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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 124.75 w 24.07 747.9 m 558.15 747.9 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 1 0 0 1 28.35 514.98 Tm (Care homes for older people)Tj ET /F1 6 Tf BT 1 0 0 1 28.35 503.94 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 496.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 482.92 m 160.38 482.92 l S 0.001 w 1 1 1 RG 20.58 w 162.63 482.92 m 563.65 482.92 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 433.71 m 160.38 433.71 l S 0.001 w 1 1 1 RG 73.33 w 162.63 433.71 m 563.65 433.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 471.5 m 565.85 471.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.33 m 565.85 494.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.5 m 565.85 471.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 395.92 m 565.85 395.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.41 m 30.07 394.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.41 m 161.5 394.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.41 m 564.78 394.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 478.14 Tm (Name:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 478.14 Tm (Birdsgrove Nursing Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 455.31 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 455.31 Tm (Warfield Road )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 437.73 Tm (Bracknell)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 420.15 Tm (Berkshire)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 402.56 Tm (RG12 2JA)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 383.67 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 366.67 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 347.13 m 358.95 347.13 l S 0.001 w 1 1 1 RG 20.58 w 361.2 347.13 m 565.9 347.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 358.54 m 568.1 358.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 335.71 m 568.1 335.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 359.62 m 30.07 334.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 359.62 m 360.07 334.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 359.62 m 567.02 334.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 342.36 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 342.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 342.36 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 386.82 342.36 Tm (one star adequate service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 323.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 304.4 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 287.4 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 287.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 287.4 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 270.4 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 270.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 270.4 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 253.4 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 235.92 m 315.25 235.92 l S 0.001 w 20.58 w 317.5 235.92 m 565.9 235.92 l S 0.001 w 1 1 1 RG 20.58 w 317.5 213.09 m 346.55 213.09 l S 0.001 w 20.58 w 348.8 213.09 m 377.9 213.09 l S 0.001 w 20.58 w 380.15 213.09 m 409.2 213.09 l S 0.001 w 20.58 w 411.45 213.09 m 440.55 213.09 l S 0.001 w 20.58 w 442.8 213.09 m 471.9 213.09 l S 0.001 w 20.58 w 474.15 213.09 m 503.2 213.09 l S 0.001 w 20.58 w 505.45 213.09 m 534.55 213.09 l S 0.001 w 20.58 w 536.8 213.09 m 565.9 213.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 224.5 m 568.1 224.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.34 m 568.1 247.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.5 m 568.1 224.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.67 m 568.1 201.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.41 m 30.07 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.41 m 316.37 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 225.58 m 347.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 225.58 m 379.02 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 225.58 m 410.32 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 225.58 m 441.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 225.58 m 473.02 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 225.58 m 504.32 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 225.58 m 535.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.41 m 567.02 200.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 231.15 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 231.15 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 208.31 Tm (Denise Debieux)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 208.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 208.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 208.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 208.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 208.31 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 189.42 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 172.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 155.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 143.35 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 131.28 Tm ()Tj ET endstream endobj 7 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 11 0 obj<>>> endobj 12 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (2)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (42)Tj ET /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.02 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F3 12 Tf BT 1 0 0 1 428.23 787.02 Tm (care home is meeting )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.52 Tm (the needs of people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 226.59 769.52 Tm (There is a summary of what we think this service does )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 752.02 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 734.52 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 717.03 Tm (experience.)Tj ET /F3 12 Tf BT 1 0 0 1 106.58 717.03 Tm (National minimum standards are written by the Department of Health for )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.53 Tm (each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.53 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.03 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.84 m 572.15 653.84 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.16 m 572.15 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.85 m 22.7 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.85 m 572.15 320.16 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 31.2 640.54 Tm (Outcome area \(for example )Tj ET /F2 10 Tf BT 1 0 0 1 189.13 640.54 Tm (Choice of home\))Tj ET /F2 10 Tf BT 1 0 0 1 31.2 610.24 Tm (These are the outcomes that people )Tj ET /F2 10 Tf BT 1 0 0 1 236.38 610.24 Tm (staying in care homes should experience.)Tj ET /F2 10 Tf BT 1 0 0 1 479.51 610.24 Tm (They reflect )Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.08 Tm (the things that people have said are important to them:)Tj ET 1 0.9451 0.76078 RG 82.25 w 30.6 533.34 m 562.45 533.34 l S 0.001 w 1 1 1 RG 40 w 29.47 513.34 m 563.57 513.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.71 m 565.77 576.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.21 m 565.77 492.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.78 m 28.35 491.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.78 m 564.7 491.14 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 561.02 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 543.52 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.79 543.52 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 518.77 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 501.27 Tm (key inspection.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.76 Tm (This is what people )Tj ET /F2 10 Tf BT 1 0 0 1 143.21 461.76 Tm (staying in this care home experience:)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 424.6 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 40 w 30.6 393.29 m 562.45 393.29 l S 0.001 w 1 1 1 RG 40 w 29.47 394.41 m 563.57 394.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.54 m 565.77 415.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.29 m 565.77 373.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.61 m 28.35 372.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.61 m 564.7 372.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 399.85 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.65 399.85 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 382.35 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 356.47 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.91 m 562.45 333.91 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.04 m 563.57 335.04 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.41 m 565.77 347.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.66 m 565.77 322.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.49 m 28.35 321.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.49 m 564.7 321.59 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 331.72 Tm (This box describes the information we used to come to our judgement.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 285.1 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.81 285.1 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.54 285.1 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.39 285.1 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.19 285.1 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 232.6 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.68 232.6 Tm (www.tso.co.uk/bookshop)Tj ET [] 0 d 0.708 w 0 0 1 RG 238.68 231.55 m 390.93 231.55 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.61 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 172.61 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 172.61 Tm (Put the people who use social care first)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 154.97 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 154.97 Tm (Improve services and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 137.33 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 137.33 Tm (Be an expert voice on social care)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 119.69 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 119.69 Tm (Practise what we preach in our own organisation)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 79.55 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (3)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (42)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.38 m 224.05 751.38 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.38 m 567 751.38 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.55 m 224.05 728.55 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.55 m 567 728.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.72 m 224.05 705.72 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.72 m 567 705.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.83 w 28.35 617.26 m 224.05 617.26 l S 0.001 w 1 1 1 RG 151.83 w 226.3 617.26 m 567 617.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.8 m 224.05 528.8 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.8 m 567 528.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.39 m 569.2 517.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 769.44 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 769.44 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 746.61 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 746.61 Tm (CSCI)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 723.78 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 723.78 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 700.94 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 700.94 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 678.11 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 678.11 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 313.49 678.11 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 344 678.11 Tm (\) Commission for Social Care )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 663.53 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 648.95 Tm (in whole or in part, free of charge, in any format or )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 634.36 Tm (medium provided that it is not used for commercial )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 619.78 Tm (gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 605.2 Tm (reproduced accurately and on proviso that it is not )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 590.61 Tm (used in a derogatory manner or misleading context. )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 576.03 Tm (The material should be acknowledged as CSCI )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 561.45 Tm (copyright, with the title and date of publication of the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 546.86 Tm (document specified.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 524.03 Tm (Internet address)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 524.03 Tm (www.csci.org.uk)Tj ET endstream endobj 15 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (4)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (42)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 725.01 m 267.95 725.01 l S 0.001 w 1 1 1 RG 73.33 w 270.2 725.01 m 565.65 725.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.8 m 267.95 675.8 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.8 m 565.65 675.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.97 m 267.95 652.97 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.97 m 565.65 652.97 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.14 m 267.95 630.14 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.14 m 565.65 630.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.3 m 267.95 607.3 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.3 m 565.65 607.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.89 m 567.85 595.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.44 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.44 Tm (Birdsgrove Nursing Home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.61 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.61 Tm (Warfield Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Bracknell)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (Berkshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (RG12 2JA)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.03 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.03 Tm (01344422261)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.2 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 648.2 Tm (01344423629)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.36 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 625.36 Tm (birdsgrove@asterhealthcare.co.uk)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.53 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 35.17 w 31.2 556.8 m 353.25 556.8 l S 0.001 w 1 1 1 RG 35.17 w 355.5 556.8 m 565.9 556.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 575.51 m 568.1 575.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.09 m 568.1 538.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.59 m 30.07 537.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.59 m 354.37 537.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.59 m 567.02 537.02 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.32 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 559.32 Tm (Southern Counties Care Limited )Tj ET /F3 12 Tf BT 1 0 0 1 358.35 544.74 Tm (\(Aster Healthcare\))Tj ET 0.99608 0.9451 0.76078 RG 49.75 w 31.2 508.72 m 353.35 508.72 l S 0.001 w 1 1 1 RG 49.75 w 355.6 508.72 m 566 508.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 534.72 m 568.2 534.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 482.72 m 568.2 482.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 535.8 m 30.07 481.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.47 535.8 m 354.47 481.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.12 535.8 m 567.12 481.64 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 518.53 Tm (Name of registered manager \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.45 518.53 Tm (The registered provider is )Tj ET /F3 12 Tf BT 1 0 0 1 358.45 503.95 Tm (responsible for running the )Tj ET /F3 12 Tf BT 1 0 0 1 358.45 489.36 Tm (service)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 467.93 m 565.6 467.93 l S 0.001 w 20.58 w 31.2 422.26 m 353.25 422.26 l S 0.001 w 1 1 1 RG 20.58 w 355.5 422.26 m 565.9 422.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 399.43 m 353.25 399.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 399.43 m 565.9 399.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 456.51 m 567.8 456.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 433.68 m 567.8 433.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.85 m 568.1 410.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 479.35 m 567.8 479.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 456.51 m 567.8 456.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 433.68 m 568.1 433.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.85 m 568.1 410.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 388.01 m 568.1 388.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 480.42 m 30.07 386.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 434.76 m 354.37 386.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 480.42 m 566.72 386.94 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 463.16 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 440.32 Tm (Ms Mary Jane Katherine Slater)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 417.49 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 417.49 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 394.66 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 394.66 Tm (87)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 375.71 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 356.22 m 565.6 356.22 l S 0.001 w 41.17 w 31.2 323.1 m 297.2 323.1 l S 0.001 w 20.58 w 299.45 333.39 m 565.6 333.39 l S 0.001 w 20.58 w 299.45 312.81 m 432.52 312.81 l S 0.001 w 20.58 w 432.52 312.81 m 565.6 312.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 344.8 m 567.8 344.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.64 m 567.8 367.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 344.8 m 567.8 344.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.39 m 567.8 301.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 368.71 m 30.07 300.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 345.88 m 298.32 300.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 368.71 m 566.72 300.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 351.45 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 328.62 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 328.62 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 308.03 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 308.03 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 286.6 m 297.3 286.6 l S 0.001 w 20.58 w 299.55 286.6 m 431.45 286.6 l S 0.001 w 20.58 w 433.7 286.6 m 565.6 286.6 l S 0.001 w 35.17 w 31.2 256.47 m 297.3 256.47 l S 0.001 w 35.17 w 299.55 256.47 m 431.45 256.47 l S 0.001 w 35.17 w 433.7 256.47 m 565.6 256.47 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 226.35 m 565.6 226.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 275.18 m 567.8 275.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 237.76 m 567.8 237.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.93 m 567.8 214.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.1 m 568.1 192.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 298.01 m 567.8 298.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 275.18 m 567.8 275.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 237.76 m 567.8 237.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.93 m 568.1 214.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.1 m 568.1 192.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.27 m 568.1 169.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 299.09 m 30.07 168.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 299.09 m 298.42 236.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 299.09 m 432.57 236.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 299.09 m 566.72 168.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 281.83 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 281.83 Tm (20)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 281.83 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 258.99 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 244.41 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 258.99 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 258.99 Tm (67)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 221.58 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 198.74 Tm (Service users not to be admitted under 60 years of age for long term care. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 175.91 Tm (Service users under 60 years of age to be admitted for respite care only. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 154.48 m 315.25 154.48 l S 0.001 w 1 1 1 RG 20.58 w 317.5 154.48 m 346.55 154.48 l S 0.001 w 20.58 w 348.8 154.48 m 377.9 154.48 l S 0.001 w 20.58 w 380.15 154.48 m 409.2 154.48 l S 0.001 w 20.58 w 411.45 154.48 m 440.55 154.48 l S 0.001 w 20.58 w 442.8 154.48 m 471.9 154.48 l S 0.001 w 20.58 w 474.15 154.48 m 503.2 154.48 l S 0.001 w 20.58 w 505.45 154.48 m 534.55 154.48 l S 0.001 w 20.58 w 536.8 154.48 m 565.9 154.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 165.89 m 568.1 165.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 143.06 m 568.1 143.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 166.97 m 30.07 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 166.97 m 316.37 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 166.97 m 347.67 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 166.97 m 379.02 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 166.97 m 410.32 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 166.97 m 441.67 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 166.97 m 473.02 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 166.97 m 504.32 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 166.97 m 535.67 141.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 166.97 m 567.02 141.98 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 149.7 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 131.18 m 565.9 131.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 121.56 m 568.1 121.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 122.64 m 30.07 37.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 122.64 m 567.02 37.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.81 m 568.1 140.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 121.56 m 568.1 121.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 38.4 m 568.1 38.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 141.88 m 30.07 120.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 141.88 m 567.02 120.48 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 127.62 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 127.62 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 108.37 Tm (Birdsgrove Nursing Home is registered to provide personal and nursing care for up to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 91.37 Tm (eighty seven older people, twenty of whom may have a primary diagnosis of dementia. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 74.37 Tm (The home is situated on the borders of Bracknell in a residential area on the main )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 57.37 Tm (thoroughfare to the village of Warfield. The home is divided into three wings )Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (5)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 723.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 723.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.15 m 568.1 724.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (determined by the development of the establishment over time. The Surrey Wing \(23 )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (places\) was originally a large domestic home which has been converted, the Berkshire )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (Wing \(35 places\) a purpose built two storey extension, and the Kent Wing \(20 places\), )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (a single storey extension built in the 1990s for service users with dementia.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 712.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 695.09 Tm ()Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 530/Matrix [1 0 0 1 0 0]>>stream xMo0>eGJ%NrCnRVgJX*";kי~&l#jWFC +e2!c2 Xft=|愒%4j2R)n!UպE+I<Z׃s{efBkvkjO/l|%Y4 i(9ʴ"5qrXs1T1%,;UA6A$Iޅ&A;H RUfSI>@h<;{-ED^*qVif{JBU+LU6$ .vŞUR;̥no5Hjk;jMֺf/+zqYiӹH6t9vkbqx󞾸#]4нs1axs:Mۻx?\{E*疯.dꌷqal1zܢِfiZ;'.-4}ZvV޵N<:f}vGk_? endstream endobj 22 0 obj<> endobj 23 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.69 m 568.35 55.69 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 33.75 52.38 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 483.75 53.38 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 514.26 53.38 Tm (6)Tj ET /F3 11 Tf BT 1 0 0 1 522.08 53.38 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 540.36 53.38 Tm (42)Tj ET /F6 10 Tf BT 1 0 0 1 28.35 38.03 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 740.69 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.63 m 568.4 731.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.8 m 568.4 708.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.72 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 715.44 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.88 715.44 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.53 715.44 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398.02 715.44 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.3 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.31 607.26 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.44 567.01 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.19 526.76 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.96 486.51 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 446.26 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 406.01 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.51 365.76 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.31 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 170.96 w 32.32 151.05 m 566.72 151.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.65 m 567.85 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 568.92 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.44 m 568.92 64.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.73 m 31.2 63.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.73 m 567.85 63.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.46 Tm (The Commission has, since the 1st April 2006, developed the way it undertakes its )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (inspection of care services. This unannounced visit formed part of a 'key' inspection )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (and was carried out by Denise Debieux, Regulation Inspector. The Registered Manager )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (was present as the representative for the establishment. It was a thorough look at how )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (well the service is doing. It took into account detailed information provided by the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm (manager and any information that CSCI has received about the service since the last )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (inspection on 30th January 2007.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm (People who use this service are referred to as 'service users'. For clarity and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm (consistency this term will be used throughout this report.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm ()Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 1 1 1 RG 513.41 w 31.2 555.83 m 565.6 555.83 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 567.8 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 298 m 567.8 298 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 296.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 296.92 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (During this visit the inspector was also accompanied by an 'expert by experience', who )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm (spent four hours at the home between 10am and 2pm. An expert by experience is a )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (person who has direct experience of using social care services, including carers, and )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (visits a service with an inspector to help them get a picture of what it is like to live in )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 744.38 Tm (or use the service. The expert by experience spent her time speaking with service )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 729.8 Tm (users and also had lunch with them. Observations fed back to the inspector by the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 715.22 Tm (expert by experience have been included in this report.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 700.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 686.05 Tm (A tour of the premises took place. On the day of this visit the inspector spoke with )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 671.47 Tm (fifteen of the service users and eight on duty staff. Prior to the inspection, survey )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 656.89 Tm (forms were sent to service users, staff employed at the home, health professionals and )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 642.3 Tm (care managers. Survey forms were returned by thirteen service users, thirteen )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 627.72 Tm (members of staff, three health professionals and two care managers. These comment )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 613.14 Tm (cards were correlated and the results were shared with the manager during the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 598.55 Tm (inspection. Comments made on the survey forms, both positive and negative, were )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 583.97 Tm (included in the correlation and shared with the manager. Care was taken to exclude )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 569.39 Tm (any comments that could identify the writer. The manager demonstrated a very pro )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 554.8 Tm (active attitude to the results of our survey and plans to explore any concerns raised )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 540.22 Tm (further as part of the home's quality assurance process. Some of the comments made )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 525.64 Tm (to the inspector and made on the survey forms are quoted in this report.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 511.05 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 496.47 Tm (The home had completed an annual quality assurance assessment \(AQAA\) and service )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 481.89 Tm (users' care plans, staff recruitment and training records, menus, health and safety )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 467.31 Tm (check lists, activity records, policies, procedures, medication records and storage were )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 452.72 Tm (all sampled on the day of this visit.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 438.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 423.56 Tm (The inspector looked at how well the service was meeting the standards set by the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 408.97 Tm (government and has in this report made judgements about the standard of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 394.39 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 379.81 Tm (Fees range from 576 to 740 pounds per week. This fee does not include chiropody, )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 365.23 Tm (hairdressing or personal items. This information was provided on 21st January 2009.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 350.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 336.06 Tm (The inspector would like to thank the service users and staff for their time, assistance )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 321.48 Tm (and hospitality during this visit and the service users, staff, health professionals and )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 306.89 Tm (care managers who participated in the surveys.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (8)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (42)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 326.83 w 32.32 627.41 m 566.72 627.41 l S 0.001 w 20.58 w 32.7 451.45 m 569.35 451.45 l S 0.001 w 78.92 w 33.82 399.45 m 568.22 399.45 l S 0.001 w 20.58 w 33.45 347.46 m 570.1 347.46 l S 0.001 w 166.41 w 34.57 251.71 m 568.97 251.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 462.87 m 568.92 462.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 461.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 462.87 m 569.35 462.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 440.04 m 569.35 440.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 440.04 m 570.42 440.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 358.87 m 570.42 358.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 336.04 m 570.1 336.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 358.87 m 570.1 358.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 336.04 m 571.17 336.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 167.38 m 571.17 167.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 441.11 m 32.7 357.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 337.12 m 33.45 166.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 461.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 441.11 m 569.35 357.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 337.12 m 570.1 166.3 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 798.59 Tm (What the )Tj ET /F2 12 Tf BT 1 0 0 1 96.96 798.59 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 167.52 798.59 Tm ( does well:)Tj ET /F3 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The staff work hard to ensure that service users' needs are appropriately assessed and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (that their personal and healthcare needs are met.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (Service users spoken with expressed their satisfaction with the personal and health )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm (care they receive at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (Comments received from health professionals and the care managers who returned )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm (survey forms included: 'The staff have a 'can do' attitude and concerns are discussed. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (They are proactive in making decisions. Staff ensure all the service users receive high )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (quality care.' 'The environment has improved with the changes to the decor. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (Communication is good with professionals. Visitors are encouraged to ensure service )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm (user has a homely environment.' and 'I feel the nursing care is exemplary at )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm (Birdsgrove. I have had nothing but good response from families who have loved ones )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm (placed there. Whenever I have gone in for reviews etc. service users always look well )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm (and cared for.')Tj ET /F3 12 Tf BT 1 0 0 1 35.17 557.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 542.43 Tm (Staff members that returned survey forms were complimentary regarding the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 527.85 Tm (management and felt well supported in their work. Comments received from staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 513.26 Tm (included: 'Birdsgrove has a good induction programme that helps people when they )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 498.68 Tm (start the job; the care that we provide to the service users is person centred and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 484.1 Tm (concentrated on the people who live here.' and 'The home manager is always there for )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 469.51 Tm (us whenever staff need help or support in all aspects related to care and personal.')Tj ET /F3 10 Tf BT 1 0 0 1 568.97 625.85 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 449.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 446.68 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 449.9 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 397.9 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 423.85 Tm (The recent work carried out on the redecoration and refurbishment of the home is )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 409.27 Tm (improving the environment and providing service users with a more comfortable and )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 394.68 Tm (homely environment in which to live.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 380.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 365.52 Tm (There were no requirements made at the last inspection.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 397.9 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 345.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 342.68 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 250.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 319.85 Tm (Requirements have been made regarding ensuring that service users' needs are met in )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 305.27 Tm (relation to social care; that service users are involved in and agree to their care plans )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 290.68 Tm (and that staff work to and keep care plans up to date. Action needs to be taken to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 276.1 Tm (ensure that service users are able to obtain assistance when needed and the provider )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 261.52 Tm (needs to keep people living and working at the home up to date on the scheduled )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 246.93 Tm (building works. Staffing levels need to be reviewed and current staff recruitment )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 232.35 Tm (practices are placing service users at risk.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 217.77 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 203.19 Tm (The home management need to ensure that there are methods in place for the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 188.6 Tm (manager to monitor that staff are aware of and complying with the policies and )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 174.02 Tm (procedures of the home and any legislation that applies to the running of a care home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 151.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 131.69 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 131.69 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 131.69 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 114.19 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (9)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (42)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 799.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 779.09 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 779.09 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 779.09 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 761.59 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 761.59 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 761.59 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 744.09 Tm (240 7535.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (10)Tj ET /F3 11 Tf BT 1 0 0 1 523.84 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.11 53.47 Tm (42)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.59 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.59 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 695.95 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 673.95 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 651.95 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 629.95 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 607.95 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 585.95 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 563.95 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 543.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.08 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 34 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (11)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 592.72 m 562.53 592.72 l S 0.001 w 1 1 1 RG 119 w 31.2 550.22 m 563.65 550.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.59 m 565.85 489.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 488.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 488.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 449.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 449.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 449.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 432.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 350.39 m 563.65 350.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 418.89 m 565.9 418.89 l S 0.001 w 132.49 w 32.32 339.15 m 564.78 339.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 406.52 m 566.98 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.59 m 31.2 270.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 407.59 m 565.9 270.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 406.52 m 565.9 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.77 m 566.98 271.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 415.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 390.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 390.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 353.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 333.33 Tm (Each service user is only admitted to the home following a comprehensive needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.83 Tm (assessment to ensure that the home can meet the service user's identified needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 298.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 280.83 Tm (The home does not offer intermediate care.)Tj ET 0.99608 0.9451 0.76078 RG 177.25 w 33.45 157.28 m 563.65 157.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 236.9 m 565.9 236.9 l S 0.001 w 155.87 w 32.32 145.46 m 564.78 145.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 224.53 m 566.98 224.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 225.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 224.53 m 565.9 224.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 233.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.84 Tm (The inspector was advised that, on the first enquiry from a prospective service user or )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.34 Tm (their representative, the service user or their representative will be invited to visit the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.84 Tm (home. Following the initial visit to the home, and if the service user wishes to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.34 Tm (continue, the manager, or one of the registered nurses, will visit the service user and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.84 Tm (carry out a pre admission assessment to ensure that the home can meet the service )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.34 Tm (user's needs and wishes.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.34 Tm (Five care plans were sampled during this visit. In each case comprehensive pre )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (12)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 461.35 w 33.45 580.73 m 563.65 580.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.98 w 32.32 568.92 m 564.78 568.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.8 m 566.98 347.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (admission assessments had been carried out to ensure that the home could meet the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (service users' identified needs.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (Data provided in the home's AQAA does not identify any service users with specific )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (religious, racial or cultural needs at this time. However, from the evidence seen by the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (inspector and comments received, the inspector considers that this service would be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (able to provide a service to meet the needs of individuals of various religious, racial or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (cultural needs.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: 'All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (service users have a preadmission and evaluation completed prior to admission with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (input from interested professionals. This forms the basis of the initial Care Plan. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (prospective service users and their representatives are invited to visit the Home prior )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (to admission and to move in on a trial basis.' The evidence seen at this inspection )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (supported this statement.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (Of the thirteen service users surveyed, ten felt they had received enough information )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (prior to moving to the home and three answered no. One relative commented: 'Went )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (to view it and was impressed at how homely it was set out and how nice the staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (came across.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (One of the care managers who returned a survey form commented: 'When I have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (placed service users within Birdsgrove the assessments that have been completed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (have been accurate and I have been able to see them and the care plan without )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (delay.')Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (13)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 68 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.59 m 565.85 523.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 522.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 522.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 483.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 483.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 483.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 466.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.49 w 33.45 358.15 m 563.65 358.15 l S 0.001 w 1 1 1 RG 22.5 w 31.2 452.89 m 565.9 452.89 l S 0.001 w 184.99 w 32.32 346.9 m 564.78 346.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 440.52 m 566.98 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.59 m 31.2 252.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 252.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 440.52 m 565.9 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 253.28 m 566.98 253.28 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 449.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 424.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 424.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 387.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 367.33 Tm (Personal and health care support is planned by staff and was seen to be provided to a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (high standard and in a respectful and sensitive manner. However, service users are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (not actively involved in planning the care and support they receive, care plans do not )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (include details of social care needs and staff are not always following the actions set )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.33 Tm (out in the care plan.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 279.84 Tm (Policies, procedures and practices are in place to ensure the safe administration of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 262.34 Tm (medication.)Tj ET 0.99608 0.9451 0.76078 RG 158.75 w 33.45 148.03 m 563.65 148.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 218.4 m 565.9 218.4 l S 0.001 w 137.38 w 32.32 136.22 m 564.78 136.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 206.03 m 566.98 206.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.11 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 207.11 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 206.03 m 565.9 206.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 215.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (The care plans sampled during this visit were all based on pre admission assessments )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (and had been drawn up either on the day of, or shortly after each service user's )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (admission to the home and included appropriate risk assessments. These care plans )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (were very detailed and clearly set out the actions which need to be taken by care staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (to meet the health and personal care needs of the service users and protect them from )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (identified risks. Care plans are reviewed on a monthly basis and daily notes are kept )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (that reflect the care given. These daily notes demonstrated that any changes or new )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (14)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (concerns are promptly acted upon, although not always added to the care plan. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (However, the daily notes were mostly general and did not evidence that staff are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (working to or referring to the care plans. There was, however, some evidence that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (staff are not following the instructions set out in the care plans or complying with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (identified risk reduction methods, for example, one service user had a history of falls )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (and the care plan included that he should wear shoes, use a walking frame and be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (supervised when walking. On the day of this inspection the service user was wearing )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (bedroom slippers and walking unsupervised with the aid of a walking stick. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (inspector was advised that the service user did not use a walking frame and that that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (had been the information provided to the home on his admission. The service user had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (fallen a few weeks after moving to the home but there was no evidence that staff had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (re evaluated the care plan and amended the actions needed to minimise the risk of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (further falls. This care plan had been reviewed one month after admission by one of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (the registered nurses and a note made that the service user had fallen but no changes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (had been made to the care plan, despite the fact that parts of the care plan were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (inaccurate. The staff do not routinely carry out falls risk assessments for service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (unless there is a history of falls or if the risk has already been identified. Current best )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (practice guidelines place the emphasis on early detection of an increased risk of falls )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (so that preventative action can be taken beforehand. Contact details for the Bracknell )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (Forest Borough Council fall's prevention team were given to the manager for her )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (information.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (At present there is minimal involvement by service users or their representatives in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (the drawing up of their care plans and there was no evidence to show that service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (users were aware of or had agreed to the content. The care plans, although very )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (detailed and well set out, do not include detailed plans to meet service users' social )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (care needs, although care is taken to obtain a life history and details of previous )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (hobbies, pastimes and preferred activities. A requirement has been made regarding )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (care plans, the need for quality assurance monitoring is addressed in the Management )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (and Administration section of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (Of the thirteen service users surveyed, seven said that they always receive the care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (and support they want, five answered 'usually' and one left this answer blank. One )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (service user added the comment: 'I have found the staff to be polite and ready to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (listen and back me up if I have any problems.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (Comments received from health professionals included: 'I feel the nursing care is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (exemplary at Birdsgrove. I have had nothing but good response from families who )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (have loved ones placed there. Whenever I have gone in for reviews etc. service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (always look well and cared for' and 'I have heard from service users and families that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (they have been happy with the care provided'.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (15)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 653.84 w 33.45 484.48 m 563.65 484.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 632.46 w 32.32 472.67 m 564.78 472.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 154.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 154.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 155.32 m 566.98 155.32 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (Feedback received by the inspector from the expert by experience relating to care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (provided included: 'The service users were clean, tidily dressed and observed to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (carefully cared for. The long awaited building work has not yet taken place. I believe )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (the contractors met with the service users' representative on the day of the inspection. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (I believe most of the staff are offering the best support they are able to in an area of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (increasing difficulty.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: 'All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (service users have a Person Centred Care Plan in line with the Company's policies and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (procedures which is initially based on the pre assessment but is then expanded upon )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (with the involvement of the service user and their representative.' This statement is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (not fully supported by the findings at this inspection for the reasons set out above.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (The lunchtime medication round was observed and the medication administration )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (records, medication storage, controlled drug storage and recording were all sampled )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (and found to be in order.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (The three health professionals who returned survey forms all stated that the staff at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (the home always support individuals to administer their own medication or manage it )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (correctly where this is not possible, with one commenting: 'Staff ensure medication is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (given correctly and on time.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: 'All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (service users have access to NHS services. The Home ensures that the Registered )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (Nurses have an added qualification to promote wound care; infection control etc. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (trained staff have attended medication training and complete updates as required. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (Privacy and Dignity are paramount and all staff receive instruction on maintaining )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (these on commencement of employment and during staff meetings and hand over.' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (This statement is supported by the findings at this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (During the tour of the home staff were observed to always knock before entering the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (service users' bedrooms and all interactions observed between staff and service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (were seen to be caring and respectful.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (All service users spoken with stated that they felt their privacy was always respected.)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (16)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 626.72 m 562.53 626.72 l S 0.001 w 1 1 1 RG 17 w 31.2 567.22 m 563.65 567.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.59 m 565.85 557.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 556.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 556.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 517.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 517.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 517.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 517.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 500.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.49 w 33.45 392.15 m 563.65 392.15 l S 0.001 w 1 1 1 RG 22.5 w 31.2 486.89 m 565.9 486.89 l S 0.001 w 184.99 w 32.32 380.9 m 564.78 380.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 474.52 m 566.98 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.59 m 31.2 286.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 475.59 m 565.9 286.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 474.52 m 565.9 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 287.28 m 566.98 287.28 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 483.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 458.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 458.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 421.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 401.33 Tm (The daily routines at the home are flexible and there is an activity programme )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.83 Tm (available for service users to participate in if they are able. However, more work needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.33 Tm (to be done to meet all service users' social care needs and to ensure that each service )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 348.83 Tm (user is provided with opportunities to engage in social activities that are meaningful to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 331.33 Tm (them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 313.84 Tm (Contacts with family and friends are encouraged.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 296.34 Tm (Meals are well balanced and varied with individual choices and preferences catered for.)Tj ET 0.99608 0.9451 0.76078 RG 192.75 w 33.45 165.03 m 563.65 165.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 252.4 m 565.9 252.4 l S 0.001 w 171.38 w 32.32 153.22 m 564.78 153.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 240.03 m 566.98 240.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.11 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 241.11 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 240.03 m 565.9 240.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 249.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.34 Tm (The routines of daily living are arranged, where possible, to suit individual service )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.84 Tm (user's preferences and choices.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.84 Tm (Feedback received by the inspector from the expert by experience relating to choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.34 Tm (available to service users included: 'Service users are able to choose the content of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.85 Tm (their breakfast, their own choice of clothing from their own wardrobe. There was little )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.35 Tm (choice for the service users in Berkshire but to stay in their rooms because, since )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.85 Tm (many of them were wheelchair bound if out of bed, there was no large enough )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.35 Tm (gathering place available. I observed two service users who were mobile, walking )Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (17)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (about in both the Berkshire and Surrey wings, these are accessible, flowing from one )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (area to the other. One gentleman was distressed having 'lost' his room. He was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (thoughtfully assisted back to his room and assured that that was indeed his own chair )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (and bed. The other service user found himself a pleasant seat in the Surrey communal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (room.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (The home employs one activity coordinator and there are organised activities available )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (during the week for those that are able to or wish to attend. During this inspection it )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (was observed that the majority of service users on the Kent wing were involved in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (activities that were meaningful to them for most of the day, much helped by the fact )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (that the majority of these service users are able to walk around and make their own )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (choices as to where to go. On Surrey wing a number of service users spent their time )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (sitting in the Surrey lounge although there was little social interaction or stimulation )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (observed during the morning and, as observed by the expert by experience, these )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (service users spent most of the morning asleep. The Berkshire wing has no communal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (lounge so service users spend the majority of their day alone in their own rooms, there )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (was very little social interaction or meaningful activity observed outside of times when )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (people were being assisted with personal care or at mealtimes. These findings are very )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (similar to those found and reported on at the last key inspection. At that time the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (inspector was advised that the home had drawn up plans for major rebuilding that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (would include providing a communal lounge on the Berkshire wing. It was stated that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (the work was expected to be carried out in 2007. It is disappointing that there is little )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (change in this situation two years later and the service users on Berkshire wing are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (still without any communal space.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (In the care plans sampled, life histories were seen which included people's previous )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (hobbies and pastimes. Staff take the time at the pre admission stage to make sure )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (that they have detailed information on activities that are important to people. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (However, in the files sampled the activity plans were very limited and had not been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (individualised. For example, in one care plan sampled it was noted that the service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (user's main interest was snooker, the activity plan did not mention snooker, simply to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (encourage the service user to attend organised activities. There was no evidence that, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (after recording the service users' past interests, anything further had been done to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (find ways for him to continue with this activity. The need for social care/activities to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (included in the care plans has been addressed in the previous section of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (From observations made at this inspection, comments received on survey forms and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (some comments made by staff on the day of this inspection, it is clear that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (manager and her care team have a strong belief in and commitment to providing )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm ('person centred care'. However, the majority of staff time is taken up with providing )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (the good quality personal and healthcare that they are rightly proud of and there does )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (18)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (not appear to be any time left or provided to address people's social care needs. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (people were very complimentary about the work done by the activity coordinator and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (the time she is able to spend with them but it would not be possible for one person to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (meet the social care needs of all service users, especially as many of the sixty two )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (service users currently living at the home have very high care needs and limited ability )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (to mobilise independently.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (A requirement has been made and the home must now focus on providing all service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (users with individualised plans that detail how their social care needs are to be met, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (taking into account their previous interests and present abilities. It is important that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (each service user is enabled to engage in activities that are meaningful to them and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (that reduce the very real risk of social isolation for those that spend the majority of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (their time alone in their rooms. The requirement already made under the Health and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (Personal Care section of this report \(to include social care needs in care plans\) has a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (relatively short timescale as it is important that the home begins to address this issue )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (without delay. The requirement made under this section of the report has been given a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (longer timescale in order to give the manager time to develop a plan, obtain additional )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (advice and guidance, source and provide additional training to staff \(if deemed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (necessary\) and to implement the plan, improve the home's social care provision for all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (service users and meet the requirement made in full.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (It is acknowledged that the design and layout of the building, together with the service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (users' differing abilities to participate in group activities, present challenges but this is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (not a new situation for the home and does not alter the fact that the provider is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (required to meet the social care needs, as well as the personal and healthcare needs, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (of all service users already accommodated at the home or to whom they offer )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (accommodation.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (The inspector discussed and left details of the National Association for Providers of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (Activities for older people \(NAPA\). This is a voluntary organisation 'dedicated to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (increasing the profile and understanding of the activity needs for older people, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (equipping staff with the skills to enable older people to enjoy a range of activity whilst )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (living in care settings.' Further information can be found on the NAPA website at: )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (http://www.napa-activities.co.uk/m This organisation also provide a free self )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (assessment document 'Activity Provision: Benchmarking good practice in care homes' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (that is available for download from that site and that the home may find helpful.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (Feedback received by the inspector from the expert by experience relating to social )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (interaction and activities included: 'When I arrived at Birdsgrove I was informed that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (the Activity Leader would be showing me round. She was found playing 'catch' with a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (chair bound gentleman in his room. They had clearly also been playing draughts as the )Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (19)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (pieces were put away before she left. He was asked if he would like to join the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (afternoon Bingo game and was promised that the Activity leader would collect him. I )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (enquired and was informed that she was alone in her post. It was immediately )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (apparent that the majority of the service users are elderly and very frail. Many were in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (their bed or had been moved to a chair in their own room or, where available, to a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (communal area. The seven service users in the Surrey wing remained in their chairs all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (the time I was in the home. They were woken to be assisted to drink coffee at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (11.00am and woken again to be given their midday main meal at about 12.15pm. In )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (the Kent wing the service users were generally much more active and communicated )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (with their fellow service users and the staff. It was pleasingly apparent that the staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (knew most of the service users and where they had come from. In the whole of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (rest of the building there appeared to be only two others who were fit and able enough )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (to walk freely about the building. Other service users would have walking aids and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (wheel chairs to enable them. This clearly made communal gathering more difficult )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (because of the time and space needed to facilitate such events. However the staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (were all appropriately supportive to all the service users. Group activities normally )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (take place in the Berkshire activity room, but very few would be able to take part due )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (to the limited space available. I understand that the activity leader is able to take )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (individuals on shopping trips in the summer months.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (Two of the thirteen service users surveyed stated that there were always activities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (they could participate in, seven answered 'sometimes', three answered 'never' and one )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (left this answer blank. Additional comments included: 'Activities mostly not to my )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (liking', 'I've lost the use of my legs, which makes activities very limited', 'The activities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (are always available but my relative doesn't mix, so doesn't take part in them. They )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (have tried endlessly to involve him', 'There could be more activities for clients who are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (unable or unwilling to leave their rooms. The TV is on in my relative's room at all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (times. My relative has not ever really enjoyed the television and prefers to listen to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (radio' and 'The person who does the activities is very good but it is not always possible )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (to keep people with dementia entertained as they like to do their own thing.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (Additional comments received on survey forms from care managers included: 'Changes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (need to be made further to the environment to ensure more social stimulation and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (community spirit maintained throughout the home. Too many service users spend )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (their days in isolation in their rooms, with staff only 'popping in' to provide personal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (care, medication and meals' and 'Some shortfalls with social interaction as some areas )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (do not lend themselves to social activities, no dining area, shortage of lounge areas )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (and staff often too busy to spend quality time with service users.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (There are no restrictions to visiting times and staff support and encourage service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (users to maintain family links and previous friendships.)Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (20)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 583.84 w 33.45 519.48 m 563.65 519.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 562.47 w 32.32 507.67 m 564.78 507.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 224.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 225.31 m 566.98 225.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (The lunchtime meal was taking place during this visit, the food was well presented and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (there were enough staff available to offer help and assistance as needed.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (Feedback received by the inspector from the expert by experience relating to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (lunchtime meal included: 'I visited and talked with eight service users in their rooms )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (and had my lunch at an individual table, as did the seven service users in the Surrey )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (communal area. It was pleasing to note that initially assistance \(essential\) was given )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (to two service users and, when they had finished assisting service users in their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (rooms, two more carers arrived to assist with feeding two more in need. The meal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (content was appropriately soft and for those who required, it had been liquidised. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (meals were served from a hot trolley, each meal having been prepared for a specific )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (individual. There did not seem to be a choice in what was on the plates, but each )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (service user could leave what they did not like. A choice of juices was freely available )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (and tumblers observed to be empty were topped up if required.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm ('Activities are tailored to the needs and wishes of our service users. Religious clergy )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (visit regularly. Some service users attend day centres and clubs. We have an open )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (door policy for visitors. Service users and their families may bring in personal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (possessions. All service users and their families complete a food preference form, the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (Chef visits them and where necessary a nutritional care plan is commenced which is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (current and reviewed monthly or as required. The above statement is mostly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (supported by the findings of this inspection. The need to develop and expand social )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (care at the home has already been discussed.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (Of the thirteen service users surveyed, two said that they always liked the meals at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (the home, ten answered 'usually' and one answered 'sometimes'. Additional comments )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (included: 'The chef tries to ensure my wishes are met within his financial limits', 'My )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (relative seems to enjoy most things given to eat and has put on some weight' and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ('There is plenty of variety. The food is nutritious and traditional. Yoghurts, tinned fruit )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (and ice cream are always appreciated.')Tj ET endstream endobj 54 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 55 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (21)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.22 m 562.53 652.22 l S 0.001 w 1 1 1 RG 17 w 31.2 618.22 m 563.65 618.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.59 m 565.85 608.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 607.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 607.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 568.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 568.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 568.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 551.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 478.14 m 563.65 478.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 537.89 m 565.9 537.89 l S 0.001 w 114.99 w 32.32 466.89 m 564.78 466.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 525.52 m 566.98 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.59 m 31.2 407.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 407.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 525.52 m 565.9 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 408.27 m 566.98 408.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 534.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 509.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 509.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 509.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 472.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 452.33 Tm (The home has a simple, clear and accessible complaints procedure which includes )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (timescales for the process. Policies and procedures are in place to protect service users )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.33 Tm (from potential harm or abuse.)Tj ET 0.99608 0.9451 0.76078 RG 313.75 w 33.45 225.53 m 563.65 225.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 373.4 m 565.9 373.4 l S 0.001 w 292.37 w 32.32 213.71 m 564.78 213.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.02 m 566.98 361.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.02 m 565.9 361.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 370.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (The home has a complaint's procedure in place that is available to all service users and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (their relatives and is also included in the service users' guide. No complainant has )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm (contacted the Commission with information regarding a complaint or allegation made )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (to the service since the last inspection. All service users surveyed confirmed that they )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (knew how to make a complaint.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm (There is a whistle blowing policy in place and the home have a copy of the latest )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (Berkshire Safeguarding Adults Policy and Procedure. Training in safeguarding adults is )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (included in the home's staff induction and the manager and senior staff are aware of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (the requirements of the Mental Capacity Act and have training planned for the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm ('Deprivation of Liberty' legislation that comes into effect on the 1st April this year.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm (Concerns relating to current staff recruitment practices are addressed in the Staffing )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (section of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 82.85 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (22)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 163.87 w 33.45 729.47 m 563.65 729.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.49 w 32.32 717.66 m 564.78 717.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.29 m 566.98 645.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ('Company complaints procedure is followed through to its conclusion with all parties )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (involved. Complaints procedure displayed in the entrance hall, copies of the procedure )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (included in the information pack given to all service users and their representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (Staff undertake protection of vulnerable adults and crisis prevention and intervention )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (training.' The above statement is supported by the findings of this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (Service users spoken with said that they felt safe at the home with one service user )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (adding: 'Oh yes, very safe, the staff are all lovely and look after us.')Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (23)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 68 w 31.2 626.72 m 563.65 626.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 648.65 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 631.65 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.99 w 33.45 417.4 m 563.65 417.4 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 202.49 w 32.32 406.15 m 564.78 406.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 302.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 302.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 303.78 m 566.98 303.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (The layout of the buildings and accommodation and facilities provided at the home are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (adequate, but not ideal for their stated purpose. The maintenance and refurbishment )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.33 Tm (work carried out since the last inspection has improved areas of the environment and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 382.83 Tm (is providing service users with a more comfortable and homely environment in which )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 365.33 Tm (to live but essential work expected to be completed in 2007 has yet to be started. All )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 347.84 Tm (bedrooms and communal rooms are supplied by the call bell system but action needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 330.34 Tm (to be taken to ensure that all service users are able to obtain assistance should they )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 312.84 Tm (need it.)Tj ET 0.99608 0.9451 0.76078 RG 209.25 w 33.45 173.28 m 563.65 173.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 268.9 m 565.9 268.9 l S 0.001 w 187.88 w 32.32 161.47 m 564.78 161.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 256.53 m 566.98 256.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 257.61 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 257.61 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 256.53 m 565.9 256.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 265.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm (The home is made up of three wings, Surrey, Berkshire and Kent. There is a large )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (secure garden to the back of the premises which is well maintained and provides )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (pleasant additional seating in the warmer weather.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (The home was toured during this visit. The personal bedrooms were seen to be )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (personalised to the individual service user's wishes. Since the last inspection there )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (have been a number of improvements to the communal and individual areas of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (home, as set out by the manager in their AQAA: 'The new owners have decorated all )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm (bedrooms, changed the light shades, supplied new curtain rails and curtains and new )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (furniture. A new nurse call system has also been installed in Berkshire Nursing Wing. )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (24)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (All carpets within bedrooms have been renewed, some of the flooring has been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (replaced. All rooms are furnished to ensure comfort and where necessary adjustable )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (beds are provided.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (At the last inspection two years ago CSCI were advised that some older parts of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (building were to be demolished and replaced with accommodation which would meet )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (current standards. The kitchen and staff room were to be relocated from the first to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (the ground floor providing space for a communal area for service users on the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (Berkshire Wing. A plan for the development of the site had been drawn up and CSCI )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (were advised that the implementation of the plan in 2007 would present an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (opportunity to address a number of problems in the environment. However, the work )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (had not been carried out in 2007 and in an AQAA provided by the home in October )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (2007 it was stated that: 'Planning permission has been obtained from Bracknell Forest )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (Borough Council and this work to the building will be commencing in the New Year.' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (\(January 2008\). On the day of this visit it was found that the promised work had not )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (been started in January 2008 and had still not been started. The provider visited the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (home during this inspection and advised the inspector that he was there to sign off the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (plans and that work would be starting on the new kitchen on the following Monday.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (There is currently no detailed information available at the home for the service users, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (their representatives or the staff that relates to the proposed works. This work would )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (appear to be extensive and will present substantial disruption to all at the home and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (those visiting. Service users and staff spoken with are looking forward to the benefits )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (the completion of this work will provide but it is not acceptable that they have not )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (been kept fully informed of progress. A requirement has been made that the provider )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (draw up a plan of works, fully detailing the work that will be done, together with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (proposed start and completion dates for each stage. This plan must be made available )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (at the home to all service users, their representatives and the staff and they must be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (kept informed of any substantial changes to the plan of work or timescales that take )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (place.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (Feedback received by the inspector from the expert by experience relating to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (environment included: 'Birdsgrove Nursing Home is a mixture of old and newer )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (accommodation. It does not present as a comfortable building/home since most of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (service user's individual rooms are floored with a practical washable surface. In the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (older parts of the building there are beautiful stained glass windows and wide )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (staircases. There is a large communal sitting room in the Surrey wing and a small and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (a larger one in the newer Kent wing. The activity area in the Berkshire wing is small, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (crowded and inadequate.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (Of the thirteen service users surveyed six said that the home was always fresh and )Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (25)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (clean and seven answered 'usually'.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (In July 2008 concerns were raised with the home that staff were not routinely ensuring )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (that service users were left with their call bells within reach when they were alone in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (their rooms. The inspector was advised that, once the concern was raised with the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (home, all staff had been notified that they must make sure when leaving service users' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (rooms, that they are able to reach their bells. During the tour of the home on the day )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (of this inspection it was again noted that not all service users sitting in their rooms had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (their call bells placed within reach. Out of fourteen rooms seen on one wing, only three )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (people were able to reach their bells. The nurse accompanying the inspector promptly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (rectified the problem in the rooms visited and asked another member of staff to check )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (any rooms not seen. However, it is disturbing that this is still an issue at the home and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (that staff are continuing to leave service users with no means of calling for help or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (assistance, this could lead to an increase in service users' feelings of isolation, does )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (not promote their independence or choice and is potentially placing them at risk of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (harm or injury. Also during the tour of the home, when entering the lounge on the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (Kent wing, there were two service users attempting to help another service user up )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (from the floor, there were no staff members in the lounge or nearby to supervise. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (There was no way to call for additional assistance as, although there was a call bell )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (point in the lounge, there was no bell attached to it. At present two thirds of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (service users at the home have varying degrees of dementia. The inspector was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (advised that, even if left within reach, many of the service users do not use their call )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (bell. The home do carry out an assessment of someone's ability to use a call bell on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (admission, however there were no follow on care plans seen that described staff action )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (needed where someone was assessed as not being able to use a call bell \(e.g. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (scheduled checks to see if someone wanted help, the potential of using dementia )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (signage, alternative bell or button attachments to use with the current call bell system )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (etc.\) The staffing levels, especially during times of peak activity, do not indicate that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (the need for increased supervision has been taken into account. A requirement has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (been made regarding ensuring service users are able to obtain assistance when they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (need it. The need to review staffing levels is addressed in the Staffing section of this )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (report and management issues relating to these concerns are addressed further in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (Management and Administration section of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (Laundry facilities are sited in the basement with washing machines suitable for the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (needs of the service users at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm ('Infection Control policies and procedures are followed in respect of in house laundry )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (and the trained nurse who is responsible for infection control training in house revisits )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (this at least three monthly.')Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (26)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 76.37 w 33.45 773.22 m 563.65 773.22 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 55 w 32.32 761.41 m 564.78 761.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 731.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 731.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 732.78 m 566.98 732.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (On the day of this visit the home was found to be warm and clean with individual )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (bedrooms seen to be personalised with service user's own possessions.)Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (27)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 17 w 31.2 601.22 m 563.65 601.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.99 w 33.45 434.9 m 563.65 434.9 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 167.49 w 32.32 423.65 m 564.78 423.65 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 337.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 337.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 338.78 m 566.98 338.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (The home needs to ensure that staff are available in sufficient numbers, at all times, to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (meet the personal, health and social care needs of all service users.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.33 Tm (Current staff recruitment practices are potentially placing service users at risk of harm )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 382.83 Tm (and/or abuse.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 365.33 Tm (The home has a staff training programme which is designed to ensure, as far as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 347.84 Tm (reasonably possible, that service users are supported and protected.)Tj ET 0.99608 0.9451 0.76078 RG 244.25 w 33.45 190.78 m 563.65 190.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 303.9 m 565.9 303.9 l S 0.001 w 222.88 w 32.32 178.96 m 564.78 178.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 291.53 m 566.98 291.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 292.61 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 292.61 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 291.53 m 565.9 291.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 300.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (The care team comprises the registered manager, twelve registered nurses and thirty )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.34 Tm (five care assistants. The manager advised that the home do not use agency staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (Staffing numbers were discussed and the staff rota was sampled for the week prior to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (this inspection. There are three shifts at the home, the morning shift runs from 8am to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (2pm, the afternoon/evening shift runs from 2pm to 8pm and the night shift is 8pm to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (8am. Each unit is staffed independently as follows: Berkshire wing \(currently has )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (twenty nine service users\) has two registered nurses \(RN\) and six care assistants on )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (the morning shift, two RNs and four care assistants on the afternoon shift and one RN )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (plus two care assistants overnight. Surrey wing \(currently has fifteen service users\) )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm (has one RN and three care assistants on the morning shift, one RN and two care )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (assistants on the afternoon shift and one RN plus one care assistant overnight. Kent )Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (28)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (wing \(currently has eighteen service users\) has one RN and three care assistants on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (the morning shift, one RN and three care assistants on the afternoon shift and one RN )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (plus two care assistants overnight.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (In discussion the manager stated that staffing levels had recently been increased at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (weekends in response to comments received from staff. As discussed earlier in this )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (report, the layout of the building, the high level of dependence of many of the service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (users and the need for increased supervision in some areas and at some times of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (day are of concern. The management needs to review the current staffing levels and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (ensure that they are sufficient to enable the home to meet all the personal, health and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (social care needs of all service users. This need is also reflected in the comments )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (received from staff, service users and their relatives on survey forms received prior to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (Of the thirteen members of staff surveyed, four said that there were always enough )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (staff to meet the individual needs of the service users, six answered 'usually' and three )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (answered 'sometimes'. A number of additional comments were received from staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (relating to staffing levels, these included: 'Improve the staffing levels which are really )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (a concern for everyone. It is hard to provide the required personalised or individual )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (care when you are short staffed', 'Ensure there are always enough staff working on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (shifts to make sure all service users' care is met and all their needs are catered for', )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm ('We need enough staff, especially at the weekend. Provide more staff at the weekend )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (and provide staff according to the number of service users so that excellent care can )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (be delivered', 'We do have to work short staffed sometimes, which limits the care we )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (can provide to each individual and it would be nice to spend more time with each )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (person' and 'Always enough staff within the home.' Some additional comments had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (been added to service user survey forms by their relatives, these included: 'It would )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (help if there were more staff employed to cover all duties. Some staff have to double )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (up', 'The staff are very obliging but I try not to burden them as sometimes, if one of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (the carers are dealing with one service user, there is only one carer left to watch over )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (the rest', 'Staff slow to answer emergency bell', 'Staff seem to work to time limits and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (if there were more staff they wouldn't be so rushed, especially at bedtimes' and 'The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (staff available do a very good job but I feel there is insufficient staff to manage the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (amount of service users'.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (Of the thirteen service users surveyed, five stated that staff are always available when )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (needed, seven answered 'usually' and one answered 'sometimes'.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (Of the thirty five care assistants, nineteen hold a National Vocational Qualification )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (\(NVQ\) level 2 or above in care.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm ()Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (29)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (During this visit the files of three recently recruited members of staff were sampled. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (files were seen to contain proof of identity, two references and a completed application )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (form. However, the home were unaware of new regulations that came into force in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (July 2004 and had not been verifying applicants' reasons for leaving previous )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (employment with vulnerable adults; had not been obtaining full employment histories )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (and some gaps in employment had not been explained or explored and although the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (home had obtained Criminal Records Bureau \(CRB\) certificates for two of the people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (and had carried out checks on the protection of vulnerable adults \(POVA\) list as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (required, one of these was invalid as the CRB certificate application form had been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (completed incorrectly and had not included the person's full name. The third person )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (was working on a POVAfirst check while awaiting the return of a full CRB check. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (home were not aware of the restrictions and provisos in place for people starting work )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (on a POVAfirst check and were not meeting some of the requirements. The provider )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (must refer to the Department of Health POVA guidance document available on their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (website. Only in exceptional circumstances can someone start work before a full CRB )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (and check of the POVA list have been received and only then if all the information )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (required of Schedule 2 of the Care Homes Regulations has been obtained. There was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (no explanation of what the exceptional circumstances were in regards to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (employment of this person, there were two gaps in employment, one of three years )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (and one of sixteen years, one reference came from a care home that the person had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (worked at but had not included on their list of previous employments and no )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (verification had been received of why the person had left previous employments )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (working with vulnerable adults.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (The home's current recruitment practices are placing service users at risk of harm )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (and/or abuse.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (The amended Schedule 2 of The Care Homes Regulations 2001 was reviewed with the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (manager and a requirement has been made that must be actioned without delay. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (CSCI guidance documents: 'Criminal Records Bureau Checks' and the associated annex )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (2 set out the changes to regulations and explain the latest recruitment requirements, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (copies of both documents were left at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (It is positive to note that the manager took immediate action to begin to address these )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (concerns. On the day following this inspection, the manager contacted CSCI via an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (email and stated: 'All the personnel files have been diligently checked this morning. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (Correct full names on all forms including CRB's. One staff member highlighted )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (yesterday has completed a new form detailing full name, form now sent and now off )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (duty.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (Staff induction is in line with the new, mandatory Skills for Care common induction )Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (30)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 688.84 w 33.45 466.99 m 563.65 466.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 667.46 w 32.32 455.17 m 564.78 455.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 119.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 119.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 120.32 m 566.98 120.32 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (standards and the inspector was advised that staff are supervised until they have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (completed their induction. Staff are booked on additional training and updates as the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (courses become available.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (Evidence seen at this inspection showed that the home have a strong commitment to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (staff training, which was also reflected in comments received from staff. Some of these )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (comments \(quoted above\) demonstrate that the staff have received training in 'person )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (centred care' and try their best to provide the same. Also worthy of note is that all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (staff, including domestic staff, have received training in dementia care even though )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (only one of the wings is dedicated to people with dementia. The home employed the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (use of an interpreter to ensure that staff for whom English is a second language fully )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (understood and were able to participate in the dementia training provided.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (It is possible that the concerns raised in the last section of this report, relating to staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (continuing to leave service users without a means of calling for assistance, indicate a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (need for further training to ensure that staff fully understand the importance of this for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (promoting service users' safety and their level of independence. This was discussed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (with the manager who plans to assess this possibility, and if indicated, arrange further )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (training.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (When asked if their induction covered everything they needed to know when they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (started their job ten of the thirteen staff who returned survey forms answered 'yes' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (and three answered 'mostly'. All confirmed that they receive training which is relevant )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (to their role, helps them understand and meet the individual needs of service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (and keeps them up to date with new ways of working. Additional comments included: )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm ('I was given a lot of support and full induction related to my job when I started', )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm ('Birdsgrove has a good induction programme that helps people when they start the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (job' and 'There are in house trainers who help you with any questions and needs that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (you have'. In the AQAA, to demonstrate what the home does well, the manager stated )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (that: 'We do not employ agency staff and we meet our NVQ ratio. All new staff are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (processed in house. All care staff undertake Common Induction Standards and records )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (are kept of all training undertaken.' The evidence seen at this inspection supported this )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (statement.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (When asked if the staff listen and act on what they say, eleven of the thirteen service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (users surveyed answered 'yes', one answered 'usually' and one answered 'sometimes'. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (One relative commented: 'I must praise the carers who are always pleasant to my )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (relative and I. My relative is well cared for and has improved since being here.')Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (31)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.22 m 562.53 601.22 l S 0.001 w 1 1 1 RG 102 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 506.59 m 565.85 506.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 505.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 505.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 466.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 466.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 466.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 449.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 242.49 w 33.45 323.65 m 563.65 323.65 l S 0.001 w 1 1 1 RG 22.5 w 31.2 435.89 m 565.9 435.89 l S 0.001 w 219.99 w 32.32 312.4 m 564.78 312.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 423.52 m 566.98 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.59 m 31.2 200.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 200.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 423.52 m 565.9 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 201.28 m 566.98 201.28 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 432.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 407.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 407.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 370.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 350.33 Tm (Service users benefit from the clear management approach at the home providing an )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (open, positive and inclusive atmosphere.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.33 Tm (The home has a quality assurance and monitoring system in place that is based on )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.83 Tm (seeking the views of the service users but the registered person needs to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 280.33 Tm (there is a system in place to monitor and ensure that the home is complying with all )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 262.84 Tm (current legislation relating to the operation of a care home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 245.34 Tm (The home's procedures protect service users' financial interests.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 227.84 Tm (All policies and procedures are in place to ensure, so far as is reasonably practicable, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 210.34 Tm (the health safety and welfare of service users and staff.)Tj ET 0.99608 0.9451 0.76078 RG 106.75 w 33.45 122.03 m 563.65 122.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 166.41 m 565.9 166.41 l S 0.001 w 85.38 w 32.32 110.22 m 564.78 110.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 154.03 m 566.98 154.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 155.11 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 155.11 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 154.03 m 565.9 154.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 163.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (The manager is a registered nurse, holds a Registered Manager's Award and has been )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (the manager of Birdsgrove Nursing Home for the past thirteen years. Her management )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (style is inclusive and the service users benefit from the ethos, leadership and clear )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm (management approach of the home.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (32)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (Of the thirteen staff members who returned survey forms all said that the manager )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (meets with them to give support and discuss how they are working. Additional )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (comments included: 'The home manager is always there for us whenever staff need )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (help or support in all aspects related to care and personal' and 'I have an assigned )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (mentor who guided me through induction programme. If they cannot help, my )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (manager is always ready to help'.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (The home has a quality assurance and monitoring system in place that is based on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (seeking the views of the service users and their relatives. Service user and relative )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (meetings are held quarterly. The manager explained that the home carry out yearly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (service user and relative surveys, that the results are correlated and that action is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (then taken to address any concerns raised. The correlation of the results are available )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (to service users and their representatives. It was discussed with the manager that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (home needs to expand the system further so that service users, their representatives )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (and interested stakeholders are made aware of the action that the home is taking/has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (taken in response to the survey results and that follow up consultation takes place to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (ensure that the actions taken have been successful.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (The need for the provider to keep service users, their representatives and staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (informed of the situation relating to the proposed building work has been addressed in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (the Environment section of this report but the failure to keep people informed reflects )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (on the management and administration of the home, especially as people had been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (informed initially that the work was planned for completion during 2007.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (The manager stated that the home does not handle the financial affairs for service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (users.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (Health and safety monitoring check sheets were sampled and found to be well )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (maintained and mostly up to date. The manager has delegated the responsibility for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (health and safety monitoring checks to the maintenance person. A number of checks )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (were slightly overdue as the maintenance person has been off recently. This was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (discussed with the manager and, at present, there is no system in place that ensures )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (that someone else will ensure that these tasks are carried out as required.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (There are a number of fridges around the building on each unit. The inspector was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (advised that staff are aware that only unopened meal supplements are to be kept in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (these fridges but the inspector found food \(e.g. sandwiches, opened milk, yoghurt\) in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (one and there is no effective system in place to ensure that staff are complying with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (the management instructions on the use of these fridges, which are not monitored or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (included in the fridge temperature recording required for food storage fridges.)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (33)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (The inspector was advised that work is planned to commence at the end of this month )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (on the building of a new kitchen. During the tour of the home a few areas of concern )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (were noted in the present kitchen. The local Environmental Health Department were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (contacted relating these concerns, which will be followed up by one of their officers.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (This is a large home and the manager has a deputy manager, an acting manager and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (an administrator to assist her in the management of the home. The responsibilities for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (different aspects of the running of the home are also delegated to other members of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (appropriate staff, e.g. the kitchen and the provision of food, domestic services, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (training, provision of nursing and personal care, activity provision, health and safety )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (monitoring, maintenance. Requirements have been made under this section of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (report relating specifically to the monitoring of service users' care plans and to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (monitoring that service users are not being left alone without call bells within reach. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (However, it must also be remembered that, although tasks may be delegated, the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (overall responsibility remains with the registered persons to ensure that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (requirements of the Care Homes Regulations 2001 and other relevant legislation, e.g. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (in regard to: health and safety, food hygiene, environmental health etc. are complied )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (with. A requirement has been made and it was discussed with the manager that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (additional systems need to be put in place that enable the manager to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (staff are working to and complying with all legislation related to the running of a care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (home. These systems need to include actions to be taken if a delegated person is off )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (work for any reason.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (In the AQAA, to demonstrate what the home does well, the manager stated that: 'The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (Quality Assurance programme is completed with records kept. The Home portfolio is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (updated and kept in an area accessible to service users and their representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (Some service users handle their own financial affairs if this is not appropriate their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (family/appointed advocate does so. The registered manager is not an appointee for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (services users monies. All staff undertake all statutory and mandatory trainings. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (Accidents and Incidents are all recorded and where necessary reports sent to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (appropriate agencies. All maintenance is carried out by Head Office approved )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (contractors. All directives, policies and procedures received from Head Office are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (cascaded to all appropriate staff. When necessary formal and informal discussion on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (these subjects is undertaken.' This statement is supported by the evidence found at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (When staff were asked on our survey forms what they feel the home does well, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (comments included: 'Person centred care to individual service users; listen to staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (problems and find ways of assisting; relatives are always informed of progress and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (changes to their relative', 'We give choice to service users', 'We include relatives and )Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (34)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (42)Tj ET 0.99608 0.9451 0.76078 RG 163.87 w 33.45 729.47 m 563.65 729.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.49 w 32.32 717.66 m 564.78 717.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.29 m 566.98 645.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (families in care planning', 'Provides caring and devoted staff to care for the service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (users in a safe environment' and 'I am very satisfied and feel proud that we provide an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (excellent service. We try to provide the best care.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (When asked on the survey forms if there was anything else people would like to tell )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (us, one relative commented: 'Without these homes and staff to look after people with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (failing health, I do not know what the likes of me would do, they are my life-line. My )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (relative is settled and very happy. Many thanks.')Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 86 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (35)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (42)Tj ET 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F8 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F8 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.19 w 31.2 683.93 m 566.2 683.93 l S 0.001 w 30.3 w 31.2 631.93 m 91 631.93 l S 0.001 w 30.3 w 93.25 631.93 m 197.4 631.93 l S 0.001 w 30.3 w 199.65 631.93 m 289.5 631.93 l S 0.001 w 30.3 w 291.75 631.93 m 473.9 631.93 l S 0.001 w 30.3 w 476.15 631.93 m 566.2 631.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.66 m 568.4 615.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.29 m 92.12 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.29 m 198.52 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.29 m 290.62 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.29 m 475.02 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.58 l S 0.001 w [] 0 d /F2 16 Tf BT 1 0 0 1 31.2 702.44 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 684.02 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.44 Tm (been met. )Tj ET /F3 12 Tf BT 1 0 0 1 99.76 669.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 103.98 669.44 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.85 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.03 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.03 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.03 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.03 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.03 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.88 Tm (action)Tj ET endstream endobj 87 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 88 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (36)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (42)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 52.75 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.81 m 91 704.81 l S 0.001 w 30.3 w 93.25 704.81 m 197.4 704.81 l S 0.001 w 30.3 w 199.65 704.81 m 289.5 704.81 l S 0.001 w 30.3 w 291.75 704.81 m 473.9 704.81 l S 0.001 w 30.3 w 476.15 704.81 m 566.2 704.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.53 m 568.4 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.16 m 30.07 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.16 m 92.12 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.16 m 198.52 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.16 m 290.62 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.16 m 475.02 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.16 m 567.32 687.46 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 742.31 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.73 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.91 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.91 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.91 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.91 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.91 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.76 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.75 w 31.2 617.78 m 566.2 617.78 l S 0.001 w 30.3 w 31.2 567.01 m 91 567.01 l S 0.001 w 30.3 w 93.25 567.01 m 197.4 567.01 l S 0.001 w 30.3 w 199.65 567.01 m 289.5 567.01 l S 0.001 w 30.3 w 291.75 567.01 m 473.9 567.01 l S 0.001 w 30.3 w 476.15 567.01 m 566.2 567.01 l S 0.001 w 1 1 1 RG 486.7 w 31.2 306.25 m 91.05 306.25 l S 0.001 w 486.7 w 93.3 306.25 m 197.4 306.25 l S 0.001 w 486.7 w 199.65 306.25 m 289.45 306.25 l S 0.001 w 486.7 w 291.7 306.25 m 473.8 306.25 l S 0.001 w 486.7 w 476.05 306.25 m 566.1 306.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.28 m 568.4 583.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.73 m 568.4 550.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.36 m 92.12 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.36 m 290.62 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.36 m 475.02 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.28 m 568.4 652.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.28 m 568.4 583.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.73 m 568.3 550.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.36 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.81 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.36 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.81 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.81 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.36 m 567.32 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 639.09 Tm (Statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 619.09 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 604.51 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.7 604.51 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 589.93 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 572.1 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 569.1 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 569.1 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 569.1 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 569.1 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 556.95 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 537.54 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 537.54 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 537.54 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 537.54 Tm (The registered persons must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 520.54 Tm (ensure that all service users )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 503.54 Tm (have an up to date plan of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 486.54 Tm (care setting out actions that )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 469.54 Tm (staff need to take to meet )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 452.54 Tm (the needs of the service )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 435.54 Tm (users. The plans must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 418.54 Tm (include social care needs as )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 401.54 Tm (well as personal and health )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 384.54 Tm (care needs. Daily notes need )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 367.54 Tm (to evidence that staff are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 350.54 Tm (following the actions set out )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 333.54 Tm (in the plan to meet the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 316.54 Tm (service users' needs and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 299.54 Tm (reduce any potential risks to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 282.54 Tm (their health or wellbeing. )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 265.54 Tm (The home also needs to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 248.54 Tm (evidence that service users )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 231.54 Tm (or their representatives have )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 214.54 Tm (been involved in and agreed )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 197.54 Tm (to their plan of care. This )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 180.54 Tm (requirement also applies to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 163.54 Tm (National Minimum Standard )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 146.54 Tm (8.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 129.54 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 112.54 Tm (In order that service users )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 95.54 Tm (can be confident that they or )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 78.54 Tm (their representative will be )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 537.54 Tm (31/03/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 537.54 Tm ()Tj ET endstream endobj 89 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 90 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (37)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (42)Tj ET 1 1 1 RG 136 w 31.2 744.53 m 91.05 744.53 l S 0.001 w 136 w 93.3 744.53 m 197.4 744.53 l S 0.001 w 136 w 199.65 744.53 m 289.45 744.53 l S 0.001 w 136 w 291.7 744.53 m 473.8 744.53 l S 0.001 w 136 w 476.05 744.53 m 566.1 744.53 l S 0.001 w 357 w 31.2 495.78 m 91.05 495.78 l S 0.001 w 357 w 93.3 495.78 m 197.4 495.78 l S 0.001 w 357 w 199.65 495.78 m 289.45 495.78 l S 0.001 w 357 w 291.7 495.78 m 473.8 495.78 l S 0.001 w 357 w 476.05 495.78 m 566.1 495.78 l S 0.001 w 251 w 31.2 189.53 m 91.05 189.53 l S 0.001 w 251 w 93.3 189.53 m 197.4 189.53 l S 0.001 w 251 w 199.65 189.53 m 289.45 189.53 l S 0.001 w 251 w 291.7 189.53 m 473.8 189.53 l S 0.001 w 251 w 476.05 189.53 m 566.1 189.53 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 675.4 m 568.3 675.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.15 m 568.3 316.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 675.4 m 568.3 675.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.15 m 568.3 316.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 295.8 802.72 Tm (fully involved in the planning )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 785.72 Tm (of their care, that all aspects )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 768.72 Tm (of their personal, health and )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 751.72 Tm (social care needs are met )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 734.72 Tm (and that the care provided is )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 717.72 Tm (consistent and takes into )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 700.72 Tm (account their personal )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 683.72 Tm (wishes and preferences.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 662.22 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 662.22 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 662.22 Tm (16)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 662.22 Tm (The registered person must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 645.22 Tm (provide facilities for )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 628.22 Tm (recreation and make )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 611.22 Tm (arrangements to enable )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 594.22 Tm (each service user to engage )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 577.22 Tm (in meaningful social )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.22 Tm (activities that are based on )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.22 Tm (their individual preferences )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.22 Tm (and abilities, particular )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.21 Tm (attention should be paid to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.21 Tm (those with dementia, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.21 Tm (cognitive impairment, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 458.21 Tm (sensory impairments and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 441.21 Tm (physical disabilities.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 424.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 407.21 Tm (In order that service users )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 390.21 Tm (can be confident that the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 373.21 Tm (home can meet their social )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 356.21 Tm (care needs and takes steps )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 339.21 Tm (to reduce the risk of social )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 322.21 Tm (isolation.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 662.22 Tm (21/06/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 662.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 302.96 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 302.96 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 302.96 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 302.96 Tm (The registered provider )Tj ET /F3 12 Tf BT 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