (Supervision systems have been reviewed and updated by the manager to ens\ ure that )Tj 1 0 0 1 36.57001 128.8 Tm (all staff receive regular formal supervision at least 6 times per year. \ Supervisory )Tj 1 0 0 1 36.57001 111.31 Tm (responsibilities are shared out between the manager and the training man\ ager. 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34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1815 0 obj 6170 endobj 1816 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 155.41 w 32.32001 407.22 m 564.96997 407.22 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 399.41 m 30.07001 330.69 l S 567.21997 399.41 m 567.21997 330.69 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 398.32999 m 568.29999 398.32999 l S 92.17 399.41 m 92.17 330.69 l S 198.51999 399.41 m 198.51999 330.69 l S 28.99001 487.17999 m 568.40002 487.17999 l S 28.99001 417.60999 m 568.40002 417.60999 l S 28.99001 331.75998 m 568.29999 331.75998 l S 30.07001 488.25998 m 30.07001 397.25998 l S 92.17 418.69 m 92.17 398.32999 l S 198.47 418.69 m 198.47 398.32999 l S 567.32001 488.25998 m 567.32001 397.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 470.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 438.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 403.42999 Tm (No)Tj 1 0 0 1 96.15001 403.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 403.42999 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 382.14999 Tm (1)Tj 1 0 0 1 96.15001 382.14999 Tm (10)Tj 1 0 0 1 202.5 382.14999 Tm (To develop protocols for 'as required' medication and )Tj 1 0 0 1 202.5 367.56998 Tm (ensure medication processes are in accordance with Royal )Tj 1 0 0 1 202.5 352.98999 Tm (Pharmaceutical Society of Great Britain guidance for care )Tj 1 0 0 1 202.5 338.41 Tm (homes.)Tj ET endstream endobj 1817 0 obj 1872 endobj 1818 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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