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They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the needs of service )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (users are met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (The home has clear staff recruitment, training and development procedures that )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (ensured that service users are protected and supported appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (The AQAA told us that staffing levels are monitored against dependancy levels to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arrangements )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivered.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (At the time of this visit there were twenty five service users in residence. The staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (rota setting out the minimum number and skill mix deployed in the home as 2 trained )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care staff from 1600 )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until 0800 in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (morning. The deputy manager is included in the working numbers and the manager is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (allocated three days per week as management days but other days is also in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager one )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (management day a week in the future to allow her time for supervision, training and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (administration. The manager told us she likes her days as part of the staffing numbers )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (which allows her to keep close to the service users and also supervision of staff.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()Tj ET endstream endobj 66 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 67 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The home employs an administrator, maintenance person, two housekeeping staff, a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (cook, kitchen assistant throughout the week and a laundry assistant as week-ends )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (who incorporates some cleaning duties into her job.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (We observed throughout the visit that staff were not rushing about and call alarms )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (were being answered quite promptly and staff were demonstrating good teamwork. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Service users spoken to told us that they staff are very good and that they supported )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (them well. Surveys returned from service user commented that the home 'looks after )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had more time with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively to what I am )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20 care staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us that 100 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that 3 of the 20 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ level 2 with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social care with 4 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (further cares due to undertake NVQ level 2 this current year.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The AQAA quotes that there is a good induction programme using skills for care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (standards for all staff. The manager also takes new employees through the local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (induction programme at which time she will introduce the Skills for Care induction )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (standards. All trainees are registered on a Skills for Care registration programme. A )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The home provides a variety of appropriate training. A training matrix and training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (certificates in personnel files evidenced that staff have undertaken all mandatory )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (health and safety training and a variety of other training is offered according to staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (role.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (Staff spoken to at the time of this visit said they are offered and receive a great deal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (of training that is appropriate to their role.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The manager has introduced a supervision and appraisal programme. There was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals at which time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (the manager said training needs are discussed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new staff are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (employed on a three month probationary period which is then reviewed against the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (induction standards before employment is confirmed. We viewed a sample of three )Tj ET endstream endobj 68 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 69 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 126.35 w 34.6 748.23 m 562.54 748.23 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 104.98 w 33.47 736.42 m 563.66 736.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 682.81 m 565.87 682.81 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (recruitment files of staff most recently employed at the home. The files evidenced that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the Protection of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Vulnerable Adults \(POVA\) had been received with two references before employment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (commences. All staff undergo an induction period when they first commence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (employment. The files also evidenced that the home employs a mixed culture group of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 70 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 71 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 229.33 w 34.6 342.51 m 562.54 342.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 206.83 w 33.47 331.26 m 563.66 331.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 225.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 225.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 226.72 m 565.87 226.72 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadership. There )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (the service provided and promoting the safety and welfare of everyone living and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (working in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 253.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 235.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 211.04 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 118.82 w 34.6 141.44 m 562.54 141.44 l S 0.001 w 1 1 1 RG 22.5 w 32.35 191.85 m 564.79 191.85 l S 0.001 w 97.45 w 33.47 129.63 m 563.66 129.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 179.48 m 565.87 179.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 180.56 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 180.56 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 179.48 m 564.79 179.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 188.54 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (The registered manager has now been in post for 9 years and is a registered nurse )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (and has also achieved the Registered Managers Award. She has completed her )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (mentorship course and the home now offers placements to student nurses. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (states that the manager in the past year has undertaken further training and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (development and has undertaken various training courses to develop her management )Tj ET endstream endobj 72 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 73 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (role.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The manager has appointed a deputy manager who pocesses the registered manager's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (award and is an experienced nurse clinically and brings with her experience from a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (previous post as manager of another nursing home in the company. The home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (therefore has a strong management team that is committed to run the home in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (best interests of the service users.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The manager states that equality and diversity of the service users is paramount in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within the care team )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (suggests that the staff respect and have confidence in their manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The Director of Nursing for the organisation undertakes all senior manager's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (supervision and appraisal meetings. The manager and her deputy regularly attend )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (meetings with the Director of Nursing to discuss issues and have group supervision for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (the senior nurses.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The home has a quality assurance system in place. The home distributes questionnaire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (surveys to service users and relatives, the reports of the outcomes of which was seen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (by us with the results indicating a high level of satisfaction with the service. Issues )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (that have been identified through the questionnaires are discussed with staff at staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (meetings. These meetings are held regularly and it is where the staff can discuss )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (The AQAA stated and the manager told us that the improvements for the coming year )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (would be to hold more group residents and relative meetings.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The manager undertakes auditing the home' management systems e.g. care plans, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (medication, falls, accident recording, weights and pressure sores. The results of these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (are put into a monthly report that is sent to the head office. The Nursing Director )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her visit. A )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content and covered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (all standards.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (The home does look after small amounts of money for some service users. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (administrator manages this and the monies were seen to be kept in a locked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (environment and stored in individual containers for each service user. Records of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the amount of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (money held against that on the records for two service users and these balanced. It )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (was observed that no large amounts of monies were being stored at the time of this )Tj ET endstream endobj 74 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 75 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 458.77 w 34.6 582.02 m 562.54 582.02 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 437.4 w 33.47 570.21 m 563.66 570.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 349.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 349.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 350.38 m 565.87 350.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (visit.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (A sample of servicing certificates were examined and indicated that the home's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (equipment, plant and systems were checked and serviced or implemented at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipment, gas boiler, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (portable electrical equipment, hot water system, etc. There were contracts in place for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (the disposal of clinical and household waste.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The inspector viewed the accident recording book and the records were being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (completed appropriately and copies maintained by the manager for evaluation.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Staff said that they attended regular and compulsory fire and other health and safety )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (training. The organisation employs a facilities manager for the whole group of homes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (and they oversee and support Fire and Health and Safety functions within the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The deputy matron is a moving and handling trainer and undertakes all staff training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (in this. The inspector observed a number of hoists in the home and profile beds are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (gradually replacing existing hospital beds, to promote safe working practices.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (There was evidence in the training files and the training matrix that all mandatory )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (health and safety training had been completed by all staff and was ongoing.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment was tested )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (at the appropriate intervals.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET endstream endobj 76 0 obj<> endobj 77 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 78 0 obj<> endobj 79 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 80 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 81 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 271.54 w 32.32 490.32 m 564.97 490.32 l S 0.001 w 1 1 1 RG 170 w 31.2 440.68 m 91.05 440.68 l S 0.001 w 170 w 93.3 440.68 m 197.4 440.68 l S 0.001 w 170 w 199.65 440.68 m 289.45 440.68 l S 0.001 w 170 w 291.7 440.68 m 473.8 440.68 l S 0.001 w 170 w 476.05 440.68 m 566.1 440.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 527.88 m 30.07 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.55 m 568.3 354.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 513.62 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 513.62 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 513.62 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 496.62 Tm (ensure that the trolley )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 479.62 Tm (containing medication is )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 462.62 Tm (secured in a safe place at all )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 445.62 Tm (times.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 428.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 411.62 Tm (The medication trolley must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 394.62 Tm (be secured to ensure safe )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 377.62 Tm (keeping of service users' )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 360.62 Tm (medication at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 513.62 Tm (10/11/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.68 w 32.32 276.09 m 564.97 276.09 l S 0.001 w 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 0.001 w 20.58 w 93.3 233.92 m 197.4 233.92 l S 0.001 w 20.58 w 199.65 233.92 m 566.1 233.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 246.41 m 30.07 221.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 246.41 m 567.22 221.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.61 m 568.4 264.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 245.33 m 568.3 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 246.41 m 92.17 221.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 246.41 m 198.52 221.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.18 m 568.4 334.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.61 m 568.4 264.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.5 m 568.3 222.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 335.26 m 30.07 244.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 265.69 m 92.17 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 265.69 m 198.47 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 335.26 m 567.32 244.26 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 317.99 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.83 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 250.43 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 250.43 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 250.43 Tm (Good Practice Recommendations)Tj ET endstream endobj 82 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 83 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 99 0 obj<> endobj 100 0 obj<>/FontDescriptor 99 0 R/DW 1000>> endobj 101 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 102 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 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267.23999 m 30.07001 219.42999 l S 316.37 267.23999 m 316.37 219.42999 l S 347.66998 244.40999 m 347.66998 219.42999 l S 379.01999 244.40999 m 379.01999 219.42999 l S 410.31998 244.40999 m 410.31998 219.42999 l S 441.66998 244.40999 m 441.66998 219.42999 l S 473.01999 244.40999 m 473.01999 219.42999 l S 504.31998 244.40999 m 504.31998 219.42999 l S 535.66998 244.40999 m 535.66998 219.42999 l S 567.01996 267.23999 m 567.01996 219.42999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 249.98 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 249.98 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 227.14999 Tm (Janette Everitt)Tj 1 0 0 1 329.63 227.14999 Tm (3)Tj 1 0 0 1 360.94998 227.14999 Tm (0)Tj 1 0 0 1 392.28 227.14999 Tm (0)Tj 1 0 0 1 423.60999 227.14999 Tm (9)Tj 1 0 0 1 454.94998 227.14999 Tm (2)Tj 1 0 0 1 486.28 227.14999 Tm (0)Tj 1 0 0 1 517.60004 227.14999 Tm (0)Tj 1 0 0 1 548.95996 227.14999 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 208.25 Tm <0003>Tj 1 0 0 1 28.35001 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 174.25 Tm <0003>Tj 1 0 0 1 297.63998 162.17999 Tm <0003>Tj 1 0 0 1 297.63998 150.12 Tm <0003>Tj ET endstream endobj 770 0 obj 5623 endobj 771 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38998 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 772 0 obj 5469 endobj 773 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14999 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14999 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14999 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14999 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14999 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14999 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14999 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14999 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14999 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14999 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14999 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14999 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14999 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14999 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 774 0 obj 9041 endobj 775 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.95294 0.95294 0.95294 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.95294 0.95294 0.95294 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.95294 0.95294 0.95294 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Beechcroft Green Nursing Home)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Anglesey Road )Tj 1 0 0 1 273.04999 729.03998 Tm (Alverstoke)Tj 1 0 0 1 273.04999 711.45996 Tm (Gosport)Tj 1 0 0 1 273.04999 693.88 Tm (Hampshire)Tj 1 0 0 1 273.04999 676.29999 Tm (PO12 2EG)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (02392585512)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (beechcroftgreen@contemplation_homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87997 m 353.25 500.87997 l S 1 1 1 RG 355.5 500.87997 m 565.90002 500.87997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38998 l S 354.37 559.02997 m 354.37 488.38998 l S 567.01996 559.02997 m 567.01996 488.38998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00999 m 568.10004 210.00999 l S 30.07001 383.54999 m 30.07001 208.92999 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64999 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89999 195.22 l S 474.14999 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 776 0 obj 1800 endobj 777 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 778 0 obj 3597 endobj 779 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28999 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50999 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31999 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14999 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 780 0 obj 2353 endobj 781 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 782 0 obj 5367 endobj 783 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.89999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45999 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 784 0 obj 3722 endobj 785 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 786 0 obj 1804 endobj 787 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 788 0 obj 5876 endobj 789 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16998 l S 564.77997 716.82996 m 564.77997 506.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92999 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78999 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 790 0 obj 2304 endobj 791 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 792 0 obj 5808 endobj 793 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92999 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78999 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28999 Tm (\240)Tj 1 0 0 1 36.57001 180.78999 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 794 0 obj 4992 endobj 795 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 796 0 obj 4846 endobj 797 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 798 0 obj 1274 endobj 799 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 800 0 obj 5893 endobj 801 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16998 m 564.78998 499.16998 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87997 m 32.35001 346.63 l S 564.78998 487.87997 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92999 m 562.53998 201.92999 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78999 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28999 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78999 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 802 0 obj 5001 endobj 803 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 804 0 obj 4860 endobj 805 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 806 0 obj 2137 endobj 807 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31999 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 808 0 obj 5778 endobj 809 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17999 m 562.53998 236.17999 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 810 0 obj 3502 endobj 811 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38998 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 812 0 obj 5791 endobj 813 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67999 m 562.53998 227.67999 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78999 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 814 0 obj 4954 endobj 815 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 816 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 0 817 0000000007 65535 f 0000000016 00000 n 0000002250 00000 n 0000018185 00000 n 0000018317 00000 n 0000018865 00000 n 0000018994 00000 n 0000000010 00001 f 0000019189 00000 n 0000019318 00000 n 0000000013 00001 f 0000019441 00000 n 0000019598 00000 n 0000000015 00001 f 0000019750 00000 n 0000000017 00001 f 0000019922 00000 n 0000000021 00001 f 0000020068 00000 n 0000020203 00000 n 0000020949 00000 n 0000000023 00001 f 0000021037 00000 n 0000000025 00001 f 0000021206 00000 n 0000000027 00001 f 0000021341 00000 n 0000000029 00001 f 0000021476 00000 n 0000000033 00001 f 0000021611 00000 n 0000021757 00000 n 0000021889 00000 n 0000000036 00001 f 0000022012 00000 n 0000022143 00000 n 0000000038 00001 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(Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89996 195.22 l S 474.14996 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 824 0 obj 4673 endobj 825 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.89996 m 565.84998 507.89996 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.89996 m 565.84998 507.89996 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Beechcroft Green Nursing Home)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Anglesey Road )Tj 1 0 0 1 165.48 474.12994 Tm (Alverstoke)Tj 1 0 0 1 165.48 456.54999 Tm (Gosport)Tj 1 0 0 1 165.48 438.97 Tm (Hampshire)Tj 1 0 0 1 165.48 421.38998 Tm (PO12 2EG)Tj /C2_1 10 Tf 1 0 0 1 28.35001 402.48999 Tm <0003>Tj 1 0 0 1 28.35001 385.48999 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.95999 m 358.94998 365.95999 l S 1 1 1 RG 361.20001 365.95999 m 565.90002 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289.22998 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 272.22998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 317.5 254.75 m 565.90002 254.75 l S 1 1 1 RG 317.5 231.92 m 346.54999 231.92 l S 348.80002 231.92 m 377.89999 231.92 l S 380.14999 231.92 m 409.20001 231.92 l S 411.44998 231.92 m 440.54999 231.92 l S 442.80002 231.92 m 471.89996 231.92 l S 474.14996 231.92 m 503.20001 231.92 l S 505.44998 231.92 m 534.54999 231.92 l S 536.79999 231.92 m 565.90002 231.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 243.34 m 568.10004 243.34 l S 28.99001 266.16998 m 568.10004 266.16998 l S 28.99001 243.34 m 568.10004 243.34 l S 28.99001 220.50998 m 568.10004 220.50998 l S 30.07001 267.23999 m 30.07001 219.42998 l S 316.37 267.23999 m 316.37 219.42998 l S 347.66998 244.40999 m 347.66998 219.42998 l S 379.01999 244.40999 m 379.01999 219.42998 l S 410.31998 244.40999 m 410.31998 219.42998 l S 441.66998 244.40999 m 441.66998 219.42998 l S 473.01999 244.40999 m 473.01999 219.42998 l S 504.31998 244.40999 m 504.31998 219.42998 l S 535.66998 244.40999 m 535.66998 219.42998 l S 567.01996 267.23999 m 567.01996 219.42998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 249.98 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 249.98 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 227.14998 Tm (Janette Everitt)Tj 1 0 0 1 329.63 227.14998 Tm (3)Tj 1 0 0 1 360.94998 227.14998 Tm (0)Tj 1 0 0 1 392.28 227.14998 Tm (0)Tj 1 0 0 1 423.60999 227.14998 Tm (9)Tj 1 0 0 1 454.94998 227.14998 Tm (2)Tj 1 0 0 1 486.28 227.14998 Tm (0)Tj 1 0 0 1 517.60004 227.14998 Tm (0)Tj 1 0 0 1 548.95996 227.14998 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 208.25 Tm <0003>Tj 1 0 0 1 28.35001 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 174.25 Tm <0003>Tj 1 0 0 1 297.63998 162.17999 Tm <0003>Tj 1 0 0 1 297.63998 150.12 Tm <0003>Tj ET endstream endobj 826 0 obj 5623 endobj 827 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 828 0 obj 5469 endobj 829 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 830 0 obj 9074 endobj 831 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.95294 0.95294 0.95294 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.95294 0.95294 0.95294 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.95294 0.95294 0.95294 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Beechcroft Green Nursing Home)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Anglesey Road )Tj 1 0 0 1 273.04999 729.03998 Tm (Alverstoke)Tj 1 0 0 1 273.04999 711.45996 Tm (Gosport)Tj 1 0 0 1 273.04999 693.88 Tm (Hampshire)Tj 1 0 0 1 273.04999 676.29999 Tm (PO12 2EG)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (02392585512)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87991 m 353.25 500.87991 l S 1 1 1 RG 355.5 500.87991 m 565.90002 500.87991 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38992 l S 354.37 559.02997 m 354.37 488.38992 l S 567.01996 559.02997 m 567.01996 488.38992 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 832 0 obj 1800 endobj 833 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 834 0 obj 3597 endobj 835 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 836 0 obj 2353 endobj 837 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 838 0 obj 5367 endobj 839 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.89996 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 840 0 obj 3722 endobj 841 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 842 0 obj 1804 endobj 843 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 844 0 obj 5876 endobj 845 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 846 0 obj 2304 endobj 847 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 848 0 obj 5808 endobj 849 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 850 0 obj 4992 endobj 851 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 852 0 obj 4846 endobj 853 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 854 0 obj 1274 endobj 855 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 856 0 obj 5893 endobj 857 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87994 m 32.35001 346.63 l S 564.78998 487.87994 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 858 0 obj 5001 endobj 859 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 860 0 obj 4860 endobj 861 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 862 0 obj 2137 endobj 863 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 864 0 obj 5778 endobj 865 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 866 0 obj 3502 endobj 867 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38995 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 868 0 obj 5791 endobj 869 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 870 0 obj 4954 endobj 871 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 872 0 obj 2323 endobj 873 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 874 0 obj 5778 endobj 875 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67999 m 562.53998 227.67999 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78999 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 876 0 obj 4913 endobj 877 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 878 0 obj 1669 endobj 879 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 880 0 obj 5554 endobj 881 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53999 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 882 0 obj 4822 endobj 883 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 884 0 obj 3218 endobj 885 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 886 0 obj 3690 endobj 887 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64999 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42999 l S 567.21997 246.40999 m 567.21997 221.42999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42999 l S 198.51999 246.40999 m 198.51999 221.42999 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25999 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42999 Tm (No)Tj 1 0 0 1 96.15001 250.42999 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42999 Tm (Good Practice Recommendations)Tj ET endstream endobj 890 0 obj 1872 endobj 891 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 892 0 obj 4673 endobj 893 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 896 0 obj 5469 endobj 897 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 898 0 obj 9074 endobj 899 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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(Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l 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0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 900 0 obj 1800 endobj 901 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 902 0 obj 3597 endobj 903 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 904 0 obj 2353 endobj 905 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 906 0 obj 5367 endobj 907 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.89993 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 908 0 obj 3722 endobj 909 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 910 0 obj 1804 endobj 911 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 912 0 obj 5876 endobj 913 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 914 0 obj 2304 endobj 915 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 916 0 obj 5808 endobj 917 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 918 0 obj 4992 endobj 919 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 920 0 obj 4846 endobj 921 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 922 0 obj 1274 endobj 923 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 924 0 obj 5893 endobj 925 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87991 m 32.35001 346.63 l S 564.78998 487.87991 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 926 0 obj 5001 endobj 927 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 928 0 obj 4860 endobj 929 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 930 0 obj 2137 endobj 931 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 932 0 obj 5778 endobj 933 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 934 0 obj 3502 endobj 935 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 936 0 obj 5791 endobj 937 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 938 0 obj 4954 endobj 939 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 940 0 obj 2323 endobj 941 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 942 0 obj 5778 endobj 943 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 944 0 obj 4913 endobj 945 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 946 0 obj 1669 endobj 947 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 948 0 obj 5554 endobj 949 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 950 0 obj 4822 endobj 951 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 952 0 obj 3218 endobj 953 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64998 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42998 l S 567.21997 246.40999 m 567.21997 221.42998 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42998 l S 198.51999 246.40999 m 198.51999 221.42998 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25998 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42998 Tm (No)Tj 1 0 0 1 96.15001 250.42998 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42998 Tm (Good Practice Recommendations)Tj ET endstream endobj 958 0 obj 1872 endobj 959 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 960 0 obj 4669 endobj 961 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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365.95999 m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 964 0 obj 5469 endobj 965 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 966 0 obj 9074 endobj 967 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 968 0 obj 1800 endobj 969 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 970 0 obj 3597 endobj 971 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 972 0 obj 2353 endobj 973 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 974 0 obj 5366 endobj 975 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 976 0 obj 3722 endobj 977 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 978 0 obj 1804 endobj 979 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 980 0 obj 5876 endobj 981 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 982 0 obj 2304 endobj 983 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 984 0 obj 5808 endobj 985 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 986 0 obj 4992 endobj 987 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 988 0 obj 4846 endobj 989 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 990 0 obj 1274 endobj 991 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 992 0 obj 5893 endobj 993 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 994 0 obj 5001 endobj 995 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 996 0 obj 4860 endobj 997 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 998 0 obj 2137 endobj 999 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1000 0 obj 5778 endobj 1001 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1002 0 obj 3502 endobj 1003 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1004 0 obj 5791 endobj 1005 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1006 0 obj 4954 endobj 1007 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1008 0 obj 2323 endobj 1009 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 1010 0 obj 5778 endobj 1011 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 1012 0 obj 4913 endobj 1013 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 1014 0 obj 1669 endobj 1015 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 1016 0 obj 5554 endobj 1017 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 1018 0 obj 4822 endobj 1019 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 1020 0 obj 3218 endobj 1021 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 1022 0 obj 3690 endobj 1023 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 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525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64998 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42998 l S 567.21997 246.40999 m 567.21997 221.42998 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42998 l S 198.51999 246.40999 m 198.51999 221.42998 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25998 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42998 Tm (No)Tj 1 0 0 1 96.15001 250.42998 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42998 Tm (Good Practice Recommendations)Tj ET endstream endobj 1026 0 obj 1872 endobj 1027 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1028 0 obj 4669 endobj 1029 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Beechcroft Green Nursing Home)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Anglesey Road )Tj 1 0 0 1 165.48 474.12988 Tm (Alverstoke)Tj 1 0 0 1 165.48 456.54999 Tm (Gosport)Tj 1 0 0 1 165.48 438.97 Tm (Hampshire)Tj 1 0 0 1 165.48 421.38998 Tm (PO12 2EG)Tj /C2_1 10 Tf 1 0 0 1 28.35001 402.48999 Tm <0003>Tj 1 0 0 1 28.35001 385.48999 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.95999 m 358.94998 365.95999 l S 1 1 1 RG 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1032 0 obj 5469 endobj 1033 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1034 0 obj 9074 endobj 1035 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1036 0 obj 1800 endobj 1037 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1038 0 obj 3597 endobj 1039 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1040 0 obj 2353 endobj 1041 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1042 0 obj 5366 endobj 1043 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1044 0 obj 3722 endobj 1045 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1046 0 obj 1804 endobj 1047 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1048 0 obj 5876 endobj 1049 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1050 0 obj 2304 endobj 1051 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1052 0 obj 5808 endobj 1053 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1054 0 obj 4992 endobj 1055 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1056 0 obj 4846 endobj 1057 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1058 0 obj 1274 endobj 1059 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1060 0 obj 5893 endobj 1061 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1062 0 obj 5001 endobj 1063 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1064 0 obj 4860 endobj 1065 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1066 0 obj 2137 endobj 1067 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1068 0 obj 5778 endobj 1069 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1070 0 obj 3502 endobj 1071 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1072 0 obj 5791 endobj 1073 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1074 0 obj 4954 endobj 1075 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1076 0 obj 2323 endobj 1077 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 1078 0 obj 5778 endobj 1079 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 1080 0 obj 4913 endobj 1081 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 1082 0 obj 1669 endobj 1083 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 1084 0 obj 5554 endobj 1085 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 1086 0 obj 4822 endobj 1087 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 1088 0 obj 3218 endobj 1089 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 1090 0 obj 3690 endobj 1091 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64998 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42998 l S 567.21997 246.40999 m 567.21997 221.42998 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42998 l S 198.51999 246.40999 m 198.51999 221.42998 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25998 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42998 Tm (No)Tj 1 0 0 1 96.15001 250.42998 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42998 Tm (Good Practice Recommendations)Tj ET endstream endobj 1094 0 obj 1872 endobj 1095 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1096 0 obj 4669 endobj 1097 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Beechcroft Green Nursing Home)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Anglesey Road )Tj 1 0 0 1 165.48 474.12988 Tm (Alverstoke)Tj 1 0 0 1 165.48 456.54999 Tm (Gosport)Tj 1 0 0 1 165.48 438.97 Tm (Hampshire)Tj 1 0 0 1 165.48 421.38998 Tm (PO12 2EG)Tj /C2_1 10 Tf 1 0 0 1 28.35001 402.48999 Tm <0003>Tj 1 0 0 1 28.35001 385.48999 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.95999 m 358.94998 365.95999 l S 1 1 1 RG 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28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1100 0 obj 5469 endobj 1101 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1102 0 obj 9074 endobj 1103 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1104 0 obj 1800 endobj 1105 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1106 0 obj 3597 endobj 1107 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1108 0 obj 2353 endobj 1109 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1110 0 obj 5366 endobj 1111 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1112 0 obj 3722 endobj 1113 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1114 0 obj 1804 endobj 1115 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1116 0 obj 5876 endobj 1117 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1118 0 obj 2304 endobj 1119 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1120 0 obj 5808 endobj 1121 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1122 0 obj 4992 endobj 1123 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1124 0 obj 4846 endobj 1125 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1126 0 obj 1274 endobj 1127 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1128 0 obj 5893 endobj 1129 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1130 0 obj 5001 endobj 1131 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1132 0 obj 4860 endobj 1133 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1134 0 obj 2137 endobj 1135 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1136 0 obj 5778 endobj 1137 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1138 0 obj 3502 endobj 1139 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1140 0 obj 5791 endobj 1141 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1142 0 obj 4954 endobj 1143 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1144 0 obj 2323 endobj 1145 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 1146 0 obj 5778 endobj 1147 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 1148 0 obj 4913 endobj 1149 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 1150 0 obj 1669 endobj 1151 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 1152 0 obj 5554 endobj 1153 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 1154 0 obj 4822 endobj 1155 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 1156 0 obj 3218 endobj 1157 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 1158 0 obj 3690 endobj 1159 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64998 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42998 l S 567.21997 246.40999 m 567.21997 221.42998 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42998 l S 198.51999 246.40999 m 198.51999 221.42998 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25998 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42998 Tm (No)Tj 1 0 0 1 96.15001 250.42998 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42998 Tm (Good Practice Recommendations)Tj ET endstream endobj 1162 0 obj 1872 endobj 1163 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1164 0 obj 4669 endobj 1165 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Beechcroft Green Nursing Home)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Anglesey Road )Tj 1 0 0 1 165.48 474.12988 Tm (Alverstoke)Tj 1 0 0 1 165.48 456.54999 Tm (Gosport)Tj 1 0 0 1 165.48 438.97 Tm (Hampshire)Tj 1 0 0 1 165.48 421.38998 Tm (PO12 2EG)Tj /C2_1 10 Tf 1 0 0 1 28.35001 402.48999 Tm <0003>Tj 1 0 0 1 28.35001 385.48999 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.95999 m 358.94998 365.95999 l S 1 1 1 RG 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1168 0 obj 5469 endobj 1169 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1170 0 obj 9074 endobj 1171 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1172 0 obj 1800 endobj 1173 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1174 0 obj 3597 endobj 1175 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1176 0 obj 2353 endobj 1177 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1178 0 obj 5366 endobj 1179 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1180 0 obj 3722 endobj 1181 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1182 0 obj 1804 endobj 1183 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1184 0 obj 5876 endobj 1185 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1186 0 obj 2304 endobj 1187 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1188 0 obj 5808 endobj 1189 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1190 0 obj 4992 endobj 1191 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1192 0 obj 4846 endobj 1193 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1194 0 obj 1274 endobj 1195 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1196 0 obj 5893 endobj 1197 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1198 0 obj 5001 endobj 1199 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1200 0 obj 4860 endobj 1201 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1202 0 obj 2137 endobj 1203 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1204 0 obj 5778 endobj 1205 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1206 0 obj 3502 endobj 1207 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1208 0 obj 5791 endobj 1209 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1210 0 obj 4954 endobj 1211 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1212 0 obj 2323 endobj 1213 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 1214 0 obj 5778 endobj 1215 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 1216 0 obj 4913 endobj 1217 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 1218 0 obj 1669 endobj 1219 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 1220 0 obj 5554 endobj 1221 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 1222 0 obj 4822 endobj 1223 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 1224 0 obj 3218 endobj 1225 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 1226 0 obj 3690 endobj 1227 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 1232 0 obj 38265 endobj 1233 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1240 0 obj 5469 endobj 1241 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1242 0 obj 9074 endobj 1243 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1244 0 obj 1800 endobj 1245 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1246 0 obj 3597 endobj 1247 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1248 0 obj 2353 endobj 1249 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1250 0 obj 5366 endobj 1251 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1252 0 obj 3722 endobj 1253 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1254 0 obj 1804 endobj 1255 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1256 0 obj 5876 endobj 1257 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1258 0 obj 2304 endobj 1259 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1260 0 obj 5808 endobj 1261 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1262 0 obj 4992 endobj 1263 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1264 0 obj 4846 endobj 1265 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1266 0 obj 1274 endobj 1267 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1268 0 obj 5893 endobj 1269 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1270 0 obj 5001 endobj 1271 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1272 0 obj 4860 endobj 1273 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1274 0 obj 2137 endobj 1275 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1276 0 obj 5778 endobj 1277 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1278 0 obj 3502 endobj 1279 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1280 0 obj 5791 endobj 1281 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1282 0 obj 4954 endobj 1283 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /T1_0 12 Tf 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 1 0 0 1 34.32001 219.23 Tm (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 1 0 0 1 34.32001 201.73 Tm (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj 1 0 0 1 34.32001 184.23 Tm (report.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The home had comprehensive procedures in place concerned with infection \ control. )Tj 1 0 0 1 34.32001 131.75 Tm (The training matrix and records identify that infection control training\ has been )Tj 1 0 0 1 34.32001 114.25 Tm (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj 1 0 0 1 34.32001 96.75 Tm (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1284 0 obj 2323 endobj 1285 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (control meant.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (It was noted that in accordance with best practise all communal WCs that\ were seen )Tj 1 0 0 1 34.32001 726.60999 Tm (were provided with liquid soap dispensers and paper towels. Protective c\ lothing was )Tj 1 0 0 1 34.32001 709.10999 Tm (readily available and staff were observed using gloves and aprons approp\ riately.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (There were sluice disinfectors available on both floors of the home. The\ home's )Tj 1 0 0 1 34.32001 656.63 Tm (laundry although cramped and quite small, was appropriately sited and eq\ uipped.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us that there are procedures and training in place in t\ he case of )Tj 1 0 0 1 34.32001 604.14001 Tm (pandemic flu and all ancillary staff have received appropriate training \ in case they are )Tj 1 0 0 1 34.32001 586.64001 Tm (needed to undertake care.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home has an environmental risk assessment and all service users have\ a personal )Tj 1 0 0 1 34.32001 534.14996 Tm (emergency evacuation plan which is kept in their room in case of an emer\ gency.)Tj ET endstream endobj 1286 0 obj 5778 endobj 1287 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (There is an appropriate level and skill mix of staff that ensures the ne\ eds of service )Tj 1 0 0 1 36.62 443.25 Tm (users are met.)Tj 1 0 0 1 36.62 425.75998 Tm (The home has clear staff recruitment, training and development procedure\ s that )Tj 1 0 0 1 36.62 408.25998 Tm (ensured that service users are protected and supported appropriately.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA told us that staffing levels are monitored against dependancy l\ evels to )Tj 1 0 0 1 36.57001 318.78 Tm (ensure the home provides a robust and flexible approach to staffing arra\ ngements )Tj 1 0 0 1 36.57001 301.28 Tm (with a good skill mix of staff to ensure person centred care is delivere\ d.)Tj 1 0 0 1 36.57001 283.79001 Tm (\240)Tj 1 0 0 1 36.57001 266.29001 Tm (At the time of this visit there were twenty five service users in reside\ nce. The staff )Tj 1 0 0 1 36.57001 248.78998 Tm (rota setting out the minimum number and skill mix deployed in the home a\ s 2 trained )Tj 1 0 0 1 36.57001 231.3 Tm (nurses and 4 care staff on duty in the mornings, 1 trained and 3 care st\ aff from 1600 )Tj 1 0 0 1 36.57001 213.8 Tm (until 20:00 and 1 trained and 2 awake care staff on duty from 2000 until\ 0800 in the )Tj 1 0 0 1 36.57001 196.31 Tm (morning. The deputy manager is included in the working numbers and the m\ anager is )Tj 1 0 0 1 36.57001 178.81 Tm (allocated three days per week as management days but other days is also \ in the )Tj 1 0 0 1 36.57001 161.31 Tm (working numbers. She told us that she hopes to give the deputy manager o\ ne )Tj 1 0 0 1 36.57001 143.81999 Tm (management day a week in the future to allow her time for supervision, t\ raining and )Tj 1 0 0 1 36.57001 126.32001 Tm (administration. The manager told us she likes her days as part of the st\ affing numbers )Tj 1 0 0 1 36.57001 108.83 Tm (which allows her to keep close to the service users and also supervision\ of staff.)Tj 1 0 0 1 36.57001 91.33 Tm (\240)Tj ET endstream endobj 1288 0 obj 4913 endobj 1289 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The home employs an administrator, maintenance person, two housekeeping \ staff, a )Tj 1 0 0 1 34.32001 761.60004 Tm (cook, kitchen assistant throughout the week and a laundry assistant as w\ eek-ends )Tj 1 0 0 1 34.32001 744.10999 Tm (who incorporates some cleaning duties into her job.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We observed throughout the visit that staff were not rushing about and c\ all alarms )Tj 1 0 0 1 34.32001 691.62 Tm (were being answered quite promptly and staff were demonstrating good tea\ mwork. )Tj 1 0 0 1 34.32001 674.12 Tm (Service users spoken to told us that they staff are very good and that t\ hey supported )Tj 1 0 0 1 34.32001 656.63 Tm (them well. Surveys returned from service user commented that the home 'l\ ooks after )Tj 1 0 0 1 34.32001 639.13 Tm (you well'. ' On the whole the staff are very good but I wish they had mo\ re time with )Tj 1 0 0 1 34.32001 621.63 Tm (me'. 'Provide more care staff. Care staff could listen more attentively \ to what I am )Tj 1 0 0 1 34.32001 604.14001 Tm (requesting'. 'Most staff are helpful and very friendly'.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home is committed to staff training. The AQAA tells us that 12 of 20\ care staff )Tj 1 0 0 1 34.32001 551.64996 Tm (have achieved their NVQ level 2 and above. The AQAA goes on to tell us t\ hat 100 )Tj 1 0 0 1 34.32001 534.14996 Tm (percent of staff are dedicated to achieving NVQ levels 2 and 3 and that \ 3 of the 20 )Tj 1 0 0 1 34.32001 516.65997 Tm (have NVQ level 3 with four more undertaking is currently. 10 have NVQ le\ vel 2 with )Tj 1 0 0 1 34.32001 499.16 Tm (two more undertaking this. One person has a diploma in Health and Social\ care with 4 )Tj 1 0 0 1 34.32001 481.66998 Tm (further cares due to undertake NVQ level 2 this current year.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The AQAA quotes that there is a good induction programme using skills fo\ r care )Tj 1 0 0 1 34.32001 429.17999 Tm (standards for all staff. The manager also takes new employees through th\ e local )Tj 1 0 0 1 34.32001 411.67999 Tm (induction programme at which time she will introduce the Skills for Care\ induction )Tj 1 0 0 1 34.32001 394.19 Tm (standards. All trainees are registered on a Skills for Care registration\ programme. A )Tj 1 0 0 1 34.32001 376.69 Tm (completed induction programme was seen in a member of staff's file.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The home provides a variety of appropriate training. A training matrix a\ nd training )Tj 1 0 0 1 34.32001 324.20001 Tm (certificates in personnel files evidenced that staff have undertaken all\ mandatory )Tj 1 0 0 1 34.32001 306.70999 Tm (health and safety training and a variety of other training is offered ac\ cording to staff )Tj 1 0 0 1 34.32001 289.20999 Tm (role.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (Staff spoken to at the time of this visit said they are offered and rece\ ive a great deal )Tj 1 0 0 1 34.32001 236.72 Tm (of training that is appropriate to their role.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The manager has introduced a supervision and appraisal programme. There \ was )Tj 1 0 0 1 34.32001 184.23 Tm (evidence in the staff files of supervision records and yearly appraisals\ at which time )Tj 1 0 0 1 34.32001 166.73999 Tm (the manager said training needs are discussed.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has robust recruitment practises.The AQAA said that all new sta\ ff are )Tj 1 0 0 1 34.32001 114.25 Tm (employed on a three month probationary period which is then reviewed aga\ inst the )Tj 1 0 0 1 34.32001 96.75 Tm (induction standards before employment is confirmed. We viewed a sample o\ f three )Tj ET endstream endobj 1290 0 obj 1669 endobj 1291 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (recruitment files of staff most recently employed at the home. The files\ evidenced that )Tj 1 0 0 1 34.32001 761.60004 Tm (all recruitment checks for the Criminal Records Bureau \(CRB\) and the P\ rotection of )Tj 1 0 0 1 34.32001 744.10999 Tm (Vulnerable Adults \(POVA\) had been received with two references before \ employment )Tj 1 0 0 1 34.32001 726.60999 Tm (commences. All staff undergo an induction period when they first commenc\ e )Tj 1 0 0 1 34.32001 709.10999 Tm (employment. The files also evidenced that the home employs a mixed cultu\ re group of )Tj 1 0 0 1 34.32001 691.62 Tm (trained nurses and carers. )Tj ET endstream endobj 1292 0 obj 5554 endobj 1293 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The home has a management team in post that provides effective leadershi\ p. There )Tj 1 0 0 1 36.62 358.25 Tm (were systems and procedures in place for monitoring and maintaining the \ quality of )Tj 1 0 0 1 36.62 340.75998 Tm (the service provided and promoting the safety and welfare of everyone li\ ving and )Tj 1 0 0 1 36.62 323.25998 Tm (working in the home.)Tj 1 0 0 1 36.62 305.76999 Tm (\240)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (\240)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (The registered manager has now been in post for 9 years and is a registe\ red nurse )Tj 1 0 0 1 36.57001 146.3 Tm (and has also achieved the Registered Managers Award. She has completed h\ er )Tj 1 0 0 1 36.57001 128.8 Tm (mentorship course and the home now offers placements to student nurses. \ The AQAA )Tj 1 0 0 1 36.57001 111.31 Tm (states that the manager in the past year has undertaken further training\ and )Tj 1 0 0 1 36.57001 93.81 Tm (development and has undertaken various training courses to develop her m\ anagement )Tj ET endstream endobj 1294 0 obj 4822 endobj 1295 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (role.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The manager has appointed a deputy manager who pocesses the registered m\ anager's )Tj 1 0 0 1 34.32001 726.60999 Tm (award and is an experienced nurse clinically and brings with her experie\ nce from a )Tj 1 0 0 1 34.32001 709.10999 Tm (previous post as manager of another nursing home in the company. The hom\ e )Tj 1 0 0 1 34.32001 691.62 Tm (therefore has a strong management team that is committed to run the home\ in the )Tj 1 0 0 1 34.32001 674.12 Tm (best interests of the service users.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager states that equality and diversity of the service users is p\ aramount in )Tj 1 0 0 1 34.32001 621.63 Tm (her ethos of care. Staff spoken to and observing the relationship within\ the care team )Tj 1 0 0 1 34.32001 604.14001 Tm (suggests that the staff respect and have confidence in their manager.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The Director of Nursing for the organisation undertakes all senior manag\ er's )Tj 1 0 0 1 34.32001 551.64996 Tm (supervision and appraisal meetings. The manager and her deputy regularly\ attend )Tj 1 0 0 1 34.32001 534.14996 Tm (meetings with the Director of Nursing to discuss issues and have group s\ upervision for )Tj 1 0 0 1 34.32001 516.65997 Tm (the senior nurses.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has a quality assurance system in place. The home distributes q\ uestionnaire )Tj 1 0 0 1 34.32001 464.16998 Tm (surveys to service users and relatives, the reports of the outcomes of w\ hich was seen )Tj 1 0 0 1 34.32001 446.66998 Tm (by us with the results indicating a high level of satisfaction with the \ service. Issues )Tj 1 0 0 1 34.32001 429.17999 Tm (that have been identified through the questionnaires are discussed with \ staff at staff )Tj 1 0 0 1 34.32001 411.67999 Tm (meetings. These meetings are held regularly and it is where the staff ca\ n discuss )Tj 1 0 0 1 34.32001 394.19 Tm (whatever they wish and are able to dictate the agenda.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The AQAA stated and the manager told us that the improvements for the co\ ming year )Tj 1 0 0 1 34.32001 341.70001 Tm (would be to hold more group residents and relative meetings.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager undertakes auditing the home' management systems e.g. care p\ lans, )Tj 1 0 0 1 34.32001 289.20999 Tm (medication, falls, accident recording, weights and pressure sores. The r\ esults of these )Tj 1 0 0 1 34.32001 271.70999 Tm (are put into a monthly report that is sent to the head office. The Nursi\ ng Director )Tj 1 0 0 1 34.32001 254.22 Tm (attends the home monthly and undertakes the Regulation 26 reports of her\ visit. A )Tj 1 0 0 1 34.32001 236.72 Tm (sample of these were seen and evidenced to be comprehensive in content a\ nd covered )Tj 1 0 0 1 34.32001 219.23 Tm (all standards.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (The home does look after small amounts of money for some service users. \ The )Tj 1 0 0 1 34.32001 166.73999 Tm (administrator manages this and the monies were seen to be kept in a lock\ ed )Tj 1 0 0 1 34.32001 149.23999 Tm (environment and stored in individual containers for each service user. R\ ecords of )Tj 1 0 0 1 34.32001 131.75 Tm (ingoing and outgoing monies were recorded with receipts. We checked the \ amount of )Tj 1 0 0 1 34.32001 114.25 Tm (money held against that on the records for two service users and these b\ alanced. It )Tj 1 0 0 1 34.32001 96.75 Tm (was observed that no large amounts of monies were being stored at the ti\ me of this )Tj ET endstream endobj 1296 0 obj 3218 endobj 1297 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 458.76999 w 34.60001 582.01996 m 562.53998 582.01996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 437.39999 w 33.47 570.20996 m 563.65997 570.20996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 349.31 l S 564.78998 791.10999 m 564.78998 349.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 350.38 m 565.87 350.38 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (visit.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (A sample of servicing certificates were examined and indicated that the \ home's )Tj 1 0 0 1 34.32001 726.60999 Tm (equipment, plant and systems were checked and serviced or implemented at\ )Tj 1 0 0 1 34.32001 709.10999 Tm (appropriate intervals i.e. passenger lift and hoists, fire safety equipm\ ent, gas boiler, )Tj 1 0 0 1 34.32001 691.62 Tm (portable electrical equipment, hot water system, etc. There were contrac\ ts in place for )Tj 1 0 0 1 34.32001 674.12 Tm (the disposal of clinical and household waste.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The inspector viewed the accident recording book and the records were be\ ing )Tj 1 0 0 1 34.32001 621.63 Tm (completed appropriately and copies maintained by the manager for evaluat\ ion.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Staff said that they attended regular and compulsory fire and other heal\ th and safety )Tj 1 0 0 1 34.32001 569.14996 Tm (training. The organisation employs a facilities manager for the whole gr\ oup of homes )Tj 1 0 0 1 34.32001 551.64996 Tm (and they oversee and support Fire and Health and Safety functions within\ the home.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The deputy matron is a moving and handling trainer and undertakes all st\ aff training )Tj 1 0 0 1 34.32001 499.16 Tm (in this. The inspector observed a number of hoists in the home and profi\ le beds are )Tj 1 0 0 1 34.32001 481.66998 Tm (gradually replacing existing hospital beds, to promote safe working prac\ tices.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (There was evidence in the training files and the training matrix that al\ l mandatory )Tj 1 0 0 1 34.32001 429.17999 Tm (health and safety training had been completed by all staff and was ongoi\ ng.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The fire log was viewed and this evidenced that the system and equipment\ was tested )Tj 1 0 0 1 34.32001 376.69 Tm (at the appropriate intervals.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj ET endstream endobj 1298 0 obj 3690 endobj 1299 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj 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616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj 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inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 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525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (9)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.04999 513.62 Tm (The registered person must )Tj 1 0 0 1 298.04999 496.62 Tm (ensure that the trolley )Tj 1 0 0 1 298.04999 479.62 Tm (containing medication is )Tj 1 0 0 1 298.04999 462.62 Tm (secured in a safe place at all )Tj 1 0 0 1 298.04999 445.62 Tm (times.)Tj 1 0 0 1 298.04999 428.62 Tm (\240)Tj 1 0 0 1 298.04999 411.62 Tm (The medication trolley must )Tj 1 0 0 1 298.04999 394.62 Tm (be secured to ensure safe )Tj 1 0 0 1 298.04999 377.62 Tm (keeping of service users' )Tj 1 0 0 1 298.04999 360.62 Tm (medication at all times.)Tj 1 0 0 1 482.10001 513.62 Tm (10/11/2009)Tj 1 0 0 1 554.04999 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.68001 w 32.32001 276.09 m 564.96997 276.09 l S 1 1 1 RG 20.58 w 31.2 233.92 m 91.05 233.92 l S 93.3 233.92 m 197.40001 233.92 l S 199.64998 233.92 m 566.10004 233.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 246.40999 m 30.07001 221.42998 l S 567.21997 246.40999 m 567.21997 221.42998 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 245.33 m 568.29999 245.33 l S 92.17 246.40999 m 92.17 221.42998 l S 198.51999 246.40999 m 198.51999 221.42998 l S 28.99001 334.17999 m 568.40002 334.17999 l S 28.99001 264.60999 m 568.40002 264.60999 l S 28.99001 222.5 m 568.29999 222.5 l S 30.07001 335.25998 m 30.07001 244.25998 l S 92.17 265.69 m 92.17 245.33 l S 198.47 265.69 m 198.47 245.33 l S 567.32001 335.25998 m 567.32001 244.25998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 317.98999 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 285.82999 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 250.42998 Tm (No)Tj 1 0 0 1 96.15001 250.42998 Tm (Refer to Standard)Tj 1 0 0 1 202.45 250.42998 Tm (Good Practice Recommendations)Tj ET endstream endobj 1302 0 obj 1872 endobj 1303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. 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The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. 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A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The manager told us that there are plans to )Tj /TT0 12 Tf (create more office space, which will in turn)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -17.5 TD (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf T* (trolley, which are currently stored in the smaller lounge.)Tj /TT1 12 Tf T* (The manager told us that there are plans to create more office space, wh\ ich will in turn will allow more storage space for the activities equipm\ ent and the downstairs medicine trolley, which are currently stored in t\ he smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1311 0 obj 4709 endobj 1312 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (.)Tj /TT1 12 Tf T* (The manager told us that there are plans to create more office space, wh\ ich will in turn will allow more storage space for the activities equipm\ ent and the downstairs medicine trolley, which are currently stored in t\ he smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1313 0 obj 4689 endobj 1314 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in turn will allow more storage space for the activities equipm\ ent and the downstairs medicine trolley, which are currently stored in t\ he smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1315 0 obj 4697 endobj 1316 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in turn)Tj T* ( will allow more storage space for the activities equipment and the down\ stairs medicine trolley, which are currently stored in the smaller loung\ e. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1317 0 obj 4696 endobj 1318 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in turn)Tj T* (will allow more storage space for the activities equipment and the downs\ tairs medicine trolley, which are currently stored in the smaller lounge\ . )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1319 0 obj 4702 endobj 1320 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in turn)Tj T* (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1321 0 obj 4710 endobj 1322 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn)Tj T* (will allow more storage space for the activities equipment and the downs\ tairs medicine )Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1323 0 obj 4744 endobj 1324 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (tur)Tj 1 0 0 1 34.32001 289.20001 Tm [-1454(nwill allow more storage space for the activities equipment and the down\ stairs medicine )]TJ T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1325 0 obj 4703 endobj 1326 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs medicine )Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1327 0 obj 4711 endobj 1328 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1329 0 obj 4712 endobj 1330 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj T* ( trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1331 0 obj 4713 endobj 1332 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj T* ( trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1333 0 obj 4712 endobj 1334 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj T* ( trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1335 0 obj 4711 endobj 1336 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1337 0 obj 4710 endobj 1338 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine)Tj T* (trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1339 0 obj 4643 endobj 1340 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine)Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. 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The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. 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The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1351 0 obj 9074 endobj 1352 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1353 0 obj 1800 endobj 1354 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1355 0 obj 3597 endobj 1356 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1357 0 obj 2353 endobj 1358 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1359 0 obj 5366 endobj 1360 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1361 0 obj 3722 endobj 1362 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1363 0 obj 1804 endobj 1364 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1365 0 obj 5876 endobj 1366 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1367 0 obj 2304 endobj 1368 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1369 0 obj 5808 endobj 1370 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1371 0 obj 4992 endobj 1372 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1373 0 obj 4846 endobj 1374 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1375 0 obj 1274 endobj 1376 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1377 0 obj 5893 endobj 1378 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1379 0 obj 5001 endobj 1380 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1381 0 obj 4860 endobj 1382 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1383 0 obj 2137 endobj 1384 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1385 0 obj 5778 endobj 1386 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1387 0 obj 3502 endobj 1388 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1389 0 obj 5791 endobj 1390 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1391 0 obj 4703 endobj 1392 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn will allow more storage space for the activities equipment and the \ downstairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1393 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0001532470 00000 n 11 1 0001532666 00000 n 14 1 0001532824 00000 n 16 1 0001532997 00000 n 18 1 0001533156 00000 n 22 1 0001533292 00000 n 24 1 0001533462 00000 n 26 1 0001533598 00000 n 28 1 0001533734 00000 n 30 1 0001533870 00000 n 35 1 0001534017 00000 n 37 1 0001534189 00000 n 39 1 0001534338 00000 n 41 1 0001534510 00000 n 43 1 0001534659 00000 n 45 1 0001534808 00000 n 47 1 0001534957 00000 n 49 1 0001535129 00000 n 51 1 0001535278 00000 n 53 1 0001535427 00000 n 56 1 0001535576 00000 n 58 1 0001535748 00000 n 60 1 0001535897 00000 n 62 1 0001536069 00000 n 109 2 0001536231 00000 n 0001536311 00000 n 1305 89 0001536530 00000 n 0001537744 00000 n 0001537915 00000 n 0001537938 00000 n 0001542804 00000 n 0001542827 00000 n 0001547933 00000 n 0001547956 00000 n 0001552722 00000 n 0001552745 00000 n 0001557491 00000 n 0001557514 00000 n 0001562268 00000 n 0001562291 00000 n 0001567044 00000 n 0001567067 00000 n 0001571826 00000 n 0001571849 00000 n 0001576616 00000 n 0001576639 00000 n 0001581440 00000 n 0001581463 00000 n 0001586223 00000 n 0001586246 00000 n 0001591014 00000 n 0001591037 00000 n 0001595806 00000 n 0001595829 00000 n 0001600599 00000 n 0001600622 00000 n 0001605391 00000 n 0001605414 00000 n 0001610182 00000 n 0001610205 00000 n 0001614972 00000 n 0001614995 00000 n 0001619695 00000 n 0001619718 00000 n 0001624419 00000 n 0001624442 00000 n 0001629202 00000 n 0001629225 00000 n 0001633951 00000 n 0001633974 00000 n 0001639654 00000 n 0001639677 00000 n 0001645203 00000 n 0001645226 00000 n 0001654357 00000 n 0001654380 00000 n 0001656237 00000 n 0001656260 00000 n 0001659914 00000 n 0001659937 00000 n 0001662347 00000 n 0001662370 00000 n 0001667793 00000 n 0001667816 00000 n 0001671595 00000 n 0001671618 00000 n 0001673479 00000 n 0001673502 00000 n 0001679435 00000 n 0001679458 00000 n 0001681819 00000 n 0001681842 00000 n 0001687707 00000 n 0001687730 00000 n 0001692779 00000 n 0001692802 00000 n 0001697705 00000 n 0001697728 00000 n 0001699059 00000 n 0001699082 00000 n 0001705032 00000 n 0001705055 00000 n 0001710113 00000 n 0001710136 00000 n 0001715053 00000 n 0001715076 00000 n 0001717270 00000 n 0001717293 00000 n 0001723128 00000 n 0001723151 00000 n 0001726710 00000 n 0001726733 00000 n 0001732581 00000 n 0001732604 00000 n 0001737364 00000 n trailer <<3b081993b9261948bac657d9390df4e1>]/Prev 1521601 >> startxref 1740914 %%EOF 6 0 obj<>/XObject<>/ProcSet[/PDF/Text/ImageC]>>>> endobj 11 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 14 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 16 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 18 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 22 0 obj<>/XObject<>/ProcSet[/PDF/Text]>>>> endobj 24 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 26 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 28 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 30 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 35 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 37 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 39 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 41 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 43 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 45 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 47 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 49 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 51 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 53 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 56 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 58 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 60 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 62 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 109 0 obj<> endobj 110 0 obj<> endobj 1394 0 obj 4702 endobj 1395 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn willallow more storage space for the activities equipment and the d\ ownstairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1396 0 obj 4701 endobj 1397 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn wilallow more storage space for the activities equipment and the do\ wnstairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1398 0 obj 4700 endobj 1399 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn wiallow more storage space for the activities equipment and the dow\ nstairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1400 0 obj 4699 endobj 1401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn wallow more storage space for the activities equipment and the down\ stairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1402 0 obj 4698 endobj 1403 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn allow more storage space for the activities equipment and the downs\ tairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1410 0 obj 9074 endobj 1411 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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273.04999 607.81 Tm (beechcroftgreen@contemplation)Tj /TT0 12 Tf (-)Tj /T1_0 12 Tf (homes.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.contemplation-homes.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Contemplation Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (25)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 20.58 w 31.2 333.64999 m 297.30002 333.64999 l S 299.54999 333.64999 m 431.44998 333.64999 l S 433.70001 333.64999 m 565.60004 333.64999 l S 0.95294 0.95294 0.95294 RG 31.2 310.82001 m 565.60004 310.82001 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 567.79999 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 276.57999 m 568.10004 276.57999 l S 28.99001 210.00998 m 568.10004 210.00998 l S 30.07001 383.54999 m 30.07001 208.92998 l S 298.41998 383.54999 m 298.41998 321.16 l S 432.56998 383.54999 m 432.56998 321.16 l S 566.71997 383.54999 m 566.71997 208.92998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 351.70999 Tm (category)Tj 1 0 0 1 302.39999 366.28998 Tm (0)Tj 1 0 0 1 436.54999 366.28998 Tm (25)Tj 1 0 0 1 34.05 328.88 Tm (physical disability)Tj 1 0 0 1 302.39999 328.88 Tm (25)Tj 1 0 0 1 436.54999 328.88 Tm (0)Tj 1 0 0 1 34.05 306.04999 Tm (Additional conditions: )Tj 1 0 0 1 34.05 283.22 Tm (The maximum number of service users to be accommodated is 25)Tj 1 0 0 1 34.05 260.38998 Tm (The registered person may provide the following category of service: Car\ e home with )Tj 1 0 0 1 34.05 245.81 Tm (nursing \(N\) to service users of the following gender: Either whose pri\ mary care needs )Tj 1 0 0 1 34.05 231.23 Tm (on admission to the home are within the following category : Old age, no\ t falling within )Tj 1 0 0 1 34.05 216.64998 Tm (any other category \(OP\) physical disability \(PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 1 1 1 RG 317.5 195.22 m 346.54999 195.22 l S 348.80002 195.22 m 377.89999 195.22 l S 380.14999 195.22 m 409.20001 195.22 l S 411.44998 195.22 m 440.54999 195.22 l S 442.80002 195.22 m 471.89993 195.22 l S 474.14993 195.22 m 503.20001 195.22 l S 505.44998 195.22 m 534.54999 195.22 l S 536.79999 195.22 m 565.90002 195.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 206.62999 m 568.10004 206.62999 l S 28.99001 183.8 m 568.10004 183.8 l S 30.07001 207.70999 m 30.07001 182.73 l S 316.37 207.70999 m 316.37 182.73 l S 347.66998 207.70999 m 347.66998 182.73 l S 379.01999 207.70999 m 379.01999 182.73 l S 410.31998 207.70999 m 410.31998 182.73 l S 441.66998 207.70999 m 441.66998 182.73 l S 473.01999 207.70999 m 473.01999 182.73 l S 504.31998 207.70999 m 504.31998 182.73 l S 535.66998 207.70999 m 535.66998 182.73 l S 567.01996 207.70999 m 567.01996 182.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.92999 m 565.90002 171.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 162.3 m 568.10004 162.3 l S 30.07001 163.37999 m 30.07001 39.14999 l S 567.01996 163.37999 m 567.01996 39.14999 l S 28.99001 181.55 m 568.10004 181.55 l S 28.99001 162.3 m 568.10004 162.3 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 182.62999 m 30.07001 161.23 l S 567.01996 182.62999 m 567.01996 161.23 l S BT /T1_0 12 Tf 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj 1 0 0 1 177.31 168.37 Tm (care home)Tj 1 0 0 1 35.5 149.12 Tm (Beechcroft Green Nursing Home is located in a residential area of Gospor\ t with easy )Tj 1 0 0 1 35.5 132.12 Tm (access to public transport and the town centre. A former rectory and fam\ ily home the )Tj 1 0 0 1 35.5 115.12 Tm (building was converted and extended for its current use as an establishm\ ent that )Tj 1 0 0 1 35.5 98.12 Tm (provides nursing care. \240 It has bedroom accommodation on two floors a\ nd access to )Tj 1 0 0 1 35.5 81.12 Tm (the first floor is provided by a passenger lift. The bedroom accommodati\ on comprises )Tj 1 0 0 1 35.5 64.12 Tm (19 single rooms of which 14 have en-suite WCs and 3 shared rooms. Facili\ ties and )Tj 1 0 0 1 35.5 47.12 Tm (services include assisted baths, two communal rooms on the ground floor,\ a secluded )Tj ET endstream endobj 1412 0 obj 1800 endobj 1413 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 672.07996 l S 567.01996 795.47998 m 567.01996 672.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 673.14996 m 568.10004 673.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (enclosed rear garden that is readily accessible, full board and )Tj 1 0 0 1 409.22998 783.46997 Tm (laundry.)Tj 1 0 0 1 458.98999 783.46997 Tm ( \240)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Contemplation Homes Ltd owns the business, and the company own several o\ ther care )Tj 1 0 0 1 33.25 732.46997 Tm (homes in Hampshire, including another one in the immediate locality. \240\ Information on )Tj 1 0 0 1 33.25 715.46997 Tm (the range of fees can be obtained from the home. The fees do not include\ the cost of )Tj 1 0 0 1 33.25 698.46997 Tm (hairdressing, chiropody, newspapers, magazines and )Tj 1 0 0 1 358.14999 698.46997 Tm (transport.)Tj 1 0 0 1 418.03998 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj ET endstream endobj 1414 0 obj 3597 endobj 1415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The site inspection visit to Beechcroft Green Nursing Home, which was un\ announced, )Tj 1 0 0 1 35.17 240.90001 Tm (took place on the 30th September 2009 and was attended by one inspector.\ The )Tj 1 0 0 1 35.17 226.31998 Tm (registered manager, Mrs R Metelko assisted us throughout the inspection \ and was )Tj 1 0 0 1 35.17 211.73999 Tm (available to provide assistance and information when required.)Tj 1 0 0 1 35.17 197.14998 Tm (\240)Tj 1 0 0 1 35.17 182.56999 Tm (For the purpose of this report and being a representative of CQC, the in\ spector will be )Tj 1 0 0 1 35.17 167.98999 Tm (referred to as 'we' and 'us' throughout.)Tj 1 0 0 1 35.17 153.41 Tm (\240)Tj 1 0 0 1 35.17 138.84 Tm (The visit to the home formed part of the process of the inspection of th\ e service to )Tj 1 0 0 1 35.17 124.25 Tm (measure the service against the key national minimum standards. The mana\ ger had )Tj 1 0 0 1 35.17 109.68001 Tm (returned the Annual Quality Assurance Assessment \(AQAA\) which gave us \ detailed )Tj 1 0 0 1 35.17 95.10001 Tm (information and the focus of this visit to the home was to support the i\ nformation )Tj 1 0 0 1 35.17 80.50999 Tm (stated in this document and other information received by the CQC since \ the last )Tj 1 0 0 1 35.17 65.93001 Tm (fieldwork visit, which was a key inspection on the 4th October 2007.)Tj ET endstream endobj 1416 0 obj 2353 endobj 1417 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 32.32001 672.51996 m 566.71997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 531.38 m 568.91998 531.38 l S 31.2 814.72998 m 31.2 530.31 l S 567.84998 814.72998 m 567.84998 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (\240)Tj 1 0 0 1 32.92 788.13995 Tm (Documents and records were examined and staff working practices were obs\ erved )Tj 1 0 0 1 32.92 773.56 Tm (where this was possible without being intrusive. We toured the home and \ spoke to )Tj 1 0 0 1 32.92 758.97998 Tm (twelve service users, staff and visiting relatives in order to obtain th\ eir perceptions of )Tj 1 0 0 1 32.92 744.40002 Tm (the service the home provides. Those spoken to were very happy and compl\ imentary )Tj 1 0 0 1 32.92 729.82001 Tm (about the care and services that are provided.)Tj 1 0 0 1 32.92 715.23999 Tm (\240)Tj 1 0 0 1 32.92 700.65997 Tm (Surveys had been distributed to service users, care managers, GP and oth\ er visiting )Tj 1 0 0 1 32.92 686.07996 Tm (professionals. Seven \(7\) service user surveys were returned to CQC. Th\ ere was no )Tj 1 0 0 1 32.92 671.5 Tm (response from other surveys distributed.)Tj 1 0 0 1 32.92 656.91998 Tm (\240)Tj 1 0 0 1 32.92 642.33997 Tm (The outcome of the surveys and talking to service users indicated that t\ here was a )Tj 1 0 0 1 32.92 627.76001 Tm (high level of satisfaction with the service and that generally service u\ sers are pleased )Tj 1 0 0 1 32.92 613.17999 Tm (with the care the home provides.)Tj 1 0 0 1 32.92 598.60004 Tm (\240)Tj 1 0 0 1 32.92 584.01996 Tm (At the time of the visit the home was accommodating 25 residents of mixe\ d gender. A )Tj 1 0 0 1 32.92 569.44 Tm (small number of residents were unwell and unable to communicate effectiv\ ely with us )Tj 1 0 0 1 32.92 554.85999 Tm (to gain their views of the service. There were no residents from an ethn\ ic minority )Tj 1 0 0 1 32.92 540.27997 Tm (group.)Tj ET endstream endobj 1418 0 obj 5366 endobj 1419 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 589.20001 w 32.32001 479.22 m 566.71997 479.22 l S 20.58 w 32.7 172.08 m 569.34998 172.08 l S 95.52 w 33.82001 111.79001 m 568.21997 111.79001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 183.5 m 568.91998 183.5 l S 31.2 776.02997 m 31.2 182.42 l S 31.2 183.5 m 569.34998 183.5 l S 32.7 160.67 m 569.34998 160.67 l S 31.62 160.67 m 570.41998 160.67 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 161.75 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 182.42 l S 569.34998 161.75 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The home provides a safe, well maintained homely environment for the ser\ vice users. )Tj 1 0 0 1 35.17 744.17999 Tm (Service users and relatives voiced satisfaction with the environment, wh\ ich is )Tj 1 0 0 1 35.17 729.60004 Tm (maintained well and has an annual improvement plan. Outdoor spaces are v\ ery )Tj 1 0 0 1 35.17 715.01996 Tm (attractive and service users commented that they enjoyed sitting outdoor\ s in the )Tj 1 0 0 1 35.17 700.44 Tm (garden in the warmer weather.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Assessments and care plans are detailed and inform the practices of the \ home to meet )Tj 1 0 0 1 35.17 656.70001 Tm (the needs of the service users. Staff report that they could easily care\ for a service )Tj 1 0 0 1 35.17 642.12 Tm (user from the information recorded in care plans. Service users' healthc\ are needs are )Tj 1 0 0 1 35.17 627.53998 Tm (provided for by a variety of visiting professionals.)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (Service users felt safe and secure and happy that staff could look after\ them properly )Tj 1 0 0 1 35.17 583.79999 Tm (and treated them with respect.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (The home's routines are flexible and it promotes the right of service us\ ers to make )Tj 1 0 0 1 35.17 540.06 Tm (choices for themselves and exercise personal autonomy within their activ\ ities of daily )Tj 1 0 0 1 35.17 525.47998 Tm (living.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (A well balanced and varied diet is offered to service users. This can be\ adjusted to )Tj 1 0 0 1 35.17 481.73999 Tm (meet their own needs and preferences. Service user's comments on the foo\ d were very )Tj 1 0 0 1 35.17 467.16 Tm (positive.)Tj 1 0 0 1 35.17 452.57999 Tm (\240)Tj 1 0 0 1 35.17 438 Tm (The home has a programme of activities that is organised by an activitie\ s co-ordinator )Tj 1 0 0 1 35.17 423.41998 Tm (and is planned around service users' past recreational hobbies and prefe\ rences.)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (Whilst talking to service users and the surveys received from relatives \ and staff )Tj 1 0 0 1 35.17 379.67999 Tm (provided positive comments about living and working at the home.)Tj 1 0 0 1 35.17 365.10001 Tm (\240)Tj 1 0 0 1 35.17 350.51999 Tm ('Caring and supportive staff'.)Tj 1 0 0 1 35.17 335.94 Tm ('Very happy with the home and it feels like home'.)Tj 1 0 0 1 35.17 321.35999 Tm ('The matron is very supportive'.)Tj 1 0 0 1 35.17 306.78 Tm ('I am very content here'.)Tj 1 0 0 1 35.17 292.20001 Tm ('The staff are wonderful with mum'.)Tj 1 0 0 1 35.17 277.62 Tm ('The staff are always happy, friendly and caring'.)Tj 1 0 0 1 35.17 263.04001 Tm ('The home has helped me tremendously and I hope to go home. They get me \ a paper )Tj 1 0 0 1 35.17 248.45998 Tm (every day and any post I receive'.)Tj 1 0 0 1 35.17 233.87999 Tm ('The nursing care and food are very good here'.)Tj 1 0 0 1 35.17 219.3 Tm ('Excellent laundry system and meals are varied and there is always a cho\ ice'.)Tj 1 0 0 1 35.17 204.72 Tm ('Activities are excellent and the food is good'.)Tj 1 0 0 1 35.17 190.14 Tm ('The home is clean and there are never any offensive odours, no complain\ ts at all'.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 477.66998 Tm (\240)Tj 1 0 0 1 31.2 169.97 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 167.31 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 170.53 Tm (\240)Tj 1 0 0 1 31.2 110.24001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 144.48 Tm (There were no matters of concern arising from the last inspection of the\ home.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (The AQAA has identified many improvements over the last twelve months so\ me as )Tj 1 0 0 1 36.67 100.74001 Tm (being;)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (The manager has promoted named nurse and carer teams which has motivated\ the )Tj /T1_0 10 Tf 1 0 0 1 570.46997 110.24001 Tm (\240)Tj ET endstream endobj 1420 0 obj 3722 endobj 1421 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 236.28 w 33.82001 694.39001 m 568.21997 694.39001 l S 20.58 w 33.45 563.70996 m 570.10004 563.70996 l S 122.64 w 34.57001 489.84998 m 568.96997 489.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 575.12 m 570.41998 575.12 l S 569.34998 814.72998 m 569.34998 574.04999 l S 33.45 552.28998 m 570.10004 552.28998 l S 33.45 575.12 m 570.10004 575.12 l S 32.37 552.28998 m 571.16998 552.28998 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 574.04999 l S 33.45 553.37 m 33.45 426.32999 l S 570.10004 553.37 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (staff to take responsibility for care plans and documentation for specif\ ic service users.)Tj 1 0 0 1 34.42 788.13995 Tm (\240)Tj 1 0 0 1 34.42 773.56 Tm (A new care planning system has been introduced and this is person centre\ d and )Tj 1 0 0 1 34.42 758.97998 Tm (identifies care needs and risks. Care plans inform practices and staff s\ ay that it gives )Tj 1 0 0 1 34.42 744.40002 Tm (them all the information to enable them to meet service users' needs.)Tj 1 0 0 1 34.42 729.82001 Tm (\240)Tj 1 0 0 1 34.42 715.23999 Tm (The home has purchased some profiles beds with an ongoing programme to r\ eplace all )Tj 1 0 0 1 34.42 700.65997 Tm (beds with profiles beds)Tj 1 0 0 1 34.42 686.07996 Tm (\240)Tj 1 0 0 1 34.42 671.5 Tm (The lounge area and some bedrooms have been redecorated and new furnitur\ e )Tj 1 0 0 1 34.42 656.91998 Tm (purchased for the those area.)Tj 1 0 0 1 34.42 642.33997 Tm (\240)Tj 1 0 0 1 34.42 627.76001 Tm (The home provides a wide range of training opportunities for all levels \ of staff in all )Tj 1 0 0 1 34.42 613.17999 Tm (departments.)Tj 1 0 0 1 34.42 598.60004 Tm (\240)Tj 1 0 0 1 34.42 584.01996 Tm (.)Tj /T1_0 10 Tf 1 0 0 1 31.2 562.15997 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 558.94 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 488.30002 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 536.10999 Tm (The medication trolley should be made secure to the wall or kept in a lo\ cked )Tj 1 0 0 1 37.42 521.52997 Tm (environment.)Tj 1 0 0 1 37.42 506.94998 Tm (\240)Tj 1 0 0 1 37.42 492.37 Tm (If prescribed medication is transcribed by a member of staff onto the me\ dication )Tj 1 0 0 1 37.42 477.78998 Tm (administration record \(MAR\) chart, this should be signed by the person\ transcribing )Tj 1 0 0 1 37.42 463.20999 Tm (and a second member of staff sign to verify that the information transcr\ ibed is correct.)Tj 1 0 0 1 37.42 448.63 Tm (\240)Tj 1 0 0 1 37.42 434.04999 Tm (\240)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 315.35999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 315.35999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 295.37 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1422 0 obj 1804 endobj 1423 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1424 0 obj 5876 endobj 1425 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (The home has procedures in place to ensure that service users' needs are\ assessed )Tj 1 0 0 1 36.62 341.25 Tm (prior to admission to the home to ensure the home can meet those needs.)Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (The AQAA told us that pre-admission assessments are carried out by the a\ ppropriate )Tj 1 0 0 1 36.57001 251.76999 Tm (trained nurses regardless of funding and any external assessment process\ ing having )Tj 1 0 0 1 36.57001 234.26999 Tm (been completed.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (A sample of three service users' plans was viewed. These evidenced that \ the manager )Tj 1 0 0 1 36.57001 181.78998 Tm (or her deputy undertake the pre-admission assessments and visit the pers\ on in )Tj 1 0 0 1 36.57001 164.28999 Tm (hospital or in their own homes to undertake the assessment and to discus\ s with the )Tj 1 0 0 1 36.57001 146.78999 Tm (person about moving into the home. The manager told us that she does rec\ eive social )Tj 1 0 0 1 36.57001 129.3 Tm (care needs' assessments from care managers if the social services are in\ volved and )Tj 1 0 0 1 36.57001 111.8 Tm (she also requests discharge summaries from hospitals to enable the home \ to gather )Tj 1 0 0 1 36.57001 94.31 Tm (as much information as possible about the person.)Tj ET endstream endobj 1426 0 obj 2304 endobj 1427 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The assessment tool used is comprehensive and briefly covers all aspects\ of a persons' )Tj 1 0 0 1 34.32001 744.10999 Tm (physical, social and psychological needs and gives a base for a more com\ prehensive )Tj 1 0 0 1 34.32001 726.60999 Tm (assessment of residents' needs when they move into the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The AQAA told us that the pre-admission assessment paperwork is to be re\ viewed in )Tj 1 0 0 1 34.32001 674.12 Tm (the coming year to reflect a more person-centered approach and refer to \ the Mental )Tj 1 0 0 1 34.32001 656.63 Tm (Health Act 2005 and the person's capacity to make decisions.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Six of the seven service users' surveys returned to CQC indicated that s\ ervice users )Tj 1 0 0 1 34.32001 604.14001 Tm (had received sufficient information about the home before they decided t\ o move into )Tj 1 0 0 1 34.32001 586.64001 Tm (the home. A service user spoken to at the time of this visit told us tha\ t her friend )Tj 1 0 0 1 34.32001 569.14996 Tm (chose the home and she visited the home before she made the decision to \ move in.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj ET endstream endobj 1428 0 obj 5808 endobj 1429 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The home puts the person at the centre of all care planning to ensure th\ at the )Tj 1 0 0 1 36.62 375.25 Tm (personal and health care needs of service users are met and medication i\ s managed )Tj 1 0 0 1 36.62 357.75998 Tm (safely and effectively. Service users' privacy and dignity is upheld and\ promoted.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (The AQAA told us that the home provides comprehensive packages of care t\ hat are )Tj 1 0 0 1 36.57001 250.78 Tm (person centred. These include risk assessments, which are reviewed month\ ly or as )Tj 1 0 0 1 36.57001 233.28 Tm (required if conditions change and that promote indepenence, lifestyle, c\ hoice and )Tj 1 0 0 1 36.57001 215.78998 Tm (fulfilment whilst still protecting the service user from harm.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (A sample of three service users' care plans was viewed. The care plans a\ ddress all )Tj 1 0 0 1 36.57001 163.3 Tm (activities of daily living and record the service users' needs both long\ term and short )Tj 1 0 0 1 36.57001 145.8 Tm (term. The care plans demonstrated a comprehensive, person centred approa\ ch to )Tj 1 0 0 1 36.57001 128.31 Tm (assessment and care planning. The documents examined were detailed and t\ he plans )Tj 1 0 0 1 36.57001 110.81 Tm (were based on the assessments the home carried out in order to identify \ individuals' )Tj 1 0 0 1 36.57001 93.31 Tm (care needs.)Tj ET endstream endobj 1430 0 obj 4992 endobj 1431 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Assessments included a range of potential risks to residents e.g. pressu\ re sores, falls, )Tj 1 0 0 1 34.32001 744.10999 Tm (moving and handling, nutrition, and a risk assessment if bed rails were \ in use. Where )Tj 1 0 0 1 34.32001 726.60999 Tm (a risk was identified there was a corresponding care plan on how to mana\ ge the risk. )Tj 1 0 0 1 34.32001 709.10999 Tm (If bed rails were in use there was a signed consent from the service use\ r for their use. )Tj 1 0 0 1 34.32001 691.62 Tm (For those who are unwell and remained in bed, care plans include effecti\ ve monitoring )Tj 1 0 0 1 34.32001 674.12 Tm (of daily fluid, nutrition and changes of position. records of which were\ seen in the )Tj 1 0 0 1 34.32001 656.63 Tm (individual rooms. The manager told us she monitors these daily.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans contain personal profiles and document the persons likes,\ dislikes and )Tj 1 0 0 1 34.32001 604.14001 Tm (how the service users wish to undertake their daily routines.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (Records indicate that care plans are reviewed monthly or if a person's c\ ondition )Tj 1 0 0 1 34.32001 551.64996 Tm (changes, and daily notes record the actions taken by staff to provide th\ e support set )Tj 1 0 0 1 34.32001 534.14996 Tm (out in the care plan. Care plans were in most cases signed by the servic\ e user or their )Tj 1 0 0 1 34.32001 516.65997 Tm (representative to evidence their involvement and consent to the plans.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users' health care needs are met by a variety of health care pro\ fessionals that )Tj 1 0 0 1 34.32001 464.16998 Tm (visit the home. There is a separate document in care plans that records \ the visits of all )Tj 1 0 0 1 34.32001 446.66998 Tm (health care professionals who attend the home.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (There was evidence in care plans that one service user had been visited \ by the )Tj 1 0 0 1 34.32001 394.19 Tm (community multidisciplinary team and the speech and language therapist t\ o undertake )Tj 1 0 0 1 34.32001 376.69 Tm (assessments. On the day of this visit the occupational therapist was vis\ iting a service )Tj 1 0 0 1 34.32001 359.19 Tm (user to assess them for a new chair. The community psychiatric nurse als\ o visits the )Tj 1 0 0 1 34.32001 341.70001 Tm (home regularly to review medication for those under her care. The physio\ therapist )Tj 1 0 0 1 34.32001 324.20001 Tm (visits the home fortnightly to see one service user.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (All service users have access to a chiropodist service every six weeks, \ the community )Tj 1 0 0 1 34.32001 271.70999 Tm (dentist at the local hospital and an optician that will visit the home. \ On the day of this )Tj 1 0 0 1 34.32001 254.22 Tm (visit one service user requested to see an optician to enable him to obt\ ain a spare pair )Tj 1 0 0 1 34.32001 236.72 Tm (of glasses and the manager said she would arrange this for him.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The home has policies and procedures in place for the management of medi\ cations. )Tj 1 0 0 1 34.32001 184.23 Tm (The home uses a monitored dose system that is supplied by the local chem\ ist and )Tj 1 0 0 1 34.32001 166.73999 Tm (boxes and bottles are dispensed for 'when required' \(PRN\) medications.\ )Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The home has two medication trolleys, one is stored upstairs and one dow\ nstairs. It )Tj 1 0 0 1 34.32001 114.25 Tm (was observed that the downstairs medication trolley, which is a new acqu\ isition to the )Tj 1 0 0 1 34.32001 96.75 Tm (home, was not attached to the wall. The security of this was discussed w\ ith the )Tj ET endstream endobj 1432 0 obj 4846 endobj 1433 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (manager who she said she would arrange with the maintenance man to put a\ fixing )Tj 1 0 0 1 34.32001 761.60004 Tm (plate on the wall straight away. The upstairs medication trolley was att\ ached to a wall )Tj 1 0 0 1 34.32001 744.10999 Tm (on the first floor. The positioning of the medication trolley downstairs\ was discussed )Tj 1 0 0 1 34.32001 726.60999 Tm (with the manager who told us that space is of a premium in the home and \ that this )Tj 1 0 0 1 34.32001 709.10999 Tm (was the safest place to keep the trolley until such times as the anticip\ ated alterations )Tj 1 0 0 1 34.32001 691.62 Tm (to the home are complete.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The cupboards and trolleys which store medication were well organised an\ d clean. )Tj 1 0 0 1 34.32001 639.13 Tm (There was no evidence that medication that is used on a PRN basis was ov\ erstocked in )Tj 1 0 0 1 34.32001 621.63 Tm (the cupboards. The home has a controlled drug cupboard and controlled dr\ ugs are )Tj 1 0 0 1 34.32001 604.14001 Tm (stored safely. The stock and records for these drugs was checked and the\ balance of )Tj 1 0 0 1 34.32001 586.64001 Tm (stock being stored matched that recorded in the controlled drugs' regist\ er.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The medication administration recording \(MAR\) charts were looked at. T\ hese had been )Tj 1 0 0 1 34.32001 534.14996 Tm (signed appropriately and no gaps identified. Reasons for non administrat\ ion was being )Tj 1 0 0 1 34.32001 516.65997 Tm (recorded appropriately by code and on the back of the MAR chart.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There were individual photographs of the service users on the front of e\ ach MAR chart )Tj 1 0 0 1 34.32001 464.16998 Tm (to ensure correct identification.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (It was observed that on one MAR chart the prescribed medication had been\ )Tj 1 0 0 1 34.32001 411.67999 Tm (transcribed by a member of staff but not signed. This was discussed with\ the manager )Tj 1 0 0 1 34.32001 394.19 Tm (and it was discussed that any transcriptions onto MAR charts should be s\ igned by a )Tj 1 0 0 1 34.32001 376.69 Tm (second member of staff to say that correct information has been transfer\ red.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (There was one service user choosing to self-medicate eye drops and this \ was )Tj 1 0 0 1 34.32001 324.20001 Tm (undertaken within a risk assessment framework and regularly monitored by\ the staff.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The AQAA told us that privacy, dignity and residents' rights form an int\ egral part of )Tj 1 0 0 1 34.32001 271.70999 Tm (staff training. This was evident when observing the practises throughout\ the visit and )Tj 1 0 0 1 34.32001 254.22 Tm (the interactions between staff and service users, which confirmed that r\ espectful )Tj 1 0 0 1 34.32001 236.72 Tm (relationships exist between service users and staff.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Most service users are accommodated in single rooms and they say they ap\ preciate )Tj 1 0 0 1 34.32001 184.23 Tm (the privacy that this affords, and particularly those that have the bene\ fit of en-suite )Tj 1 0 0 1 34.32001 166.73999 Tm (WCs.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (Service users' surveys returned to CQC quoted 'nursing care is very good\ '.'Most staff )Tj 1 0 0 1 34.32001 114.25 Tm (are very friendly and helpful and they have helped me to rehabilitate so\ I can )Tj 1 0 0 1 34.32001 96.75 Tm (hopefully go home'. 'The home does everything very well'.'They look afte\ r me very )Tj ET endstream endobj 1434 0 obj 1274 endobj 1435 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 73.86 w 34.60001 774.46997 m 562.53998 774.46997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 52.49001 w 33.47 762.65997 m 563.65997 762.65997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 734.21997 l S 564.78998 791.10999 m 564.78998 734.21997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 735.28998 m 565.87 735.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well'.)Tj 1 0 0 1 34.32001 761.60004 Tm ('The nurses are very good and I have progressed to be able to stand and \ walk a few )Tj 1 0 0 1 34.32001 744.10999 Tm (steps now and feed myself again'.'All staff are very friendly'.)Tj ET endstream endobj 1436 0 obj 5893 endobj 1437 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The home organises a range of social activities that provides stimulatio\ n and it also )Tj 1 0 0 1 36.62 409.25 Tm (promotes service users' independence, enabling them to exercise choice a\ bout all )Tj 1 0 0 1 36.62 391.75998 Tm (aspects of their daily life. Service users are able to maintain links wi\ th relatives and )Tj 1 0 0 1 36.62 374.25998 Tm (the local community. The dietary needs of residents are catered for with\ a balanced )Tj 1 0 0 1 36.62 356.76999 Tm (and varied selection of food available that met their tastes and choices\ .)Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (The AQAA told us that personal profiles in the form of 'My Life Books' a\ re completed )Tj 1 0 0 1 36.57001 267.28 Tm (for each service user by them or with the help of families and friends. \ It is the )Tj 1 0 0 1 36.57001 249.78998 Tm (information from these that are used to write the social care plans rela\ ted to the )Tj 1 0 0 1 36.57001 232.28998 Tm (service users' interests and hobbies.)Tj 1 0 0 1 36.57001 214.78998 Tm (\240)Tj 1 0 0 1 36.57001 197.3 Tm (We viewed good social history records that the home compiles for each se\ rvice user )Tj 1 0 0 1 36.57001 179.8 Tm (when being assessed and added to on admission to the home. The activitie\ s organiser )Tj 1 0 0 1 36.57001 162.31 Tm (also maintains an individual record for each service user of what activi\ ty they have )Tj 1 0 0 1 36.57001 144.81 Tm (chosen to take part in and their level of participation and enjoyment.)Tj 1 0 0 1 36.57001 127.31 Tm (\240)Tj 1 0 0 1 36.57001 109.82001 Tm (The home employs a person for twenty eight hours per week specifically t\ o organise )Tj 1 0 0 1 36.57001 92.32001 Tm (and co-ordinate an activities programme. At other times carers are desig\ nated to take )Tj ET endstream endobj 1438 0 obj 5001 endobj 1439 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (on this role. The activities' programme is produced on a monthly basis a\ nd is )Tj 1 0 0 1 34.32001 761.60004 Tm (individual to all service users, who receive a copy of this to their roo\ ms. At the time of )Tj 1 0 0 1 34.32001 744.10999 Tm (this visit the activities co-ordinator was a day off and the carers were\ undertaking the )Tj 1 0 0 1 34.32001 726.60999 Tm (role in her absence.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The activities programme is varied and demonstrated that entertainers at\ tend the )Tj 1 0 0 1 34.32001 674.12 Tm (home frequently to play board games, quizzes and cards. A weekly armchai\ r exercise )Tj 1 0 0 1 34.32001 656.63 Tm (class is enjoyed by service users, which happened to take place at the t\ ime of this )Tj 1 0 0 1 34.32001 639.13 Tm (visit. Service users spoken to and a comment on a service user survey re\ ceived by )Tj 1 0 0 1 34.32001 621.63 Tm (CQC said that they thoroughly enjoy the exercise class and wished they c\ ould have )Tj 1 0 0 1 34.32001 604.14001 Tm (them more frequently.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (For service users who prefer to stay in their room, the co-ordinator wil\ l plan an )Tj 1 0 0 1 34.32001 551.64996 Tm (individual programme of one to one activities of the service user's choi\ ce, for when )Tj 1 0 0 1 34.32001 534.14996 Tm (she visits their rooms.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Parties are organised for special occasions. The home has a number of ph\ otograph )Tj 1 0 0 1 34.32001 481.66998 Tm (albums on display that recorded the garden parties and parties for other\ festive times )Tj 1 0 0 1 34.32001 464.16998 Tm (of the year when friends and families are invited to participate. A larg\ e library of )Tj 1 0 0 1 34.32001 446.66998 Tm (videos is available for residents to use. A mobile library visits the ho\ me regularly. The )Tj 1 0 0 1 34.32001 429.17999 Tm (home has regular church services and weekly Roman Catholic pastoral care\ .)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (We spoke to a service user who had recently moved into the home and he s\ aid that at )Tj 1 0 0 1 34.32001 376.69 Tm (the present time he does not join in the activities but enjoyed sitting \ watching and )Tj 1 0 0 1 34.32001 359.19 Tm (that when he becomes more familiar with the home he will take part in mo\ re home )Tj 1 0 0 1 34.32001 341.70001 Tm (life. Surveys received from service users indicate that there are 'usual\ ly' or 'always' )Tj 1 0 0 1 34.32001 324.20001 Tm (activities arranged to take part in. Comments said 'Perhaps more volunta\ ry groups )Tj 1 0 0 1 34.32001 306.70999 Tm (could visit the home to give us more company as the staff are so busy'. \ 'The activities )Tj 1 0 0 1 34.32001 289.20999 Tm (are excellent and wish we could have more and more exercise classes'.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home has an open visiting policy and the visitor's book demonstrated\ that the )Tj 1 0 0 1 34.32001 236.72 Tm (home has visitors to the home every day. One visitor spoken to told us t\ hat they are )Tj 1 0 0 1 34.32001 219.23 Tm (very satisfied with the care being given to their relative and the home \ is 'very caring'. )Tj 1 0 0 1 34.32001 201.73 Tm (Families do visit the home to take their relatives on outings into the c\ ommunity or )Tj 1 0 0 1 34.32001 184.23 Tm (visits to their homes.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Although most residents have handed over the responsibility of the manag\ ement of )Tj 1 0 0 1 34.32001 131.75 Tm (their finances to relatives or representatives, a number of individuals \ continued to )Tj 1 0 0 1 34.32001 114.25 Tm (control their own financial affairs. The manager told us that a visiting\ advocacy service )Tj 1 0 0 1 34.32001 96.75 Tm (is made available to those residents who may need this service.)Tj ET endstream endobj 1440 0 obj 4860 endobj 1441 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The AQAA states that the home has a named nurse and carer team system to\ ensure )Tj 1 0 0 1 34.32001 744.10999 Tm (that routines of the day are flexible, respecting individual choices.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Service users spoken to said they are able to spend the day how they wis\ h at their )Tj 1 0 0 1 34.32001 691.62 Tm (own pace. One lady saying she preferred to stay in her room in the morni\ ngs to listen )Tj 1 0 0 1 34.32001 674.12 Tm (to her music, another saying she was able to come and go as she wished. \ The )Tj 1 0 0 1 34.32001 656.63 Tm (inspector observed that the staff were not rushed and people were being \ assisted to )Tj 1 0 0 1 34.32001 639.13 Tm (get up at their own leisure.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Service users have choice over how they undertake their activities of da\ ily living and )Tj 1 0 0 1 34.32001 586.64001 Tm (this was evidence throughout this visit that service user were being giv\ en choices. A )Tj 1 0 0 1 34.32001 569.14996 Tm (service user spoken to told us that the staff are very good and that she\ is able to )Tj 1 0 0 1 34.32001 551.64996 Tm (spend her days in her room, which she enjoys and that she is only persua\ ded to sit in )Tj 1 0 0 1 34.32001 534.14996 Tm (the lounge if the housekeepers wish to clean her room. She said she had \ friends visit )Tj 1 0 0 1 34.32001 516.65997 Tm (her most days and the vicar called regularly to give her communion.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (Service users were quite complimentary about the food provided and confi\ rmed that )Tj 1 0 0 1 34.32001 464.16998 Tm (they have three meals a day and could have snacks and drinks at other ti\ mes. )Tj 1 0 0 1 34.32001 446.66998 Tm (Comments on surveys returned to CQC told us that 'I have no complaints a\ bout the )Tj 1 0 0 1 34.32001 429.17999 Tm (food'. 'The food is very good'.'The meals are varied and each person has\ a choice from )Tj 1 0 0 1 34.32001 411.67999 Tm (a weekly list. Tea and coffee is available at any time and is always off\ ered to visitors'. )Tj 1 0 0 1 34.32001 394.19 Tm ('Food is very good'.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (Another service user spoken to told us that he has the choice of a cooke\ d breakfast )Tj 1 0 0 1 34.32001 341.70001 Tm (every day but chooses to have this twice weekly and thoroughly enjoys th\ e 'Full )Tj 1 0 0 1 34.32001 324.20001 Tm (English' the chef produces.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The menus were viewed and indicated that the food was nutritious and the\ re was a )Tj 1 0 0 1 34.32001 271.70999 Tm (wide range of meals provided with choices every day. The list of menu ch\ oices for the )Tj 1 0 0 1 34.32001 254.22 Tm (week was also on display in the entrance hall to the home. One service u\ ser told us )Tj 1 0 0 1 34.32001 236.72 Tm (they receive a weekly menu which gives them choices at each meal time.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Individuals' food preferences, dislikes and any food related allergies a\ re recorded in )Tj 1 0 0 1 34.32001 184.23 Tm (residents' care plan documents. The catering staff told us that they are\ very familiar )Tj 1 0 0 1 34.32001 166.73999 Tm (with the food preferences of the residents and that special diets and ne\ eds are catered )Tj 1 0 0 1 34.32001 149.23999 Tm (for e.g. soft and pureed meals and vegetarian.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Service users can choose where to eat their meals and many preferred to \ eat in their )Tj 1 0 0 1 34.32001 96.75 Tm (rooms. It was observed that a small group of service users choose to eat\ in the dining )Tj ET endstream endobj 1442 0 obj 2137 endobj 1443 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 231.31998 w 34.60001 695.73999 m 562.53998 695.73999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 209.95 w 33.47 683.92999 m 563.65997 683.92999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 576.75 l S 564.78998 791.10999 m 564.78998 576.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 577.83002 m 565.87 577.83002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (area of the lounge and this appeared quite a social occasion for them. W\ e observed )Tj 1 0 0 1 34.32001 761.60004 Tm (individual trays were laid up for service users with cutlery, condiments\ and napkins. )Tj 1 0 0 1 34.32001 744.10999 Tm (And jugs of fresh juice were in each service user's room and in the loun\ ge area and )Tj 1 0 0 1 34.32001 726.60999 Tm (hot beverages were served throughout the day.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We viewed a sample of fluid and food charts that were being recorded for\ those )Tj 1 0 0 1 34.32001 674.12 Tm (service users who were unwell and not taking diet and fluids independent\ ly. The )Tj 1 0 0 1 34.32001 656.63 Tm (records were well maintained and recorded appropriately.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The care plans evidenced that nutritional risk assessments are undertake\ n on all )Tj 1 0 0 1 34.32001 604.14001 Tm (service users at the point of admission and care plans are written for t\ hose identified )Tj 1 0 0 1 34.32001 586.64001 Tm (as being at risk.)Tj ET endstream endobj 1444 0 obj 5778 endobj 1445 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The home has a clear and satisfactory complaints procedure to address th\ e concerns )Tj 1 0 0 1 36.62 460.25 Tm (of service users and relatives or representatives. Robust procedures are\ in place to )Tj 1 0 0 1 36.62 442.75998 Tm (protect service users from the risk of abuse.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (The AQAA said that the complaint policy has been reviewed to ensure the \ procedure is )Tj 1 0 0 1 36.57001 335.78 Tm (clear and simple and there is an advocacy service available for those wh\ o lack )Tj 1 0 0 1 36.57001 318.28 Tm (capacity. The complaints procedure is made available to all service user\ s and is )Tj 1 0 0 1 36.57001 300.78998 Tm (displayed on the notice board in the home. It is also available in other\ formats. All )Tj 1 0 0 1 36.57001 283.29001 Tm (staff are made aware of the procedure.)Tj 1 0 0 1 36.57001 265.79001 Tm (\240)Tj 1 0 0 1 36.57001 248.3 Tm (The AQQA records that one complaint has been logged in the past twelve m\ onths and )Tj 1 0 0 1 36.57001 230.8 Tm (had also been made via CQC. The complaint procedure was followed and the\ log )Tj 1 0 0 1 36.57001 213.31 Tm (recorded that the complaint had been resolved and appropriate procedures\ had been )Tj 1 0 0 1 36.57001 195.81 Tm (followed. All complaints are logged and reviewed through Regulation 26 v\ isit reports )Tj 1 0 0 1 36.57001 178.31 Tm (by a senior manager. The manager told us that as a result of this compla\ int the home )Tj 1 0 0 1 36.57001 160.81999 Tm (had recognised faults and worked on routines and protocols to ensure goo\ d practise.)Tj 1 0 0 1 36.57001 143.31999 Tm (\240)Tj 1 0 0 1 36.57001 125.83 Tm (Surveys returned to CQC and speaking to service users and their relative\ s told us that )Tj 1 0 0 1 36.57001 108.33 Tm (people are aware of who to go to if they wish to make a formal complaint\ . Comments )Tj 1 0 0 1 36.57001 90.83 Tm (said 'I have never had to complain' 'I have nothing to complain about bu\ t would talk )Tj ET endstream endobj 1446 0 obj 3502 endobj 1447 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (to matron if I did'.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The home has written procedures available for adult protection and inclu\ des 'No )Tj 1 0 0 1 34.32001 726.60999 Tm (Secrets' policy, restraint and Whistle Blowing'. These are intended to p\ rovide guidance )Tj 1 0 0 1 34.32001 709.10999 Tm (and ensure as far as reasonably possible that the risk of service users \ suffering harm )Tj 1 0 0 1 34.32001 691.62 Tm (is prevented.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The AQAA said that all staff have received training in the Safeguarding \ of Vulnerable )Tj 1 0 0 1 34.32001 639.13 Tm (adults in line with Hampshire's Adult Protection Policy and this is disc\ ussed at )Tj 1 0 0 1 34.32001 621.63 Tm (supervision sessions with staff to ensure their knowledge is underpinned\ . Staff spoken )Tj 1 0 0 1 34.32001 604.14001 Tm (to said that they have received training about safeguarding adults and a\ n examination )Tj 1 0 0 1 34.32001 586.64001 Tm (of staff training records, and viewing the training matrix, confirmed th\ is. The home )Tj 1 0 0 1 34.32001 569.14996 Tm (has not had to report any Safeguarding issues since the last inspection.\ )Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (All staff have received training in the Mental Capacity Act. The trainin\ g matrix )Tj 1 0 0 1 34.32001 516.65997 Tm (evidence that this has taken place. The manager has undertaken training \ on the )Tj 1 0 0 1 34.32001 499.16 Tm (Deprivation of Liberty Safeguards \(DOLS\) and this is to be cascaded to\ all members of )Tj 1 0 0 1 34.32001 481.66998 Tm (staff.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (Where the need has been identified to use bed rails on a service user's \ bed for their )Tj 1 0 0 1 34.32001 429.17999 Tm (own safety, following a risk assessment, written permission and consent \ for their use )Tj 1 0 0 1 34.32001 411.67999 Tm (was evidenced in a care plan and signed by the service user or their rep\ resentative as )Tj 1 0 0 1 34.32001 394.19 Tm (agreement for their use.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The home has robust recruitment procedures that ensure that staff have C\ riminal )Tj 1 0 0 1 34.32001 341.70001 Tm (Record Bureau \(CRB\)and Protection of Vulnerable Adults \(POVA\) checks\ received )Tj 1 0 0 1 34.32001 324.20001 Tm (before they commence employment.)Tj ET endstream endobj 1448 0 obj 5791 endobj 1449 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 471.25 m 562.53998 471.25 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 119.35001 w 33.47 460 m 563.65997 460 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 398.12 l S 564.78998 521.88 m 564.78998 398.12 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 399.20001 m 565.87 399.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The home's environment is safe and well maintained.)Tj 1 0 0 1 36.62 443.25 Tm (There is an infection control policy and procedures in place and staff p\ ractice ensures )Tj 1 0 0 1 36.62 425.75998 Tm (that as far was reasonably possible service users are protected from the\ risk of )Tj 1 0 0 1 36.62 408.25998 Tm (infection.)Tj 1 0 0 1 28.35001 383.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.30002 w 34.60001 227.67998 m 562.53998 227.67998 l S 1 1 1 RG 22.5 w 32.35001 364.32999 m 564.78998 364.32999 l S 269.92999 w 33.47 215.87 m 563.65997 215.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 351.95999 m 565.87 351.95999 l S 32.35001 353.03998 m 32.35001 78.70001 l S 564.78998 353.03998 m 564.78998 78.70001 l S 32.35001 351.95999 m 564.78998 351.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.26999 Tm (The AQAA states that the environment is welcoming and the rooms are adap\ ted for )Tj 1 0 0 1 36.57001 318.78 Tm (individual use and choice. The home has an ongoing maintenance programme\ of fabric )Tj 1 0 0 1 36.57001 301.28 Tm (and decoration of the home. The garden is well maintained and colourful \ and residents )Tj 1 0 0 1 36.57001 283.79001 Tm (have access to this and enjoy sitting in the garden in finer weather.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (We looked around the home and visited a number of service users' rooms. \ The rooms )Tj 1 0 0 1 36.57001 231.3 Tm (were pleasantly decorated and had been made very individual with persona\ l items of )Tj 1 0 0 1 36.57001 213.8 Tm (furniture, pictures and photographs. One room visited had a views of the\ road and )Tj 1 0 0 1 36.57001 196.31 Tm (ongoing activity and the service user said she had the 'best room in the\ house, I love )Tj 1 0 0 1 36.57001 178.81 Tm (to look at what is going on outside'. The surveys received by CQC from s\ ervice users )Tj 1 0 0 1 36.57001 161.31 Tm (indicated that the home is 'usually' clean and fresh and those spoken to\ at the time of )Tj 1 0 0 1 36.57001 143.81999 Tm (this visit said they are generally happy with their environment.)Tj 1 0 0 1 36.57001 126.32001 Tm (\240)Tj 1 0 0 1 36.57001 108.83 Tm (At the time of this visit the exterior and interior of the premises, its\ decor, furnishings, )Tj 1 0 0 1 36.57001 91.33 Tm (fittings and equipment were in good repair. The home was clean and no of\ fensive )Tj ET endstream endobj 1450 0 obj 4698 endobj 1451 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (odours detected. The manager told us that the lounge area has been redec\ orated and )Tj 1 0 0 1 34.32001 761.60004 Tm (new furniture obtained for this room. The lounge over looks the garden w\ hich, in )Tj 1 0 0 1 34.32001 744.10999 Tm (summer, service users said is pleasant to sit in. A dining area has been\ formed in the )Tj 1 0 0 1 34.32001 726.60999 Tm (lounge for those wishing to eat together. The other part of the lounge h\ as a table and )Tj 1 0 0 1 34.32001 709.10999 Tm (chairs in it but is also used to store the activities equipment and one \ of the medication )Tj 1 0 0 1 34.32001 691.62 Tm (trolleys. This was discussed with the manager and is discussed in standa\ rd 9.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (The home employs a maintenance person to undertake minor repairs and on \ going )Tj 1 0 0 1 34.32001 639.13 Tm (maintenance jobs every day and who also maintains the gardens. He was on\ holiday )Tj 1 0 0 1 34.32001 621.63 Tm (at the time of this visit and the manager told us the garden was not loo\ king at its )Tj 1 0 0 1 34.32001 604.14001 Tm (best.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The lounge area looks out onto the pleasant gardens, which service users\ reported, )Tj 1 0 0 1 34.32001 551.64996 Tm (they enjoy sitting in or looking onto. A service user told me that the v\ egetation had )Tj 1 0 0 1 34.32001 534.14996 Tm (been cleared from outside her room and she could now see right down the \ garden and )Tj 1 0 0 1 34.32001 516.65997 Tm (found a great deal of pleasure with this outlook.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The home has created a wet room from one of the original bathrooms and t\ he )Tj 1 0 0 1 34.32001 464.16998 Tm (manager said this is proving to be a great success and service users are\ favouring this )Tj 1 0 0 1 34.32001 446.66998 Tm (type of shower rather than a bath or conventional shower.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager said she is involved with forming the annual improvement pla\ n for the )Tj 1 0 0 1 34.32001 394.19 Tm (home and she will discuss with her manager the alterations or improvemen\ ts for )Tj 1 0 0 1 34.32001 376.69 Tm (refurbishment to the home for the coming year. The AQAA lists the improv\ ements to )Tj 1 0 0 1 34.32001 359.19 Tm (the home in the last year and these include the purchase of 4 new profil\ e beds and )Tj 1 0 0 1 34.32001 341.70001 Tm (new carpets and soft furnishings to a number of bedrooms and the lounge \ area.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj /TT0 12 Tf 0 -17.5 TD (The manager told us that there are plans to create more office space, wh\ ich will in )Tj T* (turn allow more storage space for the activities equipment and the downs\ tairs )Tj T* (medicine trolley, which are currently stored in the smaller lounge. )Tj /T1_0 12 Tf 0 -17.48999 TD (\240)Tj 0 -17.5 TD (The AQAA states the home has an infection control policy in place and st\ aff have been )Tj 0 -17.49001 TD (trained, many having completed the NCFE level 2 in MRSA awareness. The )Tj 0 -17.5 TD (Environmental Health Officer \(EHO\) has visited the home and given an e\ xcellent )Tj T* (report.)Tj 0 -17.49001 TD (\240)Tj 0 -17.5 TD (The home had comprehensive procedures in place concerned with infection \ control. )Tj 0 -17.48999 TD (The training matrix and records identify that infection control training\ has been )Tj 0 -17.5 TD (provided for staff at induction and ongoing annually. Staff spoken with \ confirmed that )Tj T* (they have received this training a and demonstrated an awareness of what\ infection )Tj ET endstream endobj 1452 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0001743544 00000 n 11 1 0001743740 00000 n 14 1 0001743898 00000 n 16 1 0001744071 00000 n 18 1 0001744230 00000 n 22 1 0001744366 00000 n 24 1 0001744536 00000 n 26 1 0001744672 00000 n 28 1 0001744808 00000 n 30 1 0001744944 00000 n 35 1 0001745091 00000 n 37 1 0001745263 00000 n 39 1 0001745412 00000 n 41 1 0001745584 00000 n 43 1 0001745733 00000 n 45 1 0001745882 00000 n 47 1 0001746031 00000 n 49 1 0001746203 00000 n 51 1 0001746352 00000 n 53 1 0001746501 00000 n 56 1 0001746650 00000 n 58 1 0001746822 00000 n 60 1 0001746971 00000 n 62 1 0001747143 00000 n 109 2 0001747305 00000 n 0001747385 00000 n 1394 59 0001747604 00000 n 0001747627 00000 n 0001752386 00000 n 0001752409 00000 n 0001757167 00000 n 0001757190 00000 n 0001761947 00000 n 0001761970 00000 n 0001766726 00000 n 0001766749 00000 n 0001771504 00000 n 0001771527 00000 n 0001776253 00000 n 0001776276 00000 n 0001781956 00000 n 0001781979 00000 n 0001787505 00000 n 0001787528 00000 n 0001796659 00000 n 0001796682 00000 n 0001798539 00000 n 0001798562 00000 n 0001802216 00000 n 0001802239 00000 n 0001804649 00000 n 0001804672 00000 n 0001810095 00000 n 0001810118 00000 n 0001813897 00000 n 0001813920 00000 n 0001815781 00000 n 0001815804 00000 n 0001821737 00000 n 0001821760 00000 n 0001824121 00000 n 0001824144 00000 n 0001830009 00000 n 0001830032 00000 n 0001835081 00000 n 0001835104 00000 n 0001840007 00000 n 0001840030 00000 n 0001841361 00000 n 0001841384 00000 n 0001847334 00000 n 0001847357 00000 n 0001852415 00000 n 0001852438 00000 n 0001857355 00000 n 0001857378 00000 n 0001859572 00000 n 0001859595 00000 n 0001865430 00000 n 0001865453 00000 n 0001869012 00000 n 0001869035 00000 n 0001874883 00000 n 0001874906 00000 n 0001879661 00000 n trailer <<3141456057a115428fbd4b3757e01483>]/Prev 1740914 >> startxref 1883211 %%EOF