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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 adults \(18-65 years\))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 90.92 w 31.2 424.92 m 160.38 424.92 l S 0.001 w 1 1 1 RG 90.92 w 162.63 424.92 m 563.65 424.92 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 28.99 378.34 m 565.85 378.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.41 m 30.07 377.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.41 m 161.5 377.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.41 m 564.78 377.26 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 (Mill House)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 (Litcham Road )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 437.73 Tm (Gayton)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 420.15 Tm (Kings Lynn)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 402.56 Tm (Norfolk)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 384.98 Tm (PE32 1PQ)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 366.08 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 349.08 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 329.55 m 358.95 329.55 l S 0.001 w 1 1 1 RG 20.58 w 361.2 329.55 m 565.9 329.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 340.96 m 568.1 340.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.13 m 568.1 318.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 342.04 m 30.07 317.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 342.04 m 360.07 317.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 342.04 m 567.02 317.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 324.77 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 324.77 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 324.77 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 386.82 324.77 Tm (one star adequate service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 305.87 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 286.81 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 28.35 269.81 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 269.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 269.81 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 252.81 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 252.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 252.81 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 235.81 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 218.34 m 315.25 218.34 l S 0.001 w 20.58 w 317.5 218.34 m 565.9 218.34 l S 0.001 w 1 1 1 RG 20.58 w 317.5 195.5 m 346.55 195.5 l S 0.001 w 20.58 w 348.8 195.5 m 377.9 195.5 l S 0.001 w 20.58 w 380.15 195.5 m 409.2 195.5 l S 0.001 w 20.58 w 411.45 195.5 m 440.55 195.5 l S 0.001 w 20.58 w 442.8 195.5 m 471.9 195.5 l S 0.001 w 20.58 w 474.15 195.5 m 503.2 195.5 l S 0.001 w 20.58 w 505.45 195.5 m 534.55 195.5 l S 0.001 w 20.58 w 536.8 195.5 m 565.9 195.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 206.92 m 568.1 206.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.75 m 568.1 229.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.92 m 568.1 206.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.09 m 568.1 184.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 230.83 m 30.07 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 230.83 m 316.37 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 208 m 347.67 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 208 m 379.02 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 208 m 410.32 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 208 m 441.67 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 208 m 473.02 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 208 m 504.32 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 208 m 535.67 183.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 230.83 m 567.02 183.01 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 213.56 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 213.56 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 190.73 Tm (Lella Hudson)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 190.73 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 190.73 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 190.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 190.73 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 190.73 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 190.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 190.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 190.73 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 171.83 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 154.83 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 137.83 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 125.76 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 113.69 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 Adults \(18-65 years\))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 (31)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 Adults \(18-65 years\))Tj ET /F3 12 Tf BT 1 0 0 1 526.58 285.1 Tm ( can )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Crispins, 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 Adults \(18-65 years\))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 (31)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 Adults \(18-65 years\))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 (31)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 90.92 w 31.2 716.22 m 267.95 716.22 l S 0.001 w 1 1 1 RG 90.92 w 270.2 716.22 m 565.65 716.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.22 m 267.95 658.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.22 m 565.65 658.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.39 m 267.95 635.39 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.39 m 565.65 635.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.55 m 267.95 612.55 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.55 m 565.65 612.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.72 m 267.95 589.72 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.72 m 565.65 589.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.63 m 567.85 669.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.8 m 567.85 646.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.97 m 567.85 623.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.14 m 567.85 601.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.63 m 567.85 669.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.8 m 567.85 646.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.97 m 567.85 623.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.14 m 567.85 601.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.3 m 567.85 578.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.22 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 (Mill House)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 (Litcham Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Gayton)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (Kings Lynn)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (Norfolk)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.28 Tm (PE32 1PQ)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.45 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.45 Tm (01553636654)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.61 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.78 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.95 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.51 m 353.25 546.51 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.51 m 565.9 546.51 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.68 m 565.6 523.68 l S 0.001 w 20.58 w 31.2 478.01 m 353.25 478.01 l S 0.001 w 1 1 1 RG 20.58 w 355.5 478.01 m 565.9 478.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 455.18 m 353.25 455.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 455.18 m 565.9 455.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.09 m 568.1 535.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 567.8 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.43 m 567.8 489.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559 m 354.37 534.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.6 m 568.1 466.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.93 m 568.1 557.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.09 m 567.8 535.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 567.8 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.43 m 568.1 489.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.6 m 568.1 466.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.76 m 568.1 443.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559 m 30.07 442.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 490.51 m 354.37 442.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559 m 567.02 442.68 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 541.74 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 541.74 Tm (The Regard Partnership Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 518.91 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 496.07 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.05 473.24 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 473.24 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 450.41 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 450.41 Tm (21)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 431.46 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 411.97 m 565.6 411.97 l S 0.001 w 41.17 w 31.2 378.85 m 297.2 378.85 l S 0.001 w 20.58 w 299.45 389.14 m 565.6 389.14 l S 0.001 w 20.58 w 299.45 368.55 m 432.52 368.55 l S 0.001 w 20.58 w 432.52 368.55 m 565.6 368.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 400.55 m 567.8 400.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.39 m 567.8 423.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.55 m 567.8 400.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.14 m 567.8 357.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 424.46 m 30.07 356.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 401.63 m 298.32 356.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 424.46 m 566.72 356.06 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 407.2 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 384.36 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 384.36 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 363.78 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 363.78 Tm (Over 65)Tj ET 1 1 1 RG 35.17 w 31.2 335.05 m 297.3 335.05 l S 0.001 w 35.17 w 299.55 335.05 m 431.45 335.05 l S 0.001 w 35.17 w 433.7 335.05 m 565.6 335.05 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 304.93 m 565.6 304.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 316.35 m 567.8 316.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.51 m 567.8 293.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.68 m 568.1 270.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.76 m 567.8 353.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.35 m 567.8 316.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.51 m 568.1 293.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.68 m 568.1 270.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 204.1 m 568.1 204.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 354.84 m 30.07 203.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 354.84 m 298.42 315.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 354.84 m 432.57 315.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 354.84 m 566.72 203.02 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 337.57 Tm (mental disorder, excluding learning )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 322.99 Tm (disability or dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 337.57 Tm (21)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 337.57 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 300.16 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 277.33 Tm (The maximum number of service users who can be accommodated is 21 )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 254.49 Tm (The registered person may provide the following categories of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 239.91 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 225.33 Tm (needs on admission to the home are within the following categories: Mental Disorder, )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 210.74 Tm (excluding learning disability or dementia - Code MD)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 189.31 m 315.25 189.31 l S 0.001 w 1 1 1 RG 20.58 w 317.5 189.31 m 346.55 189.31 l S 0.001 w 20.58 w 348.8 189.31 m 377.9 189.31 l S 0.001 w 20.58 w 380.15 189.31 m 409.2 189.31 l S 0.001 w 20.58 w 411.45 189.31 m 440.55 189.31 l S 0.001 w 20.58 w 442.8 189.31 m 471.9 189.31 l S 0.001 w 20.58 w 474.15 189.31 m 503.2 189.31 l S 0.001 w 20.58 w 505.45 189.31 m 534.55 189.31 l S 0.001 w 20.58 w 536.8 189.31 m 565.9 189.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 200.72 m 568.1 200.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.89 m 568.1 177.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 201.8 m 30.07 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 201.8 m 316.37 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 201.8 m 347.67 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 201.8 m 379.02 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 201.8 m 410.32 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 201.8 m 441.67 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 201.8 m 473.02 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 201.8 m 504.32 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 201.8 m 535.67 176.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 201.8 m 567.02 176.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 184.54 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 166.02 m 565.9 166.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 156.39 m 568.1 156.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 157.47 m 30.07 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 157.47 m 567.02 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 175.64 m 568.1 175.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.39 m 568.1 156.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.65 m 568.1 40.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 176.72 m 30.07 155.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 176.72 m 567.02 155.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 162.45 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 162.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 143.2 Tm (The Mill House is a Care Home which provides care and accommodation for up to 21 )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 126.2 Tm (adults of both sexes who have mental health difficulties. There are four units of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 109.2 Tm (accommodation which are all linked together and share a garden. There are many )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 92.2 Tm (changes of level within the building and there is no passenger lift to the first floor and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 75.2 Tm (so the Home is not suitable for residents who have physical disabilities. Inspection )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 Adults \(18-65 years\))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 (31)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 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 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 28.99 758.15 m 568.1 758.15 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 (reports are made available in the Home. Fees currently range between 375.00 to )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (1,200.00 per week. Fees are agreed on an individual basis dependent on need.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 746.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 729.09 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 557/Matrix [1 0 0 1 0 0]>>stream xn0 ~ K'Re7+S6P4ފ] C%Eɱ3 (ZH+@и8)ENOZ}?2$_^ 3h%":U ] ZWcpWj&%&fBizinMϚl)oѿ4p1J)EQWpWВPP]waP:ѐEӌ.L=*4:gGI'`V00MS'=#X& (c/H-[{롑0kɥ|W7XzQnؼ=~xh..Eu:,XڲKva΀Kk-d} H3@ uX܍Dž=(#h:S _Yk,st֑忻q_ϱ 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 Adults \(18-65 years\))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 (31)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 1 145.29 572.81 Tm (Individual needs and choices)Tj ET /F3 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F3 10 Tf BT 1 0 0 1 127.55 503.91 Tm (Personal and healthcare support)Tj ET /F3 10 Tf BT 1 0 0 1 106.23 469.46 Tm (Concerns, complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 435.01 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 400.56 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 92.96 366.11 Tm (Conduct and management of the home)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 (This report contains information gathered about the Home since the last Key Inspection )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (in November 2007. The Home was bought in 2007 by the Regard Partnership through a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (share buyout and is now considered to be a new registration as it was registered in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (August 2008 under the name of Regard Partnership. The previous Manager of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (Home has moved to manage another Home within the organisation. The current )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm (Manager has been in post for six months and is in the process of becoming registered )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (with the Commission.)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 (The Manager sent us the completed Annual Quality Assurance Assessment \(AQAA\) )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm (which contains information about the quality of the service provided. We received )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm (completed surveys from one member of staff and five of the residents. The report also )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 75.92 w 31.2 774.57 m 565.6 774.57 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 28.99 735.49 m 567.8 735.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 734.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 734.41 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (includes information gathered during an unannounced visit to the Home which we )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm (carried out on the 21st January 2008. The Manager was not present during that visit )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (but we spoke briefly to her after the visit. During the visit we looked around the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (accommodation, spoke to the deputy manager, staff and residents as well as looking at )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 744.38 Tm (records.)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 Adults \(18-65 years\))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 (31)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 224.74 w 32.32 678.45 m 566.72 678.45 l S 0.001 w 20.58 w 32.7 553.53 m 569.35 553.53 l S 0.001 w 151.83 w 33.82 465.08 m 568.22 465.08 l S 0.001 w 20.58 w 33.45 376.62 m 570.1 376.62 l S 0.001 w 273.11 w 34.57 227.53 m 568.97 227.53 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 30.12 564.95 m 568.92 564.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 563.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 564.95 m 569.35 564.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 542.12 m 569.35 542.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 542.12 m 570.42 542.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 388.04 m 570.42 388.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 365.2 m 570.1 365.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 388.04 m 570.1 388.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 365.2 m 571.17 365.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 543.2 m 32.7 386.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 366.28 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 563.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 543.2 m 569.35 386.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 366.28 m 570.1 88.77 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 Home provides a relaxed atmosphere for the residents to live in. There are very )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (few routines and the residents said that they like the flexibility. One of the residents )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm (has their own dog. Some residents really like the rural location of the Home and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (benefit from living in a small community.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm (The residents said that the staff are kind and that they listen to them. We observed )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (positive relationships between staff and residents during our visit to the Home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (The staff ensure that residents are supported to attend healthcare appointments and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (liase with the health and social care professionals involved in the residents lives. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (views of the residents are sought through regular house meetings and more informally )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm (through meetings with keyworkers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm (Residents have access to meals, snacks and drinks throughout the day. Some residents )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm (are responsible for their own shopping and cooking.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 676.9 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 551.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 548.76 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 551.98 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 463.52 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 525.93 Tm (The organisation has agreed that the night staffing can be increased to one waking )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 511.35 Tm (night staff and a sleep in. They have also agreed to the appointment of housekeeping )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 496.76 Tm (staff which will free the care staff up to support the residents. Recruitment is currently )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 482.18 Tm (underway for these posts.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 467.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 453.01 Tm (Some minor redecoration has taken place in some areas of the Home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 438.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 423.85 Tm (There have been a lot of improvements to the medication system. The storage has )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 409.27 Tm (greatly improved as has the recording. The system is now a lot safer than at the time )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 394.68 Tm (of the last Inspection.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 463.52 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 375.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 371.85 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 225.98 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 349.02 Tm (Despite the poor staffing levels and the poor state of the accommodation being raised )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 334.43 Tm (at the last Inspection and through the organisations own internal quality audits very )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 319.85 Tm (little has improved for the residents. Even with the additional night staff and )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 305.27 Tm (housekeeping staff there is still a need to increase the staffing levels at other times, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 290.68 Tm (particularly at weekends.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 276.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 261.52 Tm (The accommodation is in a poor state of repair and decoration. In general, the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 246.93 Tm (accommodation is scruffy and needs deep cleaning in some areas. Many areas are in )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 232.35 Tm (need of new carpets and furniture. The most serious areas of concern are the state of )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 217.77 Tm (the bathrooms. For example, one of the baths has peeling enamel but we were told )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 203.19 Tm (that the residents still use this bathroom. There are plans to address some of these )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 188.6 Tm (issues but no action had been taken at the time of our visit.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 174.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 159.44 Tm (The organisation has introduced a new care planning format. There are still some areas )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 144.85 Tm (of the care plans which do not contain enough information and there are some areas of )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 130.27 Tm (identified risk that have not been adequately assessed.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 115.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 101.11 Tm (There are still some improvements needed to the medication system to ensure that all )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 Adults \(18-65 years\))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 (31)Tj ET 1 1 1 RG 90.5 w 34.57 767.28 m 568.97 767.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 720.91 m 571.17 720.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 719.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 719.83 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.17 802.72 Tm (residents receive medication at the correct times and in a consistent way.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 788.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 773.55 Tm (Although the staff receive training in mandatory subjects there is a need to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.97 Tm (they all receive relevant training about issues specific to the needs of individual )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.38 Tm (residents.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 706.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 686.34 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 686.34 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 686.34 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 668.84 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 648.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 628.85 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 628.85 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 628.85 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 611.35 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 611.35 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 611.35 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 593.85 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 Adults \(18-65 years\))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 (31)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 \(standards 1 - 5\))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 (Individual needs and choices \(standards 6-10\))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 (Lifestyle \(standards 11 - 17\))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 (Personal and healthcare support \(standards 18 - 21\))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 (Concerns, complaints and protection \(standards 22 - 23\))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 (Environment \(standards 24 - 30\))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 (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 541.95 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 521.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.08 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 Adults \(18-65 years\))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 (31)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 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 102 w 31.2 575.72 m 563.65 575.72 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 28.99 523.59 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 (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, what they hope for and want to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (achieve, and the support they need.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (that includes how much they will pay and what the home provides for the money.)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 102.5 w 33.45 410.64 m 563.65 410.64 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 80 w 32.32 399.39 m 564.78 399.39 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 31.2 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 357.19 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 30.12 358.27 m 566.98 358.27 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 (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 424.83 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 (The Home has an effective admissions procedure.)Tj ET 0.99608 0.9451 0.76078 RG 97.5 w 33.45 283.65 m 563.65 283.65 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.4 m 565.9 323.4 l S 0.001 w 75 w 32.32 272.4 m 564.78 272.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 311.02 m 566.98 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 312.1 m 31.2 232.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 312.1 m 565.9 232.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.02 m 565.9 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 233.78 m 566.98 233.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 320.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 295.33 Tm (There have been admissions to the Home since the last Inspection. We looked at the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.83 Tm (records relating to the admission process and saw that this contained detailed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.34 Tm (information about the residents needs and that information had been gathered from )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (the resident and health/social care professionals involved in their life.)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 Adults \(18-65 years\))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 (31)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)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 85 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 28.99 593.84 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 28.99 506.59 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 (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (information on which to base decisions.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (because the home has clear policies and procedures that staff follow.)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 154.99 w 33.45 367.39 m 563.65 367.39 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 132.49 w 32.32 356.15 m 564.78 356.15 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 31.2 287.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 287.7 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 30.12 288.77 m 566.98 288.77 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 (The views of the residents are sought and they are encouraged to make their own )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (decisions. Risks are not all identified and assessed adequately. The care plans are not )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.33 Tm (detailed enough for ensure that staff are able to consistently meet the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.83 Tm (residents.)Tj ET 0.99608 0.9451 0.76078 RG 194.25 w 33.45 165.78 m 563.65 165.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 253.9 m 565.9 253.9 l S 0.001 w 172.87 w 32.32 153.96 m 564.78 153.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 241.53 m 566.98 241.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 242.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.53 m 565.9 241.53 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 31.2 250.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.84 Tm (The Manager had stated in the AQAA that the organisation introduced new formats for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (the care plans and risk assessments in November 2008 and that staff are in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (process of having training about the use of these. At the last Inspection there was a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm (requirement for the care plans and risk assessments to be more detailed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (We looked at two of the care plans and spoke to staff about the care needed by the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (residents. The care plans contain a lot of assessment information relating to the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (residents needs at the time of the their admission to the Home. There is evidence that )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm (the residents are involved in the care planning process. For example, some of the care )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 Adults \(18-65 years\))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 (31)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 (plans are signed by the resident. Also, one of the residents has written their own pen )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (portrait and list of their 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 (The new care plan format does not provide much room for writing in the identified )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (actions and so some of these are difficult to read as staff have tried to put too much )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (information into a small box. There is evidence that the care plans are regularly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (reviewed but as the original care plan is not changed this means that the staff have to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (read through all of the reivews to see what the current plan of care is.)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 (The care plans and risk assessments are still in need of further improvements. For )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (example, for one of the residents, smoking in their bedroom has been an issue. We )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (were told this by staff and there were several references to this in the daily notes. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (However, there was no risk assessment for this and no care plan. One of the action )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (points for a resident was to encourage them to be more independent but there was no )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (detail about how this should be done or by whom. Also there is no care plan or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (detailed guidance for staff about the arrangements in place for one of the residents )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (who does some of their own cooking and shopping. There is also no risk assessment in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (place for one of the residents who is allowed to smoke in their own flat.)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 responses in the residents surveys that we received stated that they 'always' or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm ('sometimes' make their own decisions and all stated that they are able to do what they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (want. Residents told us that they are asked their views at the House meetings and also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (that staff talk to them every day about what they want to do and what support they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (need. The House meetings have been changed so that they now take place fortnightly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (rather than weekly and residents said that they prefer this.)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 (We looked at the arrangements in place for looking after residents money. Residents )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (benefits are paid in to the organisations bank account and seperate records are kept )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (for each resident. We looked at the records and the cash held for one of the residents )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (and these tallied. The acting manager said that only he and the Manager have access )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (to the safe but that residents can be given their money from petty cash if they need )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (money when staff do not have access to the safe. There are no financial care plans in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (place.)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 (We saw the organisations own Quality Audit Tool that had been carried out in June )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (2008 and saw that several of the issues identified in this report had been identified as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (being outstanding at that time. This includes the need for more detail in the care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (plans, the need for financial care plans and for all risks to be assessed.)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 Adults \(18-65 years\))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 (31)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Lifestyle)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 223.25 w 32.32 584.22 m 562.53 584.22 l S 0.001 w 1 1 1 RG 51 w 31.2 499.22 m 563.65 499.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 525.84 m 565.85 525.84 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 28.99 525.84 m 565.85 525.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.59 m 565.85 472.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 471.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 471.52 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 can take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 565.9 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 548.9 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 531.9 Tm (place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 478.65 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 432.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 432.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 432.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 432.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 415.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 342.14 m 563.65 342.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 401.89 m 565.9 401.89 l S 0.001 w 114.99 w 32.32 330.89 m 564.78 330.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 389.52 m 566.98 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.59 m 31.2 271.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 390.59 m 565.9 271.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 389.52 m 565.9 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 272.27 m 566.98 272.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 398.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 373.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 373.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 356.33 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 35.47 336.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 316.33 Tm (The availability of staff support and transport can restrict the opportunities for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 298.83 Tm (residents to take part in meaningful activities. Residents are involved in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 281.33 Tm (preparation of meals and their dietary needs are met.)Tj ET 0.99608 0.9451 0.76078 RG 177.75 w 33.45 157.53 m 563.65 157.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 237.4 m 565.9 237.4 l S 0.001 w 156.37 w 32.32 145.71 m 564.78 145.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 225.02 m 566.98 225.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 226.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 226.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.02 m 565.9 225.02 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 31.2 234.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 209.34 Tm (The responses within the residents surveys that we received all stated that they are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.84 Tm (able to do what they want to do. However, residents told us during our visit that )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 174.34 Tm (although they do have a choice about what they would like to do this is sometimes )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.84 Tm (restricted due to the lack of transport or staff to support them. For example, after 6pm )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 139.34 Tm (there is usually only one member of staff on duty and so there is no staff available to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.84 Tm (provide support to residents away from the Home. At weekends there is usually only )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 104.34 Tm (two staff on duty. The completed staff survey that we received stated that there are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.84 Tm (not enough staff on duty.)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 Adults \(18-65 years\))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 (31)Tj ET 0.99608 0.9451 0.76078 RG 636.34 w 33.45 493.23 m 563.65 493.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.97 w 32.32 481.42 m 564.78 481.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.82 m 566.98 172.82 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 Home is situated in a rural village and we were told that there is a bus to the town )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (of Kings Lynn once an hour during the day during the week. The Home has transport )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (and residents can also use taxis if they need to. Very few of the residents attend )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (formal day services of any kind. Some residents do voluntary work and others attend )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (educational courses.)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 (Residents told us that they sometimes go on holiday in small groups and that on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (Sundays there is a small group of them that go out for part of the day with a member )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (of staff. There is a pool table in the conservatory and the deputy manager said that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (there are plans to change this room into the games room in which they will have darts, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (pool table, computer games and a music centre. There is a television and dvd player in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (the lounge and most of the residents have their own televisions and computers if they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (wish to have them. During our visit a volunteer was in the Home providing a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (reminiscence group. One of the residents has their own dog and is responsible for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (looking after him.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (The care plans contain information relating to the arrangements in place for assisting )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (residents to maintain contact with friends and family, if appropriate. One of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (residents said that their relative visits on a regular basis and that they are also able to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (have friends to stay if they wish to as there is a guest room in the Home.)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 (Some of the residents are given their own money to self cater. The arrangements for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (shopping have recently changed so that this is now done on a more individual basis )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (with keyworkers rather than everyone going to the shop together. Some residents )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (have their own cooker and fridge in their room to enable them to self cater. One of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (care plans that we looked at did not have any information or risk assessments in about )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (the resident self catering.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (Residents told us that they enjoy their meals and that there is always a choice. Menus )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (are planned with the involvement of residents. Residents usually get their own )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (breakfast and lunch whilst the staff cook the main meal of the day. Residents are able )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (to get breakfast whatever time they get up. They also have access to drinks and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (snacks throughout the day. One of the residents told us that staff gave her assistance )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (and advice with healthy eating when she asked for this.)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 Adults \(18-65 years\))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 (31)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)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 155.25 w 32.32 618.22 m 562.53 618.22 l S 0.001 w 1 1 1 RG 68 w 31.2 575.72 m 563.65 575.72 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 28.99 540.59 m 565.85 540.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 539.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 539.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (way.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 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 35.5 580.65 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 500.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 500.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 500.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 483.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 418.89 m 563.65 418.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 469.89 m 565.9 469.89 l S 0.001 w 97.5 w 32.32 407.64 m 564.78 407.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 457.52 m 566.98 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.59 m 31.2 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 458.59 m 565.9 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 457.52 m 565.9 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.77 m 566.98 357.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 466.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 441.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 441.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.33 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 35.47 404.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 384.33 Tm (Residents needs can not always consistently be met. The medication system is now )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.83 Tm (safer than it was but there are still areas in need of further improvement.)Tj ET 0.99608 0.9451 0.76078 RG 263.25 w 33.45 200.27 m 563.65 200.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.9 m 565.9 322.9 l S 0.001 w 241.87 w 32.32 188.46 m 564.78 188.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.52 m 566.98 310.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.52 m 565.9 310.52 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 31.2 319.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 294.83 Tm (Very few of the residents need physical support with personal care but many do need )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.34 Tm (prompts in this area. The care plans are not detailed enough for staff to have clear )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.84 Tm (guidance about the support each resident needs. The poor state of most of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.34 Tm (bathrooms also means that there can be difficulties in meeting residents personal care )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.84 Tm (needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.84 Tm (The care plans do contain some information about residents mental health needs and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.34 Tm (how these should be met. Again these would benefit from being more detailed. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.84 Tm (care records show that residents are supported to attend regular health appointments )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.34 Tm (such as dentists, opticians as well as with mental health professionals.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.35 Tm (One of the care plans is detailed about the support that a resident needs at certain )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.85 Tm (times and this confirmed the information told us by the resident concerned and the )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 Adults \(18-65 years\))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 (31)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 (staff about the support needed. The resident said that the staff are always kind and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (supportive and that they are 'good at distracting me'. However, the resident did also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (say that during the evenings it can be difficult for staff to find time to speak to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (residents individually as there is only one member of staff on duty. They also said that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (at night time as there is only a sleep in member of staff on duty this means that there )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (is no-one to talk to during the night. They said that they know that they can wake the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (sleep in staff if its an emergency but sometimes would just like to have a chat with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (someone if they are anxious about something.)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 (The Manager and one of the care staff are registered mental health nurses. The deputy )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (manager and one of the care staff have achieved Level 3 in mental health care. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (Discussions with the staff and a look at the training matrix show that very little other )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (training is provided with regard to working with people with mental health problems.)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 residents surveys that we received all state that the staff treat the residents well )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (and that they listen and act on what the residents say. We observed the staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (supporting the residents in a positive way. However we were told by staff and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (residents that at times there are not enough staff on duty. The staff are also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (responsible for the cooking and cleaning of the Home and this means that they can )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (become task orientated rather than providing individual support to residents. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (deputy manager said that there are plans to recruit a cook and cleaner so that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (care staffs time can be spent directly with residents.)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 (The deputy manager has taken on additional responsibilities with regard to medication. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (There have been many improvements in this area. The medication storage has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (improved as it has been moved to a much larger room and there are dedicated )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (medication trolleys for proper storage. There is a medication fridge with daily )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (temperature checks being taken. The medication is not currently booked in when it )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (arrives and it is not kept in secure storage until it is booked in and put in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (medication trolleys although it is kept in a locked room.)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 (The deputy manager said that all the staff received training to administer medication )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (from this new system in the last week. There are risk assessments in place for the use )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (of Clozapin and there is a signed list from the GP about which homely remedies )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (residents are able to have. We looked at the Medication Administration Records and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (there were no gaps. However, we did see that on one occasion a member of staff had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (signed as having administered the medication but this had then been refused by the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (resident. This issue had been identified as poor practice at the last Inspection also.)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 (We looked at the records relating to one of the residents who is responsible for their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (own medication. There is a risk assessment but this needs to reviewed and updated. )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 Adults \(18-65 years\))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 (31)Tj ET 0.99608 0.9451 0.76078 RG 41.37 w 33.45 790.72 m 563.65 790.72 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 20 w 32.32 778.91 m 564.78 778.91 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 31.2 766.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.7 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 30.12 767.78 m 566.98 767.78 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 (We also noted that there is no guidanance for the use of PRN \(as required\) medication.)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 Adults \(18-65 years\))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 (31)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Concerns, 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. Their 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, neglect and self-harm and takes action to follow )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (up any allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (There are no additional outcomes.)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 119.99 w 33.45 486.89 m 563.65 486.89 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 97.5 w 32.32 475.64 m 564.78 475.64 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 31.2 424.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 424.7 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 30.12 425.77 m 566.98 425.77 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 (Complaints are taken seriously and action taken to address them. Procedures and staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (training are in place to provide protection to the residents from abuse.)Tj ET 0.99608 0.9451 0.76078 RG 307.48 w 33.45 246.16 m 563.65 246.16 l S 0.001 w 1 1 1 RG 22.5 w 31.2 390.9 m 565.9 390.9 l S 0.001 w 284.98 w 32.32 234.91 m 564.78 234.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 378.52 m 566.98 378.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.6 m 31.2 90.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 379.6 m 565.9 90.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 378.52 m 565.9 378.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 91.29 m 566.98 91.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 387.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 362.83 Tm (The residents surveys all indicate that the residents know who to speak to if they are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (unhappy about something. The staff survey states that they are aware of what to do if )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (someone wishes to raise a concern/complaint.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (The Commission has not received any complaints about the Home since the last )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (Inspection. According to the AQAA the Home has had three complaints since that time. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (We spoke to the Manager after the visit to the Home and she said that they are now )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm (recording all concerns as well as complaints so that there is a clear record of action )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (taken to address any issues.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (The staff who we spoke to said that they have received training about Safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (vulnerable adults and that they are confident that any concerns that they may raise )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm (will be dealt with appropriately. The training matrix shows that the majority of staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm (have had this training within the last two months. Residents told us that the staff listen )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (to them. Residents have opportunities to raise any concerns in the house meetings as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm (well as on a more individual basis.)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 Adults \(18-65 years\))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 (31)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 Adults \(18-65 years\))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 (31)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 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 85 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 28.99 661.84 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 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 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, comfortable, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (pleasant and 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. People have )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 452.89 m 563.65 452.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 97.5 w 32.32 441.64 m 564.78 441.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 390.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 390.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 391.77 m 566.98 391.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (poor)Tj ET /F3 12 Tf BT 1 0 0 1 293.03 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 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 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (The Home is in a poor state of repair. It does not provide clean, homely, comfortable )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (accommodation for the residents.)Tj ET 0.99608 0.9451 0.76078 RG 297.25 w 33.45 217.27 m 563.65 217.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 356.9 m 565.9 356.9 l S 0.001 w 275.87 w 32.32 205.46 m 564.78 205.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.52 m 566.98 344.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.52 m 565.9 344.52 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 31.2 353.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.83 Tm (We were shown around the Home during our visit. We looked at all of the communal )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.34 Tm (areas and two of the residents showed us their bedrooms. At the last Inspection a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm (requirement was made for the Home to be kept in a good state of repair, to be kept )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (clean and reasonably decorated. This requirement has not been met.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm (The deputy manager said that the organisation has carried out a review of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (accommodation and has plans in place for redecoration and refurbishment of some )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm (areas. A recent fire assessment has been carried out and as a consequence some )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (doors have been replaced. There are plans for the kitchen to be refitted and for the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (conservatory to be redecorated once the leak in the ceiling has been completely dealt )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm (with.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (Overall the condition of the accommodation is poor and in need of immediate work to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm (bring it to an acceptable standard. Many areas of the Home, residents rooms and the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm (communal areas are dusty and dirty. The residents are encouraged to look after their )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 Adults \(18-65 years\))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 (31)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 (own bedrooms, with support from staff if needed. There is a smoking shelter in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (garden as the Home is a non smoking home. However, there is a strong smell of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (cigarettes and stale smoke throughout the whole Home. Many of the carpets through )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (the Home are stained and in need of replacement.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (Residents told us that there are problems with the heating and the hot water. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (deputy manager confirmed this and said that the plumber was due to visit that day to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (review the boilers.)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 (The bathrooms are in a particularly poor state of repair. One of the bathrooms on the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (ground floor has damp all over the ceiling and needs a new door. The upstairs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (bathroom is in a very poor condition. There is a smell of damp, the bath is stained and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (the enamel is peeling off. The enamel is very sharp where it is peeling but the deputy )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (manager said that residents are using this bath. He also said that this bathroom is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (going to be refurbished and that this room and the shower room next door will be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (made into one larger bathroom. He said that nobody uses the shower room at the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (moment.)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 (There is a small flat attached to the main house and two residents live in the flat. This )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (gives them additional independence but with the support of staff if they need it. One of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (the residents is now not able to use the bathroom in the flat due to increasing mobility )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (needs.)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 (One of the residents who self caters has a cooker and fridge in their room. There are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (no risk assessments in their care plan with regard to this. The resident told us that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (they had requested that some more shelves were put up in their room as currently lots )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (of things are on the floor. We saw that this request was in the house meeting mintues )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (in November 2008. This has not yet happened. The resident also told us that they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (have requested a chair and a table as they have to sit on the bed to eat their meals )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (but that this also has not happened yet.)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 ()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 Adults \(18-65 years\))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 (31)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 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 34 w 31.2 592.72 m 563.65 592.72 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 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 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, qualified )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (they need from their managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 435.39 m 563.65 435.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 132.49 w 32.32 424.15 m 564.78 424.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 355.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 355.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 356.77 m 566.98 356.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 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 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (The staffing levels are not adequate to meet the residents needs in a consistent way. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (Effective recruitment procedures are followed and staff receive induction training. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.33 Tm (Increased training about issues specific to the residents needs will increase the staffs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 365.83 Tm (skills.)Tj ET 0.99608 0.9451 0.76078 RG 262.25 w 33.45 199.78 m 563.65 199.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 321.9 m 565.9 321.9 l S 0.001 w 240.87 w 32.32 187.96 m 564.78 187.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 309.53 m 566.98 309.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 310.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 309.53 m 565.9 309.53 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 31.2 318.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm (The staff survey that we received states that appropriate recruitment checks were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (carried out prior to them starting work and that they received good induction and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm (ongoing training. It states that there is not enough staff. The residents surveys all )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm (state that the staff treat them well and that they listen and act on what the residents )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (tell them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (A recommendation was made at the last Inspection for the weekend staffing levels to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (be reviewed. The report also questioned whether one sleep in member of staff is )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm (adequate to meet the needs of the residents. The staffing levels have increased )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm (slightly on some days but there is still only one staff on duty after 6pm and only two )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (staff on duty at weekends. However, we were told that a review of staffing has been )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm (carried out and that there are plans in place to make improvements.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm ()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 Adults \(18-65 years\))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 (31)Tj ET 0.99608 0.9451 0.76078 RG 636.34 w 33.45 493.23 m 563.65 493.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.97 w 32.32 481.42 m 564.78 481.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.82 m 566.98 172.82 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 (The night staffing arrangements are going to change so that there will be one waking )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (night staff and one member of staff sleeping in. The shift pattern is also going to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (change so that staff will work during the day from 8am to 8pm and the night shift will )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (be 8pm to 8am. This should mean that there will be at least two staff on duty well into )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (the evening which will be an improvement. There are no plans at present to increase )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (the staffing levels at weekends.)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 (The Manager is currently recruiting for housekeeping staff who will be responsible for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (the cooking and cleaning. This will free the care staff to spend time with residents. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (They may still be involved in these household tasks but it will be with regard to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (encouraging independence for the residents.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (The Manager and deputy manager work Monday to Friday. The Managers hours are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (supernumeray to the staffing rota but the deputy manager works three days a week )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (with residents and has two administrative days. The Home does not currently have any )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (support with administrative tasks. The organisation employs its own bank staff to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (cover when needed and we were told that agency staff are not used at the Home.)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 (We observed staff supporting residents in a positive way. There was friendly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (communication between staff and residents. Residents told us that the staff are kind )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (and that they help them when they need it.)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 (We looked at a selection of staff files and could see that appropriate checks are carried )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (out prior to staff starting work. Staff complete an induction that we are told complies )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (with the Common Induction Standards. We spoke to staff about their training and were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (given a copy of the training matrix. From this evidence we can see that staff receive )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (updates of mandatory training and are encouraged to do NVQs but that there is little )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (additional training which is specific to the needs of the residents. The organisation has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (introduced training based on the computer for a lot of mandatory subjects. Only the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (Manager and the deputy manager have attended training about the Mental Capacity )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (Act.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (Staff said that they receive regular supervision from the Manager and that they are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (always able to speak to the Manager about any issues that they may have.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()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 Adults \(18-65 years\))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 (31)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Conduct and management of the 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 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 85 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 28.99 610.84 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 28.99 523.59 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 (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (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. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (things should be done. )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 154.99 w 33.45 384.39 m 563.65 384.39 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 132.49 w 32.32 373.15 m 564.78 373.15 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 31.2 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 304.7 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 30.12 305.77 m 566.98 305.77 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 (The Manager provides good leadership and management to the staff team. Areas in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (need of improvement that are identified during reviews of the quality of the service )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (provided are not addressed in a timely way by the organisation. Health and safety is )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (compromised in some areas.)Tj ET 0.99608 0.9451 0.76078 RG 211.25 w 33.45 174.28 m 563.65 174.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 270.9 m 565.9 270.9 l S 0.001 w 189.87 w 32.32 162.46 m 564.78 162.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 258.53 m 566.98 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 259.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.53 m 565.9 258.53 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 31.2 267.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (The Home was bought by the Regard Partnership in 2007 through a share buyout and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (so only reregistered in August 2008 when there was a change in the name of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (company. The previous Manager of the Home has moved to another Home within the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (company and the current Manager, Dianne Eaton, has been at the Home for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (approximately six months. She has previous experience of managing a Care Home and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (has relevant skills and qualifications. She is currently going through the process to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (become registered with the Commission.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (The deputy manager was only appointed to the post a month prior to our visit. He has )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (worked at the Home for several years and so knows the residents and staff well. He )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 Adults \(18-65 years\))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 (31)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 (has attended some management training and said that more is planned.)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 (Staff and residents told us that the Manager is approachable and that she has good )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (communication skills. They said that improvements have been made since she started )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (working at the Home. The Manager was not present during our visit to the Home but )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (we spoke to her briefly afterwards.)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 (The views of the residents are sought in a variety of ways. They are encouraged to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (discuss issues during the fortnightly house meetings as well as to meet with their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (keyworkers on a more informal basis. Minutes are kept of the house and staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (meetings with records kept of action taken to address issues.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (There are systems in place for reviewing the quality of the service provided but there )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (appears to be little action taken to address some of the major issues. For example, the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (organisation undertook a quality audit in June 2008 which identified many of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (issues identified in this report such as the care plans needing more detail, risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (assessments needed for financial arrangements and redecoration and refurbishment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (needed. The Regulation 26 reports for 2008 identified that the staffing is not adequate )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (and that the Home needs to be cleaner.)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 (The deputy manager has recently taken on the responsibility for Health and Safety )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (issues and is due to attend training with regard to this. We looked at a selection of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (records relating to health and safety and can see that regular checks are carried out )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (on equipment.)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 (A fire risk assessment was carried out in February 2008 and a recent fire safety audit )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (has identified that some of the fire doors needed replacing. A health and safety risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (assessment of the whole building was carried out in November 2008. Weekly visual )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (checks are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (The health and safety of the residents could be compromised by the lack of risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (assessments for issues relating to individual residents. The poor state of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (accommodation also compromises the health and safety of some of the residents, for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (example, using the bath which has enamel peeling off it, the fact that one of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (residents is unable to use the bathroom in their flat, and the poor state of some of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (carpets.)Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 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 Adults \(18-65 years\))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 (27)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 (31)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 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 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 Adults \(18-65 years\))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 (28)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 (31)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 1 1 1 RG 125.66 w 31.2 624.58 m 91.05 624.58 l S 0.001 w 125.66 w 93.3 624.58 m 197.4 624.58 l S 0.001 w 125.66 w 199.65 624.58 m 289.45 624.58 l S 0.001 w 125.66 w 291.7 624.58 m 473.8 624.58 l S 0.001 w 125.66 w 476.05 624.58 m 566.1 624.58 l S 0.001 w 125.66 w 31.2 496.66 m 91.05 496.66 l S 0.001 w 125.66 w 93.3 496.66 m 197.4 496.66 l S 0.001 w 125.66 w 199.65 496.66 m 289.45 496.66 l S 0.001 w 125.66 w 291.7 496.66 m 473.8 496.66 l S 0.001 w 125.66 w 476.05 496.66 m 566.1 496.66 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 28.99 688.53 m 568.4 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.16 m 92.12 559.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.16 m 290.62 559.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.16 m 475.02 559.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.62 m 568.3 560.62 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 568.3 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.62 m 568.3 560.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.7 m 568.3 432.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.16 m 30.07 431.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.61 m 92.17 431.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.16 m 198.52 431.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.61 m 290.57 431.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.61 m 474.92 431.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.16 m 567.32 431.63 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 /F3 12 Tf BT 1 0 0 1 35.5 675.34 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.34 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.34 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.34 Tm (It is required that the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 657.76 Tm (staffing levels are adequate )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 643.18 Tm (to meet the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 628.59 Tm (residents)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 611.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 596.43 Tm (To ensure that the residents )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 581.84 Tm (needs are met in a consistent )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 567.26 Tm (way)Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.34 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.43 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 544.43 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 544.43 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 544.43 Tm (It is required that the staff )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 529.85 Tm (receive training about the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 515.26 Tm (specific needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 500.68 Tm (residents)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 483.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 468.51 Tm (To ensure that the residents )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 453.93 Tm (needs can be met by the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 439.35 Tm (staff team)Tj ET /F3 12 Tf BT 1 0 0 1 478.9 544.43 Tm (30/04/2009)Tj ET 0.99608 0.9451 0.76078 RG 66.75 w 31.2 361.95 m 566.2 361.95 l S 0.001 w 30.3 w 31.2 311.18 m 91 311.18 l S 0.001 w 30.3 w 93.25 311.18 m 197.4 311.18 l S 0.001 w 30.3 w 199.65 311.18 m 289.5 311.18 l S 0.001 w 30.3 w 291.75 311.18 m 473.9 311.18 l S 0.001 w 30.3 w 476.15 311.18 m 566.2 311.18 l S 0.001 w 1 1 1 RG 119 w 31.2 234.28 m 91.05 234.28 l S 0.001 w 119 w 93.3 234.28 m 197.4 234.28 l S 0.001 w 119 w 199.65 234.28 m 289.45 234.28 l S 0.001 w 119 w 291.7 234.28 m 473.8 234.28 l S 0.001 w 119 w 476.05 234.28 m 566.1 234.28 l S 0.001 w 109.63 w 31.2 117.71 m 91.05 117.71 l S 0.001 w 109.63 w 93.3 117.71 m 197.4 117.71 l S 0.001 w 109.63 w 199.65 117.71 m 289.45 117.71 l S 0.001 w 109.63 w 291.7 117.71 m 473.8 117.71 l S 0.001 w 109.63 w 476.05 117.71 m 566.1 117.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 327.45 m 568.4 327.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.9 m 568.4 294.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 328.53 m 92.12 172.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 328.53 m 290.62 172.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 328.53 m 475.02 172.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.65 m 568.3 173.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.45 m 568.4 396.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.45 m 568.4 327.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.9 m 568.3 294.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.65 m 568.3 173.65 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 30.07 397.53 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 295.98 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 328.53 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 295.98 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 295.98 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 397.53 m 567.32 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 383.27 Tm (Statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 363.27 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 34.05 348.68 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.7 348.68 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 334.1 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 31.2 316.28 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 313.28 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 313.28 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 313.28 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 313.28 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 301.13 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 281.71 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 281.71 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 281.71 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 281.71 Tm (It is required that the care )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 264.71 Tm (plans are more detailed)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 247.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 230.71 Tm (To ensure that there is clear )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 213.71 Tm (guidance for staff about how )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 196.71 Tm (to meet the residents needs )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 179.71 Tm (in a consistent way)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 281.71 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 281.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 160.46 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 160.46 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 160.46 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 160.46 Tm (It is required that the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 143.46 Tm (residents have a financial )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 126.46 Tm (risk assessment)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 160.46 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 160.46 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 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 Adults \(18-65 years\))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 (29)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 (31)Tj ET 1 1 1 RG 85 w 31.2 770.03 m 91.05 770.03 l S 0.001 w 85 w 93.3 770.03 m 197.4 770.03 l S 0.001 w 85 w 199.65 770.03 m 289.45 770.03 l S 0.001 w 85 w 291.7 770.03 m 473.8 770.03 l S 0.001 w 85 w 476.05 770.03 m 566.1 770.03 l S 0.001 w 102 w 31.2 674.28 m 91.05 674.28 l S 0.001 w 102 w 93.3 674.28 m 197.4 674.28 l S 0.001 w 102 w 199.65 674.28 m 289.45 674.28 l S 0.001 w 102 w 291.7 674.28 m 473.8 674.28 l S 0.001 w 102 w 476.05 674.28 m 566.1 674.28 l S 0.001 w 102 w 31.2 570.03 m 91.05 570.03 l S 0.001 w 102 w 93.3 570.03 m 197.4 570.03 l S 0.001 w 102 w 199.65 570.03 m 289.45 570.03 l S 0.001 w 102 w 291.7 570.03 m 473.8 570.03 l S 0.001 w 102 w 476.05 570.03 m 566.1 570.03 l S 0.001 w 136 w 31.2 448.78 m 91.05 448.78 l S 0.001 w 136 w 93.3 448.78 m 197.4 448.78 l S 0.001 w 136 w 199.65 448.78 m 289.45 448.78 l S 0.001 w 136 w 291.7 448.78 m 473.8 448.78 l S 0.001 w 136 w 476.05 448.78 m 566.1 448.78 l S 0.001 w 204 w 31.2 276.53 m 91.05 276.53 l S 0.001 w 204 w 93.3 276.53 m 197.4 276.53 l S 0.001 w 204 w 199.65 276.53 m 289.45 276.53 l S 0.001 w 204 w 291.7 276.53 m 473.8 276.53 l S 0.001 w 204 w 476.05 276.53 m 566.1 276.53 l S 0.001 w 108.25 w 31.2 118.15 m 91.05 118.15 l S 0.001 w 108.25 w 93.3 118.15 m 197.4 118.15 l S 0.001 w 108.25 w 199.65 118.15 m 289.45 118.15 l S 0.001 w 108.25 w 291.7 118.15 m 473.8 118.15 l S 0.001 w 108.25 w 476.05 118.15 m 566.1 118.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 726.4 m 568.3 726.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 622.15 m 568.3 622.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.9 m 568.3 517.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 379.65 m 568.3 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.4 m 568.3 173.4 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 28.99 726.4 m 568.3 726.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 622.15 m 568.3 622.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.9 m 568.3 517.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 379.65 m 568.3 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.4 m 568.3 173.4 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 ()Tj ET /F3 12 Tf BT 1 0 0 1 295.8 785.72 Tm (To ensure that there are )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 768.72 Tm (clear arrangements in place )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 751.72 Tm (for looking after residents )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 734.72 Tm (money)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 713.22 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 713.22 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 713.22 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 713.22 Tm (It is required that risks are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 696.22 Tm (identified and adequately )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 679.22 Tm (assessed)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 662.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 645.22 Tm (To ensure that risks are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 628.22 Tm (safely managed)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 713.22 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 713.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 608.97 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 608.97 Tm (20)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 608.97 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 608.97 Tm (It is required that the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 591.97 Tm (Homes own medication )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 574.97 Tm (procedure is followed)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 557.97 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 540.97 Tm (To ensure that medication is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 523.97 Tm (managed in a safe way)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 608.97 Tm (31/01/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 608.97 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 504.71 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 504.71 Tm (20)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 504.71 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 504.71 Tm (It is required that written )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 487.71 Tm (guidance is available for the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 470.71 Tm (use of PRN medication)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 453.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 436.71 Tm (To ensure that all residents )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 419.71 Tm (receive their medication at )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 402.71 Tm (appropriate times and in a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 385.71 Tm (consistent manner)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 504.71 Tm (31/01/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 504.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 366.46 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 366.46 Tm (24)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 366.46 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 366.46 Tm (It is required that an action )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 349.46 Tm (plan is submitted to the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 332.46 Tm (Commission which details )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 315.46 Tm (the refurbishment and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 298.46 Tm (redecoration that is planned )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 281.46 Tm (for the Home)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 264.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 247.46 Tm (To ensure that there is a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 230.46 Tm (plan to address the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 213.46 Tm (shortfalls in the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 196.46 Tm (accommodation and to be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 179.46 Tm (able to monitor this)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 366.46 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 366.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 160.21 Tm (7)Tj ET /F3 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