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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 414.45 m 160.38 414.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 414.45 m 563.65 414.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.87 m 565.85 367.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 366.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Knappe Cross Care Centre)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (Knappe Cross Care Centre)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Brixington Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Exmouth)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (Devon)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (EX8 5DL)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 355.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 338.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 319.08 m 565.9 319.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.5 m 568.1 330.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.67 m 568.1 307.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.57 m 30.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.57 m 360.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.57 m 567.02 306.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 314.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 314.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 314.31 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 295.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 259.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 242.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 242.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 0.001 w 20.58 w 317.5 207.88 m 565.9 207.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.05 m 346.55 185.05 l S 0.001 w 20.58 w 348.8 185.05 m 377.9 185.05 l S 0.001 w 20.58 w 380.15 185.05 m 409.2 185.05 l S 0.001 w 20.58 w 411.45 185.05 m 440.55 185.05 l S 0.001 w 20.58 w 442.8 185.05 m 471.9 185.05 l S 0.001 w 20.58 w 474.15 185.05 m 503.2 185.05 l S 0.001 w 20.58 w 505.45 185.05 m 534.55 185.05 l S 0.001 w 20.58 w 536.8 185.05 m 565.9 185.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.29 m 568.1 219.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.63 m 568.1 173.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.37 m 30.07 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 220.37 m 316.37 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197.54 m 347.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197.54 m 379.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197.54 m 410.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197.54 m 441.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197.54 m 473.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197.54 m 504.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197.54 m 535.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.37 m 567.02 172.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 203.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.28 Tm (Rachel Fleet)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 180.28 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 180.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 144.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 127.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 115.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 103.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Knappe Cross Care Centre)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Brixington Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Knappe Cross Care Centre )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Exmouth)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Devon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (EX8 5DL)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01395263643)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01395223648)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (knappcross@onetel.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Ashdown Care Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.11 Tm (42)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 0.001 w 41.16 w 31.2 424.56 m 297.2 424.56 l S 0.001 w 20.58 w 299.45 434.85 m 565.6 434.85 l S 0.001 w 20.58 w 299.45 414.27 m 432.52 414.27 l S 0.001 w 20.58 w 432.52 414.27 m 565.6 414.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.09 m 567.8 469.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.85 m 567.8 402.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.17 m 30.07 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.34 m 298.32 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.17 m 566.72 401.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 409.5 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 409.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 380.77 m 297.3 380.77 l S 0.001 w 35.16 w 299.55 380.77 m 431.45 380.77 l S 0.001 w 35.16 w 433.7 380.77 m 565.6 380.77 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 350.65 m 565.6 350.65 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 362.07 m 567.8 362.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 567.8 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.41 m 568.1 316.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.48 m 567.8 399.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.07 m 567.8 362.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 568.1 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.41 m 568.1 316.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 249.84 m 568.1 249.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.55 m 30.07 248.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 400.55 m 298.42 360.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 400.55 m 432.57 360.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 400.55 m 566.72 248.76 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.29 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 368.71 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.29 Tm (42)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 345.88 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.05 Tm (The maximum number of service users who can be accommodated is 42. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.64 Tm (only with Nursing - Code N to service users of either gender whose primary care needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.06 Tm (on admission to the home are within the following category: Old age, not falling within )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 256.48 Tm (any other category \(Code OP\) )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 235.05 m 315.25 235.05 l S 0.001 w 1 1 1 RG 20.58 w 317.5 235.05 m 346.55 235.05 l S 0.001 w 20.58 w 348.8 235.05 m 377.9 235.05 l S 0.001 w 20.58 w 380.15 235.05 m 409.2 235.05 l S 0.001 w 20.58 w 411.45 235.05 m 440.55 235.05 l S 0.001 w 20.58 w 442.8 235.05 m 471.9 235.05 l S 0.001 w 20.58 w 474.15 235.05 m 503.2 235.05 l S 0.001 w 20.58 w 505.45 235.05 m 534.55 235.05 l S 0.001 w 20.58 w 536.8 235.05 m 565.9 235.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 246.46 m 568.1 246.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 223.63 m 568.1 223.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 247.54 m 30.07 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 247.54 m 316.37 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 247.54 m 347.67 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 247.54 m 379.02 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 247.54 m 410.32 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 247.54 m 441.67 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 247.54 m 473.02 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 247.54 m 504.32 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 247.54 m 535.67 222.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 247.54 m 567.02 222.55 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 230.28 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 211.76 m 565.9 211.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 202.13 m 568.1 202.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.21 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.21 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.38 m 568.1 221.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.13 m 568.1 202.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 222.46 m 30.07 201.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 222.46 m 567.02 201.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 208.2 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 208.2 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 188.95 Tm (Knappe Cross is a 42-bed care home for older people with nursing needs. Thus )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 171.95 Tm (Registered Nurses are part of the care team, throughout the day and night. In a )Tj ET /F2 12 Tf BT 1 0 0 1 525.71 171.95 Tm (semi-)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 154.95 Tm (rural)Tj ET /F2 12 Tf BT 1 0 0 1 63.84 154.95 Tm ( area of Exmouth, the house is a 3-storey Grade 2 listed building, which has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 137.95 Tm (extended to include a large 2-storey annexe. It is situated in its own grounds, with )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 120.95 Tm (gardens, patio areas, ample parking and some views to the sea. The home has several )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 103.95 Tm (lounges and sitting areas, a dining room and a 'function room'. Two small passenger )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.95 Tm (lifts link the floors, one in the main building and one in the extension. The home is also )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.95 Tm (currently considering the installation of a stairlift. There are 34 single bedrooms and 4 )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 52.95 Tm (double bedrooms. All but two of the rooms have ensuite facilities. Information about )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 690.15 m 568.1 690.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (this service, including our previous reports, is available from the home by contacting )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (them directly. The fees range from 330-750 pounds per week, depending on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (individual's needs, whether they are privately funded or funded through Social )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (Services, and the room size. There are additional charges for transport, some social )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (activities, a staff escort if required for health appointments away from the home \(20 )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (pounds\), and for personal items such as toiletries and newspapers. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 678.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 661.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (Our last key inspection of the home was on 2 July 2007, and we carried out an Annual )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (Service Review on 17 July 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (This key inspection took place as part of our normal programme of inspection. Our )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (unannounced visit to the home was carried out in thirteen hours over two week days.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (Prior to our visit we sent surveys out, asking people about the home. Of 22 surveys )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (sent to people who lived at the home, 14 were returned - most were completed by the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (individual or with help from their family;1 asked to speak to us. Of 22 surveys sent to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (staff, 11 were returned. Of 10 surveys sent to health and social care professionals who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (support people living at the home, 1 was returned. Feedback from these surveys is )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 352.92 w 32.32 636.07 m 566.72 636.07 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 458.48 m 568.92 458.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 457.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 457.41 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (included in this report. Other information given to us throughout the year has also )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (been taken into account.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (Paula Burtoft, the home's registered manager, had completed a questionnaire \(the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (Annual Quality Assurance Assessment, or 'AQAA'\) before we visited, including the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (home's assessment of what they do well and how they plan to improve further, as well )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (as general information about the people living there, the staff and the facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (During our time at the home, we looked closely at the care and services offered to 4 )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (people as a way of judging the standard of care and services generally. They included )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (people new to the home, people cared for in bed because of physical frailty, people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (without support from family or friends, and people with mental health needs. Where )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (possible we spoke with these people in depth. We looked at their care assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (care plans, and spoke with staff about their knowledge and understanding of the plans. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (We looked at their bedrooms and we looked at the overall environment from their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (perspective.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (We met at least 10 people who lived at the home and a visitor, all but one being able )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (to give us their views. We also spoke with 5 care or ancillary staff, and the manager. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (We looked around the building, and read other records including medication, staffing, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (accident and incident reports, training, fire safety and recruitment.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (We ended our visit by discussing our findings with Paula Burtoft, who assisted us fully )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm (during our time at the home.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 326.76 w 32.32 627.44 m 566.72 627.44 l S 0.001 w 20.58 w 32.7 451.52 m 569.35 451.52 l S 0.001 w 283.02 w 33.82 297.47 m 568.22 297.47 l S 0.001 w 20.58 w 33.45 143.42 m 570.1 143.42 l S 0.001 w 39.91 w 34.57 110.93 m 568.97 110.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 462.94 m 568.92 462.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 461.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 462.94 m 569.35 462.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 440.11 m 569.35 440.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 440.11 m 570.42 440.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 154.84 m 570.42 154.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 132.01 m 570.1 132.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 154.84 m 570.1 154.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 132.01 m 571.17 132.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 441.19 m 32.7 153.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 133.09 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 461.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 441.19 m 569.35 153.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 133.09 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (Asked what the service does well, comments from people who live at the home ranged )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (from 'Meals and cleaning' to 'Entertainments and activities'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (We found prospective residents can get good information about the home, to help )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (them make an informed decision when choosing where to live. Their needs are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (assessed well, to ensure that the home can support and care for them appropriately if )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (they move in.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (People's healthcare and personal care needs are met through increasingly )Tj ET /F2 12 Tf BT 1 0 0 1 486.9 659.12 Tm (person-)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (centred)Tj ET /F2 12 Tf BT 1 0 0 1 80.65 644.54 Tm ( care planning and management, by sufficient numbers of suitable and caring )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (staff, who respect peoples' privacy and dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (Most people living at the home benefit from varied and interesting daily lives, which )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (are enhanced by continued links with the community around the home, including their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (friends and families.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (The accommodation is homely, and being improved to make it safer and easier to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (access for those people who are disabled.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (The home is well managed, and working hard to make sure it is run in the best )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (interests of those who live there. People's complaints are heard and acted upon. Those )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (living at the home are generally kept safe and protected from harm. )Tj ET /F2 10 Tf BT 1 0 0 1 568.97 625.89 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 449.41 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 446.75 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 449.97 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 295.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (Care plans written for each person at the home increasingly show how their health and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm (welfare needs are to be met in an individualised way, including those for people with )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (mental health needs and communication needs. Staff are receiving training that helps )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (them to care for people with certain conditions, and there are enough staff on duty to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (ensure that the people who live here can have their needs met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (Medications that are no longer used are not kept in the home for any longer than )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (necessary.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm (People are now supported to continue with the faith of their choice and to attend )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (religious services of their choice.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (People with mobility problems have appropriate seating, in the areas of the home that )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm (they use. Certain environmental hazards have been addressed so that people can )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (move safely around the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm (Areas of the kitchen have been cleaned or repaired, ensuring that it is a safe )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (environment for food preparation. Fridges work properly, so food is stored at )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm (appropriate, safe temperatures.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 295.92 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 141.87 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 138.65 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 109.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm (Greater attention to aspects of personal care will ensure people's dignity is upheld at )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm (all times, with regard for nail-care, cleanliness of people's spectacles, etc.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 425.82 w 34.57 599.62 m 568.97 599.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 385.58 m 571.17 385.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 384.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 384.51 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (People enjoy an appealing and nutritious diet, although the variety of meals offered to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (people with certain dietary needs should be improved so that they do not get the same )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (meal twice in one day.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm (Through more effective arrangements for the administration and safe storage of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (medication, people would receive all medicines they are prescribed, without risks to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (their wellbeing. Our previous timescale, of 31/08/07, for addressing such matters has )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (not been fully met.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (Continued development of opportunities for leisure and recreational activities, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (especially where people are not able to initiate or control their social lives as much as )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm (others, would improve the quality of these individuals' lives.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (When asked what the service could do better, one person said, 'Answer call bells.' We )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm (found that various procedures for ensuring people get timely attention should be )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm (strengthened, whether they have a callbell or not.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.28 Tm (Much has been done to improve the environment, but more needs to be done to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.7 Tm (ensure the home is kept hygienic and pleasant throughout, and so that more people )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 511.12 Tm (\(with a range of disabilities\) can have a bath if they wish. Servicing of all gas )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.54 Tm (appliances should also be done in a more timely manner.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.38 Tm (Staff training needs to be further developed, evaluated, and accredited in some cases, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.8 Tm (so as to ensure people's individual needs are met and they are in safe hands at all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438.22 Tm (times, as well as to ensure the health and safety of everyone at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 409.06 Tm (The home's policies should be regularly reviewed, with additional policies produced that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.48 Tm (ensure the requirements of the Mental Capacity Act 2005 will be fully met.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 371.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 351.03 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 351.03 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 351.03 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 333.53 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 313.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.54 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 293.54 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 293.54 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.04 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 276.04 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 276.04 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 258.55 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 333.75 m 563.65 333.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 167.46 w 32.32 322.5 m 564.78 322.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 236.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 236.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 566.98 237.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Prospective residents can be assured that their needs will be assessed, to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (the home can support and care for them appropriately if they move in. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (good information about the home to help them make an informed decision about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.7 Tm (where to live.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 246.71 Tm (The home does not provide intermediate care.)Tj ET 0.99608 0.9451 0.76078 RG 143.55 w 33.45 140 m 563.65 140 l S 0.001 w 1 1 1 RG 22.5 w 31.2 202.78 m 565.9 202.78 l S 0.001 w 122.18 w 32.32 128.19 m 564.78 128.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 190.4 m 566.98 190.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 191.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 191.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 190.4 m 565.9 190.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 199.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (In surveys from people who lived at the home, most confirmed they had enough )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (information about the home before they moved in. We were shown an information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (pack taken by the manager when she meets prospective residents to tell them about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (the home and assess their needs. It included the home's Service User Guide, a sample )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (weekly menu and the current activity programme. A company website has also been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (set up to provide people with information about the home.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We saw the home provided a breakdown of individuals' care fees, in their 'Terms and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (conditions' or contract, to clarify nursing care fees as opposed to fees for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (accommodation, etc.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Someone new to the home confirmed their advocate had been shown around the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (and had discussed the individual's care needs with senior staff, before the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (went to meet the person and assessed their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (We noted that the Service User Guide said people would not be excluded on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (grounds of their religion, ethnicity or culture, but did not include other aspects of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (diversity such as people's sexuality. The manager said this was an unintended )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (omission, which she would rectify, and that the home did not discriminate on such )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (matters.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The home's assessments that we read were comprehensive. Information had also been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (obtained from Social services care managers or hospital staff where they were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (involved with supporting or caring for the person.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (A health professional who completed our survey thought the home's assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (processes usually ensured the right service was planned for people. We saw action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (plans had been drawn up subsequent to the home's initial assessment - further )Tj ET /F2 12 Tf BT 1 0 0 1 518.07 411.68 Tm (follow-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (up)Tj ET /F2 12 Tf BT 1 0 0 1 48.29 394.19 Tm ( that was needed, such as getting equipment, noting furniture that people wished to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (bring so their room was prepared accordingly, etc.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Information gained pre-admission included clubs people were attending and current )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (friendships, with action planned to enable these to be continued. Where people's faith )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (was recorded, it was also noted if they still practised this faith, etc.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (The AQAA indicated that the home's pre-admission assessment form had been revised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (with consideration for the Mental Capacity Act 2005, so as to gather information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (regarding people's Power of Attorney, Advanced Decisions, etc. One pre-admission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (assessment we saw had little reference to the person's capacity to make decisions for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (themselves, their 'last wishes', etc., although it was recorded that this was still to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (discussed. This meant there was no current guidance on how staff should respond if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (the person - who was now living at the home - were taken seriously ill, for example.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (Information from assessments had been used as the basis for plans of care for each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (person. Staff told us they were given good information about people's needs before )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (and when they moved in, which helped them to care for people safely and in an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (individual way.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 128.85 w 33.45 746.98 m 563.65 746.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 107.48 w 32.32 735.17 m 564.78 735.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 679.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 679.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 680.31 m 566.98 680.31 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Some additional detail would have been helpful, to further ensure people received )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (person-centred care. For example, no risk assessment was recorded in relation to a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (prospective resident with impaired sight, and their subsequent care plan said they had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ('visual problems' but without stating what these were or how they affected the person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and their daily life. )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 402.74 m 563.65 402.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 97.48 w 32.32 391.5 m 564.78 391.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 341.63 m 566.98 341.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People's healthcare and personal care needs are met through good care planning and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (management. Their privacy and dignity is respected.)Tj ET 0.99608 0.9451 0.76078 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 0.001 w 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.39 m 566.98 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.39 m 565.9 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 303.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (All but one of the surveys from people who lived at the home said they always or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (usually received the care or support they needed, including medical attention. Asked )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (what the home did well, their comments included, 'Excellent care on a one to one basis )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (- from carers and nurses', 'Give you personal treatment', and 'Everything possible has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (been done to make me comfortable since I came out of hospital, and I appreciate this.' )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (One person added, 'I am more than happy with my spouse's care.')Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (Each person at the home had a care plan, which they or their representative had been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (involved in developing. Key needs, such as maintaining nutrition and hydration, safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (moving or handling, and skin care needs, had been considered and identified. Plans )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (detailed how people's needs were to be met. We saw detailed information on what )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (support people needed with their personal care, the nature of any pain they )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (experienced, their preferred bedtime, etc. One included arranging hairdressers' visits )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (in the mornings, when the person would be more settled and receptive to such )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (attention. One person was to be offered a hot meal in the evenings, staff having noted )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (they did not appear to 'enjoy' sandwiches.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (People's care records included their 'Social profiles', which described their personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (histories, their likes, dislikes or preferences, events important to them, etc. Staff we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (spoke with knew about people's individual preferences. However, actions to meet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (related social needs were either not then stated for two of the four people we )Tj ET /F2 12 Tf BT 1 0 0 1 506.9 639.13 Tm (case-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (tracked,)Tj ET /F2 12 Tf BT 1 0 0 1 82.64 621.63 Tm ( or not followed up.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (In some cases, we observed that people were not given care included in their care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (plans, and asked staff about this. They were able to give satisfactory explanations, but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (this information should then also be included in the care plans, to promote consistent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (care and ensure care plans are up-to-date. Where care plan reviews had been carried )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (out to ensure the care planned was appropriate to meet all the person's needs, we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (noted the evaluations reflected people's physical needs more than how how people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (spent their time or had their social needs met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Some of the people we case-tracked had mental health needs. Advice had been sought )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (from a Community Psychiatric nurse in one case, and this advice had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (incorporated into the person's care plan, as a specific aspect of care and where the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (advice was relevant to other aspects of care needed by the person. Their care plans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (did not yet include assessments of their capacity to make decisions, etc.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Where the use of bed-rails was considered for individuals, risk assessments had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (completed. They, or their representative, had signed to show they had been involved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (in the matter, although we noted the section for recording their opinion was often )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (blank.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Staff meeting minutes indicated that fluid intake targets for individuals should be part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (of their care plan. This was not the case for someone we case-tracked, who had a fluid )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (intake chart in their room. Although the person looked hydrated and was being given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (fluids regularly, staff could not tell us what the target was, and no totals were included )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (in the person's daily care notes made by staff. We discussed this with the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Care plans included the check ups, by community-based professionals, that people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (would need for certain medical conditions they had. The health professional who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (completed our survey thought the home usually monitored and met people's needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (properly, and said they were particularly good at pro-actively seeking and acting on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (advice effectively, so as to improve people's well-being.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (People we spoke with also felt staff attended to their health needs well. One person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (told us staff had given them prompt attention when the individual themselves had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (realised they had a health problem. Care notes showed that staff had observed that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (someone with communication difficulties due to mental health needs was in pain; they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (arranged for a dentist to see the person, and the problem was successfully addressed. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Advice from a Speech and Language therapist had been transferred to one person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (care plan; the therapist noted an improvement in the person's state over time. A care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (plan for someone with diabetes included the usual range of their blood glucose and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (what staff should do if it was not within this range. Information leaflets were available, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (in the entrance corridor, on 'Staying steady', 'Healthy bones', and 'Better hearing', )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (among other topics.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (However, we noted a risk assessment had been carried out which resulted in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (footrests being removed from someone's wheelchair. There was no evidence that other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (relevant professionals, such as a physiotherapist or occupational therapist, had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (consulted, which we discussed with the manager since a lack of footrests also carries )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (risks.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Several people had profiling beds to help make them comfortable and safely positioned )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (when in bed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Two staff - a nurse and a care assistant - represent the home as Link Staff for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (palliative care meetings held by the local Primary Care Trust. Some staff are currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (undertaking a course on this area of care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (We saw the home included in their admission procedures a system for checking that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (the medicines people brought in with them were their current medication and that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (nothing was missing. This is very good practise. Medicines received by the home, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (disposed of, were recorded. Medication administration records were mostly up to date, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (although applications of skin creams were still not recorded - something raised at our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (last inspection. Staff gave different explanations of practises for recording the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (administration of such creams. The manager confirmed that some action had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (taken to try to improve such recording, but agreed this needed to be properly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (addressed. She also agreed audits of medication not taken by mouth, including insulin, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (needed improving.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (When we checked stocks of controlled drugs, we found that there was no way of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (confirming when one item, with a limited shelf-life once opened, had in fact been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (opened. Systems in place showed medicines requiring cool storage had been kept at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (appropriate temperatures)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Two people we case-tracked were on medication that could be used to sedate people, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (which is not always in an individual's best interests. We found little had been given, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (with, in one case, evidence that staff had tried alternative, more positive strategies, as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (guided in the person's care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The health professional who completed our survey said the care service always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (respected people's privacy and dignity, as people confirmed and we observed during )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (our visit. One person told us they would appreciate having a lock fitted on their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (bedroom door, and we passed this information to the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Asked what the home could do better, a relative said 'All the nursing, care and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (attention is beyond what I expected, although aspects of personal care sometimes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (need attention.' On our visit, we noted some people had nails or spectacles that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (needed cleaning. A hairdresser visited the home regularly, and we could see the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (positive results of this.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 419.25 m 563.65 419.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 132.47 w 32.32 408 m 564.78 408 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 339.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 339.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 340.64 m 566.98 340.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (The majority of people living at the home benefit from varied and interesting daily )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (lives, which are enhanced by continued links with the community around the home, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (including their friends and families. They enjoy an appealing and nutritious diet, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 349.7 Tm (although the variety of meals offered could be improved in some cases.)Tj ET 0.99608 0.9451 0.76078 RG 246.54 w 33.45 191.5 m 563.65 191.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 305.77 m 565.9 305.77 l S 0.001 w 225.17 w 32.32 179.69 m 564.78 179.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 293.4 m 566.98 293.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 294.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 293.4 m 565.9 293.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 302.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (Comments in surveys from people who lived at the home, about what the home did )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (well, included, 'Care & support with a very good family atmosphere, good social )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (activities' and 'Relaxed & homely atmosphere. Freedom of choice at all times.')Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (The home's 3-monthly newsletter dated March 2009, displayed in the entrance hall, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (covered Easter celebrations at the home, the Queen's birthday, watching of a video on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (a local village that some residents used to live in, and dates for future planned events. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (We saw the current activities programme in some people's bedrooms, which showed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (activities were planned Monday-Friday. When we asked people how they found the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (week-ends, when no activities were planned, some told us they enjoyed using the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (garden, others said they had visitors.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm ()Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (Of 14 surveys from people at the home, 10 said there were always or usually activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (organised that they could take part in. The home had libraries of large print books. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (People told us they enjoyed the Bingo games, and regular musical entertainment led )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (by a pianist in the Ballroom/function room. One said they watched the exercise class )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (that was held, choosing not to join in. Another was going on the outing \(a 2-hour trip\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (taking place during our visit. People would not be getting off the bus because of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (mobility needs, but the Organiser took along homemade cakes and flasks of tea, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (people told us they enjoyed greatly on these trips. A visitor praised the Activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Organiser, saying she was 'excellent'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (One person said they were staying in to see visitors, but would go on the next outing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (which was in a fortnight's time. They said winter outings had included trips to watch )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (fireworks and to see the Christmas lights.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (People told us Communion was offered monthly, with a church service also held )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (regularly. This was as a result of discussions at a residents' meeting, according to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (AQAA.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The Service User Guide encouraged people to say if they had a particular interest and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (the home would try to accommodate this in the home's activity programme. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (stated 'Activities are organised on a group basis and one-one basis', and we saw some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (evidence of one-to-one time spent by the Activities Organiser with individuals. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (However, records indicated such time was limited - for example, if someone was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (asleep when she visited them, records showed it could be a little while before they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (were visited again, especially when the Activities Organiser was away. Asked what the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (home could do better, the health professional who completed our survey suggested )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ('Consider an inclusive environment, encouraging further a community spirit for those )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (less able to control their social contact independently.')Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Of 14 surveys from people at the home, 10 said staff always or usually listened to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (them and did as asked; 4 said this happened sometimes. The health professional who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (completed our survey said the home usually supported people to live the life they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (chose, where possible. People we spoke with felt they were generally given sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (choice in their daily lives. They confirmed people went to bed at a variety of times )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (from early to late evening, at times of their choosing. One person was particularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (pleased that they were now offered a choice of meal at lunchtime, a day ahead of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (meal. One person commented that they would like baths to be available; we have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (discussed this further in the section on 'Environment'. We found bedrooms were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (personalised with people's possessions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Two people living at the home told us they were given minutes of the residents' )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 653.73 w 33.45 484.54 m 563.65 484.54 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 632.36 w 32.32 472.73 m 564.78 472.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 154.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 154.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 155.43 m 566.98 155.43 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (meetings which they then shared with their visitors. The AQAA said visitors were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (offered refreshments and could stay for a meal should they wish to do so, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (people confirmed during our visit. We met someone who had recently had a birthday. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (They said the cook had made them a lovely cake, and they had been able to entertain )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (family members for tea. One care plan said staff should first check if an individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (wanted to receive any visitors who arrived to see them, because the person was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (particularly prone to tiredness.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Of 14 surveys from people at the home, 13 said they always or usually liked the meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (provided. Asked what the home did well, responses included, 'Meals' and 'Excellent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (food - quality, quantity, choice & service.')Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (People living at the home said breakfast was served by about 8.30am. A visitor told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (the meals were 'out of this world'. Lunchtime choices during the week we visited )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (included fish pie or lamb chops, sweet and sour chicken or egg and chips. Evening )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (meal choices included scrambled eggs or ham salad, cheese and biscuits or cauliflower )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (cheese. Sunday lunch was a roast dinner, with a buffet for the evening meal.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Lunchtimes we observed during our visit were calm occasions, with staff making )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (themselves available discretely to assist people throughout the meal. Plated meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (looked appetising, with vegetable nicely cooked. Eating aids were provided, and a hot )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (trolley taken to upper floors for serving of meals to people not eating in the dining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (room. Most people seemed to be enjoying the food and confirmed this when we asked; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (where someone was not eating their meal, staff offered an alternative.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (We noted people were given plastic disposable aprons to protect their clothing, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (looked inappropriate. The manager told us she was awaiting delivery of less )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (institutional clothing protectors, although we discussed whether good quality cloth )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (napkins might be suitable also.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (There were fresh fruit and vegetable in the kitchen stores, including salad items, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (fruit juice, a variety of fruit squashes, and yogurts. Pureed meals were served )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (attractively, with individual components served separately on the plate. However, we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (found through our observations and conversations with staff that people needing such )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (a diet were given the same for lunch and tea, with the evening meal plated up at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (lunchtime. The manager said she would look into this.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People's complaints are heard and acted upon. They are generally kept safe and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (protected from harm. )Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (Most - but not all - surveys returned from people living at the home indicated that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (knew who to speak to if they were not happy, and knew how to make a formal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (complaint. The home's AQAA said they had received 9 complaints, all of which were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (upheld. We found action had been taken to address the concerns raised. When we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (spoke with someone who had raised concerns, their responses indicated that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (issues had been resolved. They, with others, told us staff 'do try to put things right'. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (The health professional who completed our survey also reflected this.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (We saw the Service User Guide was provided in each bedroom. This included the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (complaints policy and how people should give feedback if they felt the home was 'not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (achieving desirable and acceptable standards'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (One person living at the home commented, 'I am very happy, feel safe and am well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (looked after.' Staff had received training in safeguarding people. They demonstrated )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (good knowledge of what abuse is, and said they would report any allegations or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (suspicions to the manager, or external agencies if more appropriate.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm ()Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We saw people's valuables were listed on their admission to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (The use of bed-rails creates potential risks to individuals' welfare. This had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (considered, with risk assessments written, for some people we case-tracked. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (records showed a variety of outcomes, with decisions made that using them was not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the safest action for some individuals. Alternative strategies for reducing risks to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (person's wellbeing were then given.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (One person said that their call-bell was sometimes not available to them, because staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (left the bell near their weak arm rather than where they could use it. Staff we spoke )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (with were aware of the need to mindful of such a problem, but the manager said she )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (would address this matter further. We were told one person without a call-bell )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (available would not use it if it were provided. Their care plan did not specify how staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (were to ensure their comfort and safety when the individual could not summon help, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and staff gave different frequencies for checks they said they would make to see if the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (person was alright.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People benefit from accommodation that is safe and homely. It is being improved to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (make it safer and easier to access for those people who are disabled, although further )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (action is needed to ensure improvements are made in a timely way and it is hygienic. )Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (When asked what the home did well, comments on surveys from people who lived at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (the home included, 'I have my own room', 'Comfortable beds', 'Pleasant environment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (to move around with many different places to be seated inside & outside. Extensive )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (grounds for wheelchair use. Freedom of movement yet with plenty of attention from )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (staff.' Asked what could be improved, one person said, 'Make a more interesting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (garden.')Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (Where a carpet presented a tripping hazard on our last visit, we found this had been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (addressed. People told us they did not encounter any problems getting around the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (home, including those who used walking aids.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (The AQAA said the programme for re-decoration and re-carpeting in the home was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (ongoing, and we met two people who had had their bedrooms redecorated and )Tj ET /F2 12 Tf BT 1 0 0 1 518.51 119.26 Tm (re-)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (carpeted)Tj ET /F2 12 Tf BT 1 0 0 1 88.04 101.76 Tm ( recently. Most people we spoke with could tell us they were happy with their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (bedroom and its facilities.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We case-tracked one person because they had few visitors, and were cared for in their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (bed, being relatively frail. The carpet in and outside their room was heavily stained, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (with staff telling us that because the person was bed-bound this could not be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (addressed properly. The person had very little of interest to look at from their bed. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Activities Organiser described ways in which she had tried to improve the room, but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (had encountered difficulties finding something the person liked. She and the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (agreed to try further to address this matter, to improve the quality of this person's day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and environment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The home's lift had broken down 3 times since our last inspection, as one person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (raised with us during our visit. This was despite regular servicing, evidenced by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (engineers' reports we saw. The home is now considering installation of a chair lift to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (avoid inconveniencing people again.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The handyman usually worked at the home full time, and was on call at week-ends for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (emergencies. People said that minor repairs were attended to quickly. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (maintenance log we saw confirmed most repairs were carried out in 1-3 days.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (The home is a Grade II Listed Building, which affects some alterations. Some changes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (had been made, in response to people's diverse needs or their suggestions. )Tj ET /F2 12 Tf BT 1 0 0 1 495.14 429.18 Tm (Pre-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (admission)Tj ET /F2 12 Tf BT 1 0 0 1 93.54 411.68 Tm ( assessments we saw for people who had since moved into the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (included equipment, rails, etc. that were to be in place ready for their arrival.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The home had two level-access showers, as well as adapted baths for people with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (certain mobility problems. A comment in one survey was that the respondent would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (appreciate it if baths were available. The manager explained that the current baths did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (not accommodate people who needed hoisting. We spoke with one person who told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (they did not have a bath or shower, and didn't like having their hair washed in bed. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (The manager told us the home had recently obtained a specialist chair for use in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (shower, that would enable this person to have a shower. Other aids \(such as raised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (seats or surrounding frames\), to help people remain independent, were available. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (Whilst other shared areas looked homely, toilets and bathrooms tended to look more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (institutional and less welcoming.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The home had a number of communal areas for people to sit in. This included a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ('chapel', accessible for those wanting a quieter place to sit. On our last visit, someone )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (said they were not able to sit in one area any more, because seating had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (removed. On this visit, we found people sitting happily in the area again. New seating )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (had been provided around the home, to suit people needing differing heights of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (furniture to promote their independence and comfort. People we spoke with and our )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (observations confirmed they were able to use the seating available.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (There is level access to the gardens and grounds, which are usable by wheelchair )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (users, as we saw during our visit. People enjoyed the sunny weather by using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (paved areas of the garden, where seating was available, flowers were growing \(- some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (planted by people living at the home\), and shaded areas had been provided.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Staff surveys raised the point that there were no staff rooms at the home. During our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (visit, we observed the dining room for use by the people living at the home was used )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (by staff for their breaks. Some individuals looked uneasy at disturbing the staff as they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (walked through the area.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (When we carried out our Annual Service Review, servicing of gas appliances was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (overdue, but we were told this was being looked into. On this inspection we found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (kitchen appliances had been serviced since then, but not the gas boilers \(which were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (to be serviced the week after our visit\). Some portable electrical appliances had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (been tested in the last year. The manager confirmed this testing would be completed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (by early July 2009. We saw evidence that 5 hoists were serviced recently.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (The AQAA said a Home Services Manager visited the home on a weekly basis to review )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the housekeeping services. Surveys from people living at the home the home was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ('always' or 'usually' clean and fresh. A relative praised the home for their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (achievements in keeping one person's room clean and fresh. We too generally found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the home clean and without malodours when we arrived at a relatively early hour. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (Furniture had been moved for thorough cleaning. However, there was a slight odour )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (on entering the home, and one room remained very odorous, despite being aired all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (day. A lounge carpet was stained in places. A domestic staff member was still working )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (her way around the home in the mid-afternoon; a carpet cleaner was used during the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (day.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (The laundry had washing machines with programmes suitable to deal appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (with items, including soiled linen. It was orderly on the days of our visit, with a variety )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (of wash programmes used.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (Disposable gloves and aprons were distributed throughout the home for staff to use in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (preventing the spread of any infections. Staff we spoke with described appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (infection control practises also. However, we pointed out to the manager that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (AQAA said that of 31 staff, only 16 had had infection control training, and that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (infection control policy had not been reviewed since 2005.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (The home had sluicing facilities, but not all were mechanical so staff would have to )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 111.35 w 33.45 755.73 m 563.65 755.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 89.98 w 32.32 743.92 m 564.78 743.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 697.8 m 566.98 697.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (deal with some items by hand, which creates cross-infection risks. This is not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (appropriate in a care home for people with nursing needs. One sluice room had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (damaged tiling, which would affect the levels of cleanliness that could be achieved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (there. The kitchen walls and floor had been repaired as recommended at our last visit, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (which would help to maintain the hygiene of that area.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People living at the home are supported by sufficient numbers of suitable, caring staff. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (They will benefit further from ongoing staff training and support, which is being )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (developed so as to ensure people's needs are met and they are in safe hands at all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (times. )Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (Asked what the home did well, some people replied in their surveys, 'Staff are very )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (good', 'Staff very friendly', and 'All staff - from kitchen, cleaners, carers, sisters - )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (they're all angels.' One person living at the home told us they were good friends with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (the carers, and a visitor said staff were '100% caring'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (The great majority of surveys from people living at the home said staff were always or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (usually available when needed. Most staff thought staffing levels were sufficient except )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (when affected by sickness or holiday leave. Asked how the home could improve, one )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (person wanted action about staff who called in sick, and on our visit, we noted )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (sickness absences on work rotas. The manager was clear that this was being )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (addressed with individuals concerned.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (When we first arrived, there were 38 people living at the home, with just over half of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (them needing nursing care. Two Registered Nurses were on duty with 6 care assistants )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (to provide care and support for them. In the afternoon, the team was reduced by 1 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (care assistant, with another reduction to 4 carers at 5pm. Overnight, there was 1 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Registered Nurse with 3 carers.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The manager, also a nurse, was supernumerary to the care team. In addition there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (was a cook, a kitchen assistant, 2 cleaners and an administrator on duty. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (handyman was on holiday, so maintenance cover was provided from another of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (provider's homes. The AQAA indicated that there was relatively little use of agency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (People told us that, generally, staff were fairly punctual with meals, medications, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (assistance to get up or go to bed when they wanted, etc., although some said that call )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (bells were not always answered promptly. A visitor said staff always went to sit with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (people who lived at the home rather than just 'sitting around' together.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Someone living at the home had been charged the flat rate for a staff escort for an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (appointment that was unexpectedly short, feeling this was unfair. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (explained that the fee covered costs of an additional staff member to accompany )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (individuals, rather than sending staff who were rostered to work as part of the usual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (numbers.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Staff recruitment was ongoing. We checked the recruitment files of 3 staff members )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (recruited since our last inspection. Each contained an application form, written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (references and proof of identity, and timely police checks as is good practise to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (that appropriate people are recruited to work in the home. The registration status of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (nurses in this sample had been checked by the home with their registering body, with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (evidence kept to show they were permitted to work in the capacity of nurses.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (We saw that the staff induction programme was now based on a recognised induction )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (for care staff. The AQAA said that new staff are given the relevant code of conduct \(for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (social care staff\) in their first language.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (One comment made was 'The majority \(of staff\) are excellent, but English language a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (problem for other staff & patients.' A certificate displayed, given by a college of further )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (education in April 2009, evidenced that the home had taken steps to help staff from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (overseas to improve their English language skills. When we asked people at the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (about ease of communication with staff, one said that they came from another part of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (England and did not always understand staff from Devon.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Other comments on what the home could do better included 'Staff training, especially )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (the young and foreign staff' and 'Maybe more training in basic needs would ensure )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 408.78 w 33.45 607.01 m 563.65 607.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 387.41 w 32.32 595.2 m 564.78 595.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.37 m 566.98 400.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (quality care - not easy for staff under pressure,' which reflected our findings about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (aspects of personal care. Of 22 staff, 10 had a recognised care qualification, and 7 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (others were undertaking one. The home also employed a company to provide training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to staff who were not currently able to undertake a care qualification, which included )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (some of the staff from overseas. The health professional who completed our survey )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (said the staff usually had the right skills and experience to support people's needs and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (respond to their more diverse needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Staff had a limited understanding of the implications that the Mental Capacity Act 2005 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (had for their work and responsibilities, but further training on the subject was held )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (during our visit. We asked staff what a 'diabetic diet' meant, having read in someone's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (care plan that they required this. We got various responses, most of which were not in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (line with current guidance. One staff member said they had not had any training on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (diabetes and would find it helpful. Two people we case-tracked had sight problems, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and staff were knowledgeable about the support they consequently needed as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (The manager confirmed a group of staff were undertaking accredited long-distance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (learning on dementia, palliative care, and equality and diversity matters.The health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (professional we surveyed said they were 'Impressed by evidence of recent training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (taken up by the home aimed at improving understanding and care for individuals with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (cognitive deficits.' )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 377 m 563.65 377 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 114.98 w 32.32 365.75 m 564.78 365.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.14 m 566.98 307.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (People benefit from living in a well managed home which is striving to improve )Tj ET /F2 12 Tf BT 1 0 0 1 517.37 351.19 Tm (person-)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (centred)Tj ET /F2 12 Tf BT 1 0 0 1 80.95 333.69 Tm ( care and which is working hard to make sure it is run in their best interests. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (People's health and safety is not protected robustly.)Tj ET 0.99608 0.9451 0.76078 RG 213.04 w 33.45 174.74 m 563.65 174.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.27 m 565.9 272.27 l S 0.001 w 191.67 w 32.32 162.93 m 564.78 162.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.89 m 566.98 259.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.89 m 565.9 259.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 268.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (Mrs Paula Burtoft was registered as the home's manager in May 2007, having )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (previously worked as a Registered Nurse in hospital settings. Comments made in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (surveys we received from people living at the home included, 'The leadership through )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (Paula creates a very pleasant efficient working atmosphere,' and from staff surveys, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm ('Over the past few years it \(ie the home\) has improved.' Positive comments about the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (management of the home were also made to us by people we spoke with, and we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (found action had been taken to address issues raised at our last inspection. Staff felt )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (well supported. They and other people we spoke with said the manager - and senior )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (staff in general - were very approachable.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (There was no-one living at the home who was subject to a deprivation of liberty )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (authorisation, and we did not find that anyone was having their liberty deprived )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (without an authorisation. The home's AQAA included that they needed to do more in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (relation to this relatively new legislation. However, there was no guidance available for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (staff that staff were aware of, to ensure the the requirements of the Mental Capacity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Act 2005 will be met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (When we carried out the Annual Service Review, we noted that some policies had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (been reviewed for three or more years but were told by the manager that these were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (currently being re-drafted. On this inspection, we found that this has still not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (A notice on display informed about a forthcoming relatives' meeting. Minutes for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (last residents' meeting showed topics discussed included meals, decor, staffing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (matters, individual care, activities, and a request that home-made cakes be provided )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (with the mid-afternoon tea again. People confirmed that action was taken to address )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (suggestions or other comments made at such meetings.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We were shown the home's quality assurance plan, which included regular meetings or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (reviews concerning catering services and activities provided by the home, as well as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (making provision for subsequent action plans.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (The AQAA informed us that the home had begun surveys specifically for new residents, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (carried out after they had been at the home for 14 days. This, as we saw, included a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (comment cards about their pre- and post-admission experiences.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (The manager told us that the annual survey had just been sent out by the company's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (head office to people living at the home and their relatives, with surveys sent out late )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (last year to the home's staff and visiting professionals. We saw these surveys asked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (people about cleanliness, decor, activities, the laundry, staff meals, and the home's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (response to any concerns, among other things. We found where people had raised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (matters they felt could be improved, action had already been taken about some of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (these, addressing the issue.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (We checked the personal monies records of 3 people for whom the home kept monies )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (on their behalf. Good records were kept, along with receipts, with transactions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (witnessed and verified by 2 signatories. This ensured that these accounts were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (auditable and monies accounted for. The manager confirmed that no employees of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (company acted as appointee for anyone living at the home. We also saw people had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (been notified in writing, in advance, of changes to care fees and the extras they could )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (be charged for.)Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We saw records of regular maintenance or safety checks for bed-rails, hot water )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (temperatures, window restrictors, and fire equipment. The manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (thermostatic valves were being fitted to sinks, to control risks from very hot water. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Risk assessments had been written meanwhile for people who were considered at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (particular risk from very hot water. We have discussed elsewhere issues relating to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (overdue servicing of some gas appliances.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (We discussed that other environmental risk assessments also needed to consider all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (individuals likely to put themselves at risk, and not just the environment alone. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Window restrictors were in place where we checked. Kitchen fridge and freezer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (temperatures had been recorded weekly, and showed food was stored at within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (recommended ranges. An inspection of catering facilities, in the last year, by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Environmental Health staff stated no further action was required by the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The home had to undertake some work by mid August 2009, following a visit by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (local fire service. The manager told us that fire drills had since been carried out for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (night staff that had met the required timescale, and other action had been taken to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (improve fire safety at the home. However, when we spoke with staff about procedures )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (in the event of the fire alarms sounding, they all gave different responses. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (manager said she would speak to the home's fire safety trainer to address this matter )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (urgently, and also to address training for a very small number of staff who had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (attended recent fire safety updates as required by the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (A form had just been devised to record the support each individual living at the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (might need in an emergency such as a fire - information needed to also inform the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (home's fire risk assessment. The manager confirmed this information was in place for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (everyone living at the home by the second day of our visit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Several staff had undertaken first aid courses, meaning that it was likely that an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (appropriately trained person would be on duty every shift. However, there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (system at present for ensuring this was the case, which the manager said she would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (address.)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)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 1 546.75 783.16 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 358.92 w 31.2 435.09 m 91.05 435.09 l S 0.001 w 358.92 w 93.3 435.09 m 197.4 435.09 l S 0.001 w 358.92 w 199.65 435.09 m 289.45 435.09 l S 0.001 w 358.92 w 291.7 435.09 m 473.8 435.09 l S 0.001 w 358.92 w 476.05 435.09 m 566.1 435.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 253.43 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 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 254.5 m 568.3 254.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 253.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 253.43 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (13 \(2\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (To ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (receive their medicines )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (safely:)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (All creams prescribed for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (people must be signed as )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.01 Tm (being applied by the person )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.43 Tm (who did this.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.27 Tm (A record should be kept of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.69 Tm (the use by date of all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 439.11 Tm (medications with a limited )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 424.53 Tm (shelf life, so that they are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 409.95 Tm (not used beyond this date.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 395.37 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 380.79 Tm (All medications in the home )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 366.21 Tm (that are no longer used \(e.g. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 351.63 Tm (because the person for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 337.05 Tm (whom they were prescribed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 322.47 Tm (has died\) must not be kept in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 307.89 Tm (the home for any longer than )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 293.31 Tm (necessary.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 278.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 261.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (31/08/2007)Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 459 w 31.2 320.13 m 91.05 320.13 l S 0.001 w 459 w 93.3 320.13 m 197.4 320.13 l S 0.001 w 459 w 199.65 320.13 m 289.45 320.13 l S 0.001 w 459 w 291.7 320.13 m 473.8 320.13 l S 0.001 w 459 w 476.05 320.13 m 566.1 320.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 290.62 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.39 m 475.02 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.3 m 568.4 652.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.3 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 89.51 m 568.3 89.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.38 m 30.07 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.84 m 92.17 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.39 m 198.52 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.84 m 290.57 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.84 m 474.92 88.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.38 m 567.32 88.43 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 639.11 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 619.11 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (You must have effective )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (arrangements for the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (administration and safe )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (storage of medication, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (especially:)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (All topical creams & other )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (preparations prescribed for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (people must be signed for, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm (to evidence they have been )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (given and who applied )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (them;)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 316.57 Tm (Systems that ensure )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 299.57 Tm (medication with a limited )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 282.57 Tm (shelf-life once opened is not )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 265.57 Tm (used after the 'use by' )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 248.57 Tm (period or date)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 231.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 214.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 197.57 Tm (To ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 180.57 Tm (receive their medicines )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 163.57 Tm (safely.)Tj ET 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281.13 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 281.13 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 281.13 Tm (It is recommended that bathing facilities are improved so )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 266.55 Tm (that people with a range of disabilities, as likely to be found )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 251.97 Tm (in a care home registered to provide nursing care, can have )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 237.39 Tm (a bath if they wish. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 214.56 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 214.56 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214.56 Tm (You should continue to work toward ensuring that 50% of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 199.98 Tm (care staff hold a National Vocational Qualification \(NVQ\) in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 185.4 Tm (care to level 2 or above to ensure that the people who live )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.82 Tm (here will have their needs met safely at all times. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 147.99 Tm (7)Tj ET 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Tf BT 1 0 0 1 202.5 763.06 Tm (It is recommended that the home is kept clean \(including )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 748.48 Tm (where staining of carpets is evident\), and free from )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 733.9 Tm (offensive odours, throughout the building.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 711.07 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 711.07 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 711.07 Tm (It is recommended that the home has policies that are)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 696.49 Tm (a\) Regularly reviewed in the light of changing legislation )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 681.91 Tm (and good practise guidance \(as noted in Standard 33.9\); )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 667.33 Tm (and)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 652.75 Tm (b\) Provided for staff to ensure that the requirements of the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 638.17 Tm (Mental Capacity Act 2005 will be fully met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 615.34 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 615.34 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 615.34 Tm (It is recommended that servicing of all gas appliances is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 600.76 Tm (done in a timely manner.)Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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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 93 0 obj<> endobj 94 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 95 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 5 0 obj<> endobj 96 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 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187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 101 0 obj<> endobj 102 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 103 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 80 0 obj<> endobj 104 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ 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 $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 105 0 obj<> endobj 9 0 obj<> endobj 106 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 107 0 obj<> endobj 108 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 109 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 110 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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172.55 l S 473.02 197.54 m 473.02 172.55 l S 504.32 197.54 m 504.32 172.55 l S 535.67 197.54 m 535.67 172.55 l S 567.02 220.37 m 567.02 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Rachel Fleet)Tj 1 0 0 1 329.63 180.28 Tm (2)Tj 1 0 0 1 360.95 180.28 Tm (6)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.61 180.28 Tm (6)Tj 1 0 0 1 454.95 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.6 180.28 Tm (0)Tj 1 0 0 1 548.96 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35 161.38 Tm <0003>Tj 1 0 0 1 28.35 144.38 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.64 127.38 Tm <0003>Tj 1 0 0 1 297.64 115.31 Tm <0003>Tj 1 0 0 1 297.64 103.24 Tm <0003>Tj ET endstream endobj 141 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.64 803.65 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35 717.04 Tm (experience.)Tj 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.15 653.87 l S 22.69 320.23 m 572.15 320.23 l S 22.7 653.87 m 22.7 320.23 l S 572.15 653.87 m 572.15 320.23 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.945 0.761 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.992 0.898 0.545 RG 2.25 w 27.27 534.5 m 565.77 534.5 l S 27.27 576.74 m 565.77 576.74 l S 27.27 534.5 m 565.77 534.5 l S 27.27 492.26 m 565.77 492.26 l S 28.35 577.82 m 28.35 491.18 l S 564.7 577.82 m 564.7 491.18 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.945 0.761 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 1 1 1 RG 29.47 394.47 m 563.57 394.47 l S 0.992 0.898 0.545 RG 2.25 w 27.27 415.59 m 565.77 415.59 l S 27.27 373.35 m 565.77 373.35 l S 28.35 416.67 m 28.35 372.27 l S 564.7 416.67 m 564.7 372.27 l S BT /T1_0 12 Tf 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.79 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.945 0.761 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 1 1 1 RG 29.47 335.11 m 563.57 335.11 l S 0.992 0.898 0.545 RG 2.25 w 27.27 347.48 m 565.77 347.48 l S 27.27 322.73 m 565.77 322.73 l S 28.35 348.55 m 28.35 321.65 l S 564.7 348.55 m 564.7 321.65 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj 1 0 0 1 290.49 285.18 Tm (\226 )Tj 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj 1 0 0 1 477.18 285.18 Tm ( can be found )Tj 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 142 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.996 0.945 0.761 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 1 1 1 RG 226.3 774.22 m 567 774.22 l S 0.996 0.945 0.761 RG 28.35 751.39 m 224.05 751.39 l S 1 1 1 RG 226.3 751.39 m 567 751.39 l S 0.996 0.945 0.761 RG 28.35 728.56 m 224.05 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.996 0.945 0.761 RG 28.35 705.73 m 224.05 705.73 l S 1 1 1 RG 226.3 705.73 m 567 705.73 l S 0.996 0.945 0.761 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 1 1 1 RG 226.3 617.29 m 567 617.29 l S 0.996 0.945 0.761 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 1 1 1 RG 226.3 528.85 m 567 528.85 l S 0.992 0.898 0.545 RG 2.25 w 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 785.63 m 569.2 785.63 l S 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 517.43 m 569.2 517.43 l S 27.22 786.71 m 27.22 516.35 l S 225.17 786.71 m 225.17 516.35 l S 568.12 786.71 m 568.12 516.35 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.15 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.79 Tm (Audience)Tj 1 0 0 1 229.15 723.79 Tm (General public)Tj 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.15 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.49 678.13 Tm (2009)Tj 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.15 546.91 Tm (document specified.)Tj 1 0 0 1 31.2 524.08 Tm (Internet address)Tj 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 143 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm 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567.85 669.65 l S 28.99 646.82 m 567.85 646.82 l S 28.99 623.99 m 567.85 623.99 l S 28.99 601.16 m 567.85 601.16 l S 28.99 578.33 m 567.85 578.33 l S 30.07 786.71 m 30.07 577.26 l S 269.07 786.71 m 269.07 577.26 l S 566.77 786.71 m 566.77 577.26 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj 1 0 0 1 273.05 769.45 Tm (Knappe Cross Care Centre)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.05 746.62 Tm (Brixington Lane)Tj 1 0 0 1 273.05 729.04 Tm (Knappe Cross Care Centre )Tj 1 0 0 1 273.05 711.46 Tm (Exmouth)Tj 1 0 0 1 273.05 693.88 Tm (Devon)Tj 1 0 0 1 273.05 676.3 Tm (EX8 5DL)Tj 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj 1 0 0 1 273.05 653.47 Tm (01395263643)Tj 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj 1 0 0 1 273.05 630.64 Tm (01395223648)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.05 607.81 Tm (knappcross@onetel.com)Tj 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 1 1 1 RG 355.5 546.54 m 565.9 546.54 l S 0.996 0.945 0.761 RG 31.2 523.71 m 353.25 523.71 l S 1 1 1 RG 355.5 523.71 m 565.9 523.71 l S 0.996 0.945 0.761 RG 31.2 500.88 m 353.25 500.88 l S 1 1 1 RG 355.5 500.88 m 565.9 500.88 l S 0.992 0.898 0.545 RG 2.25 w 28.99 535.13 m 568.1 535.13 l S 28.99 512.3 m 568.1 512.3 l S 28.99 557.96 m 568.1 557.96 l S 28.99 535.13 m 568.1 535.13 l S 28.99 512.3 m 568.1 512.3 l S 28.99 489.47 m 568.1 489.47 l S 30.07 559.03 m 30.07 488.39 l S 354.37 559.03 m 354.37 488.39 l S 567.02 559.03 m 567.02 488.39 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35 541.77 Tm (Ashdown Care Limited)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj 1 0 0 1 358.35 496.11 Tm (42)Tj /T1_0 10 Tf 1 0 0 1 28.35 477.17 Tm (\240)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 41.16 w 31.2 424.56 m 297.2 424.56 l S 20.58 w 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339.24 l S 28.99 316.41 m 568.1 316.41 l S 28.99 249.84 m 568.1 249.84 l S 30.07 400.55 m 30.07 248.76 l S 298.42 400.55 m 298.42 360.99 l S 432.57 400.55 m 432.57 360.99 l S 566.72 400.55 m 566.72 248.76 l S BT /T1_0 12 Tf 1 0 0 1 34.05 383.29 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 368.71 Tm (category)Tj 1 0 0 1 302.4 383.29 Tm (0)Tj 1 0 0 1 436.55 383.29 Tm (42)Tj 1 0 0 1 34.05 345.88 Tm (Additional conditions: )Tj 1 0 0 1 34.05 323.05 Tm (The maximum number of service users who can be accommodated is 42. )Tj 1 0 0 1 34.05 300.22 Tm (The registered person may provide the following category of service only\ : Care home )Tj 1 0 0 1 34.05 285.64 Tm (only with Nursing - Code N to service users of either gender whose prima\ ry care needs )Tj 1 0 0 1 34.05 271.06 Tm (on admission to the home are within the following category: Old age, not\ falling within )Tj 1 0 0 1 34.05 256.48 Tm (any other category \(Code OP\) )Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 235.05 m 315.25 235.05 l S 1 1 1 RG 317.5 235.05 m 346.55 235.05 l S 348.8 235.05 m 377.9 235.05 l S 380.15 235.05 m 409.2 235.05 l S 411.45 235.05 m 440.55 235.05 l S 442.8 235.05 m 471.9 235.05 l S 474.15 235.05 m 503.2 235.05 l S 505.45 235.05 m 534.55 235.05 l S 536.8 235.05 m 565.9 235.05 l S 0.992 0.898 0.545 RG 2.25 w 28.99 246.46 m 568.1 246.46 l S 28.99 223.63 m 568.1 223.63 l S 30.07 247.54 m 30.07 222.55 l S 316.37 247.54 m 316.37 222.55 l S 347.67 247.54 m 347.67 222.55 l S 379.02 247.54 m 379.02 222.55 l S 410.32 247.54 m 410.32 222.55 l S 441.67 247.54 m 441.67 222.55 l S 473.02 247.54 m 473.02 222.55 l S 504.32 247.54 m 504.32 222.55 l S 535.67 247.54 m 535.67 222.55 l S 567.02 247.54 m 567.02 222.55 l S BT /T1_0 12 Tf 1 0 0 1 34.05 230.28 Tm (\240Date of last inspection)Tj ET 0.996 0.945 0.761 RG 17 w 31.2 211.76 m 565.9 211.76 l S 0.992 0.898 0.545 RG 2.25 w 28.99 202.13 m 568.1 202.13 l S 30.07 203.21 m 30.07 39.15 l S 567.02 203.21 m 567.02 39.15 l S 28.99 221.38 m 568.1 221.38 l S 28.99 202.13 m 568.1 202.13 l S 28.99 40.22 m 568.1 40.22 l S 30.07 222.46 m 30.07 201.05 l S 567.02 222.46 m 567.02 201.05 l S BT /T1_0 12 Tf 1 0 0 1 35.5 208.2 Tm (Brief description of the )Tj 1 0 0 1 177.31 208.2 Tm (care home)Tj 1 0 0 1 35.5 188.95 Tm (Knappe Cross is a 42-bed care home for older people with nursing needs. \ Thus )Tj 1 0 0 1 35.5 171.95 Tm (Registered Nurses are part of the care team, throughout the day and nigh\ t. In a )Tj 1 0 0 1 525.71 171.95 Tm (semi-)Tj 1 0 0 1 35.5 154.95 Tm (rural)Tj 1 0 0 1 63.84 154.95 Tm ( area of Exmouth, the house is a 3-storey Grade 2 listed building, which\ has been )Tj 1 0 0 1 35.5 137.95 Tm (extended to include a large 2-storey annexe. It is situated in its own g\ rounds, with )Tj 1 0 0 1 35.5 120.95 Tm (gardens, patio areas, ample parking and some views to the sea. The home \ has several )Tj 1 0 0 1 35.5 103.95 Tm (lounges and sitting areas, a dining room and a 'function room'. Two smal\ l passenger )Tj 1 0 0 1 35.5 86.95 Tm (lifts link the floors, one in the main building and one in the extension\ . The home is also )Tj 1 0 0 1 35.5 69.95 Tm (currently considering the installation of a stairlift. There are 34 sing\ le bedrooms and 4 )Tj 1 0 0 1 35.5 52.95 Tm (double bedrooms. All but two of the rooms have ensuite facilities. Infor\ mation about )Tj ET endstream endobj 144 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.996 0.945 0.761 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.992 0.898 0.545 RG 2.25 w 28.99 794.4 m 568.1 794.4 l S 30.07 795.48 m 30.07 689.08 l S 567.02 795.48 m 567.02 689.08 l S 28.99 813.65 m 568.1 813.65 l S 28.99 794.4 m 568.1 794.4 l S 28.99 690.15 m 568.1 690.15 l S 30.07 814.73 m 30.07 793.33 l S 567.02 814.73 m 567.02 793.33 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.47 Tm (care home)Tj 1 0 0 1 33.25 783.47 Tm (this service, including our previous reports, is available from the home\ by contacting )Tj 1 0 0 1 33.25 766.47 Tm (them directly. The fees range from 330-750 pounds per week, depending on\ the )Tj 1 0 0 1 33.25 749.47 Tm (individual's needs, whether they are privately funded or funded through \ Social )Tj 1 0 0 1 33.25 732.47 Tm (Services, and the room size. There are additional charges for transport,\ some social )Tj 1 0 0 1 33.25 715.47 Tm (activities, a staff escort if required for health appointments away from\ the home \(20 )Tj 1 0 0 1 33.25 698.47 Tm (pounds\), and for personal items such as toiletries and newspapers. )Tj 1 0 0 1 28.35 678.09 Tm (\240)Tj 1 0 0 1 28.35 661.09 Tm (\240)Tj ET endstream endobj 145 0 obj<>stream 0.984 0.788 0.086 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35 55.27 m 568.35 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.27 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (37)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35 786.6 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35 761.65 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 1 1 1 RG 383.3 720.22 m 566.2 720.22 l S 0.992 0.898 0.545 RG 2.25 w 28.99 731.64 m 568.4 731.64 l S 28.99 708.81 m 568.4 708.81 l S 30.07 732.71 m 30.07 707.73 l S 382.17 732.71 m 382.17 707.73 l S 567.32 732.71 m 567.32 707.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45 Tm (care home)Tj 1 0 0 1 255.59 715.45 Tm ( is:)Tj 1 0 0 1 411.34 715.45 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.27 Tm (Environment)Tj 1 0 0 1 251.17 406.02 Tm (Staffing)Tj 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3200073 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.992 0.898 0.545 RG 2.25 w 31.2 237.66 m 567.85 237.66 l S 30.12 237.66 m 568.92 237.66 l S 30.12 64.02 m 568.92 64.02 l S 31.2 238.74 m 31.2 62.94 l S 567.85 238.74 m 567.85 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (Our last key inspection of the home was on 2 July 2007, and we carried o\ ut an Annual )Tj 1 0 0 1 35.17 206.9 Tm (Service Review on 17 July 2008.)Tj 1 0 0 1 35.17 192.32 Tm (\240)Tj 1 0 0 1 35.17 177.74 Tm (This key inspection took place as part of our normal programme of inspec\ tion. Our )Tj 1 0 0 1 35.17 163.15 Tm (unannounced visit to the home was carried out in thirteen hours over two\ week days.)Tj 1 0 0 1 35.17 148.57 Tm (\240)Tj 1 0 0 1 35.17 133.99 Tm (Prior to our visit we sent surveys out, asking people about the home. Of\ 22 surveys )Tj 1 0 0 1 35.17 119.42 Tm (sent to people who lived at the home, 14 were returned - most were compl\ eted by the )Tj 1 0 0 1 35.17 104.83 Tm (individual or with help from their family;1 asked to speak to us. Of 22 \ surveys sent to )Tj 1 0 0 1 35.17 90.25 Tm (staff, 11 were returned. Of 10 surveys sent to health and social care pr\ ofessionals who )Tj 1 0 0 1 35.17 75.68 Tm (support people living at the home, 1 was returned. Feedback from these s\ urveys is )Tj ET endstream endobj 146 0 obj<>stream 1 1 1 RG 1 i 352.92 w 10 M 0 j 0 J []0 d 32.32 636.07 m 566.72 636.07 l S 0.992 0.898 0.545 RG 2.25 w 30.12 813.65 m 568.92 813.65 l S 30.12 458.48 m 568.92 458.48 l S 31.2 814.73 m 31.2 457.41 l S 567.85 814.73 m 567.85 457.41 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.72 Tm (included in this report. Other information given to us throughout the ye\ ar has also )Tj 1 0 0 1 32.92 788.14 Tm (been taken into account.)Tj 1 0 0 1 32.92 773.56 Tm (\240)Tj 1 0 0 1 32.92 758.98 Tm (Paula Burtoft, the home's registered manager, had completed a questionna\ ire \(the )Tj 1 0 0 1 32.92 744.4 Tm (Annual Quality Assurance Assessment, or 'AQAA'\) before we visited, incl\ uding the )Tj 1 0 0 1 32.92 729.82 Tm (home's assessment of what they do well and how they plan to improve furt\ her, as well )Tj 1 0 0 1 32.92 715.24 Tm (as general information about the people living there, the staff and the \ facilities.)Tj 1 0 0 1 32.92 700.66 Tm (\240)Tj 1 0 0 1 32.92 686.08 Tm (During our time at the home, we looked closely at the care and services \ offered to 4 )Tj 1 0 0 1 32.92 671.5 Tm (people as a way of judging the standard of care and services generally. \ They included )Tj 1 0 0 1 32.92 656.92 Tm (people new to the home, people cared for in bed because of physical frai\ lty, people )Tj 1 0 0 1 32.92 642.34 Tm (without support from family or friends, and people with mental health ne\ eds. Where )Tj 1 0 0 1 32.92 627.76 Tm (possible we spoke with these people in depth. We looked at their care as\ sessments and )Tj 1 0 0 1 32.92 613.18 Tm (care plans, and spoke with staff about their knowledge and understanding\ of the plans. )Tj 1 0 0 1 32.92 598.6 Tm (We looked at their bedrooms and we looked at the overall environment fro\ m their )Tj 1 0 0 1 32.92 584.02 Tm (perspective.)Tj 1 0 0 1 32.92 569.44 Tm (\240)Tj 1 0 0 1 32.92 554.86 Tm (We met at least 10 people who lived at the home and a visitor, all but o\ ne being able )Tj 1 0 0 1 32.92 540.28 Tm (to give us their views. We also spoke with 5 care or ancillary staff, an\ d the manager. )Tj 1 0 0 1 32.92 525.7 Tm (We looked around the building, and read other records including medicati\ on, staffing, )Tj 1 0 0 1 32.92 511.12 Tm (accident and incident reports, training, fire safety and recruitment.)Tj 1 0 0 1 32.92 496.54 Tm (\240)Tj 1 0 0 1 32.92 481.96 Tm (We ended our visit by discussing our findings with Paula Burtoft, who as\ sisted us fully )Tj 1 0 0 1 32.92 467.38 Tm (during our time at the home.)Tj ET endstream endobj 147 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 326.76 w 32.32 627.44 m 566.72 627.44 l S 20.58 w 32.7 451.52 m 569.35 451.52 l S 283.02 w 33.82 297.47 m 568.22 297.47 l S 20.58 w 33.45 143.42 m 570.1 143.42 l S 39.91 w 34.57 110.93 m 568.97 110.93 l S 0.992 0.898 0.545 RG 2.25 w 31.2 791.95 m 567.85 791.95 l S 30.12 791.95 m 568.92 791.95 l S 30.12 462.94 m 568.92 462.94 l S 31.2 793.03 m 31.2 461.86 l S 31.2 462.94 m 569.35 462.94 l S 32.7 440.11 m 569.35 440.11 l S 31.62 440.11 m 570.42 440.11 l S 31.62 154.84 m 570.42 154.84 l S 33.45 132.01 m 570.1 132.01 l S 33.45 154.84 m 570.1 154.84 l S 32.37 132.01 m 571.17 132.01 l S 32.37 89.85 m 571.17 89.85 l S 32.7 441.19 m 32.7 153.76 l S 33.45 133.09 m 33.45 88.77 l S 567.85 793.03 m 567.85 461.86 l S 569.35 441.19 m 569.35 153.76 l S 570.1 133.09 m 570.1 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.59 Tm (What the )Tj 1 0 0 1 90.52 798.59 Tm (care home)Tj 1 0 0 1 154.2 798.59 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.85 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76 Tm (Asked what the service does well, comments from people who live at the h\ ome ranged )Tj 1 0 0 1 35.17 761.18 Tm (from 'Meals and cleaning' to 'Entertainments and activities'.)Tj 1 0 0 1 35.17 746.6 Tm (\240)Tj 1 0 0 1 35.17 732.02 Tm (We found prospective residents can get good information about the home, \ to help )Tj 1 0 0 1 35.17 717.44 Tm (them make an informed decision when choosing where to live. Their needs \ are )Tj 1 0 0 1 35.17 702.86 Tm (assessed well, to ensure that the home can support and care for them app\ ropriately if )Tj 1 0 0 1 35.17 688.28 Tm (they move in.)Tj 1 0 0 1 35.17 673.7 Tm (\240)Tj 1 0 0 1 35.17 659.12 Tm (People's healthcare and personal care needs are met through increasingly\ )Tj 1 0 0 1 486.9 659.12 Tm (person-)Tj 1 0 0 1 35.17 644.54 Tm (centred)Tj 1 0 0 1 80.65 644.54 Tm ( care planning and management, by sufficient numbers of suitable and car\ ing )Tj 1 0 0 1 35.17 629.96 Tm (staff, who respect peoples' privacy and dignity.)Tj 1 0 0 1 35.17 615.38 Tm (\240)Tj 1 0 0 1 35.17 600.8 Tm (Most people living at the home benefit from varied and interesting daily\ lives, which )Tj 1 0 0 1 35.17 586.22 Tm (are enhanced by continued links with the community around the home, incl\ uding their )Tj 1 0 0 1 35.17 571.64 Tm (friends and families.)Tj 1 0 0 1 35.17 557.06 Tm (\240)Tj 1 0 0 1 35.17 542.48 Tm (The accommodation is homely, and being improved to make it safer and eas\ ier to )Tj 1 0 0 1 35.17 527.9 Tm (access for those people who are disabled.)Tj 1 0 0 1 35.17 513.32 Tm (\240)Tj 1 0 0 1 35.17 498.74 Tm (The home is well managed, and working hard to make sure it is run in the\ best )Tj 1 0 0 1 35.17 484.16 Tm (interests of those who live there. People's complaints are heard and act\ ed upon. Those )Tj 1 0 0 1 35.17 469.58 Tm (living at the home are generally kept safe and protected from harm. )Tj /T1_0 10 Tf 1 0 0 1 568.97 625.89 Tm (\240)Tj 1 0 0 1 31.2 449.41 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 446.75 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.35 449.97 Tm (\240)Tj 1 0 0 1 31.2 295.92 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 423.92 Tm (Care plans written for each person at the home increasingly show how the\ ir health and )Tj 1 0 0 1 36.67 409.34 Tm (welfare needs are to be met in an individualised way, including those fo\ r people with )Tj 1 0 0 1 36.67 394.76 Tm (mental health needs and communication needs. Staff are receiving trainin\ g that helps )Tj 1 0 0 1 36.67 380.18 Tm (them to care for people with certain conditions, and there are enough st\ aff on duty to )Tj 1 0 0 1 36.67 365.6 Tm (ensure that the people who live here can have their needs met.)Tj 1 0 0 1 36.67 351.02 Tm (\240)Tj 1 0 0 1 36.67 336.44 Tm (Medications that are no longer used are not kept in the home for any lon\ ger than )Tj 1 0 0 1 36.67 321.86 Tm (necessary.)Tj 1 0 0 1 36.67 307.28 Tm (\240)Tj 1 0 0 1 36.67 292.7 Tm (People are now supported to continue with the faith of their choice and \ to attend )Tj 1 0 0 1 36.67 278.12 Tm (religious services of their choice.)Tj 1 0 0 1 36.67 263.54 Tm (\240)Tj 1 0 0 1 36.67 248.96 Tm (People with mobility problems have appropriate seating, in the areas of \ the home that )Tj 1 0 0 1 36.67 234.38 Tm (they use. Certain environmental hazards have been addressed so that peop\ le can )Tj 1 0 0 1 36.67 219.8 Tm (move safely around the home.)Tj 1 0 0 1 36.67 205.22 Tm (\240)Tj 1 0 0 1 36.67 190.64 Tm (Areas of the kitchen have been cleaned or repaired, ensuring that it is \ a safe )Tj 1 0 0 1 36.67 176.06 Tm (environment for food preparation. Fridges work properly, so food is stor\ ed at )Tj 1 0 0 1 36.67 161.48 Tm (appropriate, safe temperatures.)Tj /T1_0 10 Tf 1 0 0 1 570.47 295.92 Tm (\240)Tj 1 0 0 1 31.2 141.87 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 138.65 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 109.38 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 115.82 Tm (Greater attention to aspects of personal care will ensure people's digni\ ty is upheld at )Tj 1 0 0 1 37.42 101.24 Tm (all times, with regard for nail-care, cleanliness of people's spectacles\ , etc.)Tj ET endstream endobj 148 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 1 1 1 RG 425.82 w 34.57 599.62 m 568.97 599.62 l S 0.992 0.898 0.545 RG 2.25 w 32.37 813.65 m 571.17 813.65 l S 32.37 385.58 m 571.17 385.58 l S 33.45 814.73 m 33.45 384.51 l S 570.1 814.73 m 570.1 384.51 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.72 Tm (\240)Tj 1 0 0 1 35.17 788.14 Tm (People enjoy an appealing and nutritious diet, although the variety of m\ eals offered to )Tj 1 0 0 1 35.17 773.56 Tm (people with certain dietary needs should be improved so that they do not\ get the same )Tj 1 0 0 1 35.17 758.98 Tm (meal twice in one day.)Tj 1 0 0 1 35.17 744.4 Tm (\240)Tj 1 0 0 1 35.17 729.82 Tm (Through more effective arrangements for the administration and safe stor\ age of )Tj 1 0 0 1 35.17 715.24 Tm (medication, people would receive all medicines they are prescribed, with\ out risks to )Tj 1 0 0 1 35.17 700.66 Tm (their wellbeing. Our previous timescale, of 31/08/07, for addressing suc\ h matters has )Tj 1 0 0 1 35.17 686.08 Tm (not been fully met.)Tj 1 0 0 1 35.17 671.5 Tm (\240)Tj 1 0 0 1 35.17 656.92 Tm (Continued development of opportunities for leisure and recreational acti\ vities, )Tj 1 0 0 1 35.17 642.34 Tm (especially where people are not able to initiate or control their social\ lives as much as )Tj 1 0 0 1 35.17 627.76 Tm (others, would improve the quality of these individuals' lives.)Tj 1 0 0 1 35.17 613.18 Tm (\240)Tj 1 0 0 1 35.17 598.6 Tm (When asked what the service could do better, one person said, 'Answer ca\ ll bells.' We )Tj 1 0 0 1 35.17 584.02 Tm (found that various procedures for ensuring people get timely attention s\ hould be )Tj 1 0 0 1 35.17 569.44 Tm (strengthened, whether they have a callbell or not.)Tj 1 0 0 1 35.17 554.86 Tm (\240)Tj 1 0 0 1 35.17 540.28 Tm (Much has been done to improve the environment, but more needs to be done\ to )Tj 1 0 0 1 35.17 525.7 Tm (ensure the home is kept hygienic and pleasant throughout, and so that mo\ re people )Tj 1 0 0 1 35.17 511.12 Tm (\(with a range of disabilities\) can have a bath if they wish. Servicing\ of all gas )Tj 1 0 0 1 35.17 496.54 Tm (appliances should also be done in a more timely manner.)Tj 1 0 0 1 35.17 481.96 Tm (\240)Tj 1 0 0 1 35.17 467.38 Tm (Staff training needs to be further developed, evaluated, and accredited \ in some cases, )Tj 1 0 0 1 35.17 452.8 Tm (so as to ensure people's individual needs are met and they are in safe h\ ands at all )Tj 1 0 0 1 35.17 438.22 Tm (times, as well as to ensure the health and safety of everyone at the hom\ e.)Tj 1 0 0 1 35.17 423.64 Tm (\240)Tj 1 0 0 1 35.17 409.06 Tm (The home's policies should be regularly reviewed, with additional polici\ es produced that )Tj 1 0 0 1 35.17 394.48 Tm (ensure the requirements of the Mental Capacity Act 2005 will be fully me\ t.)Tj 1 0 0 1 28.35 371.02 Tm (\240)Tj 1 0 0 1 28.35 351.03 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 351.03 Tm (care home)Tj 1 0 0 1 480.04 351.03 Tm ( is taking )Tj 1 0 0 1 28.35 333.53 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35 313.54 Tm (\240)Tj 1 0 0 1 28.35 293.54 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85 293.54 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 293.54 Tm (You can get )Tj 1 0 0 1 28.35 276.04 Tm (printed copies from )Tj 1 0 0 1 149.87 276.04 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.4 276.04 Tm (0870 240 )Tj 1 0 0 1 28.35 258.55 Tm (7535.)Tj ET endstream endobj 149 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.984 0.788 0.086 RG 26 w 32.32 746.27 m 562.53 746.27 l S 0.992 0.898 0.545 RG 2.25 w 28.99 761.52 m 565.85 761.52 l S 28.99 733.27 m 565.85 733.27 l S 30.07 762.6 m 30.07 732.19 l S 564.78 762.6 m 564.78 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.39 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 695.96 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35 678.02 m 566.93 678.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 673.96 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35 656.02 m 566.93 656.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 651.96 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35 634.02 m 566.93 634.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 629.96 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35 612.02 m 566.93 612.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 607.96 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35 590.02 m 566.93 590.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 585.96 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35 568.02 m 566.93 568.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 563.96 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 150 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 490.17 m 565.85 490.17 l S 30.07 699.74 m 30.07 489.09 l S 564.78 699.74 m 564.78 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 449.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 432.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 189.96 w 33.45 333.75 m 563.65 333.75 l S 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 167.46 w 32.32 322.5 m 564.78 322.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 407.36 m 566.98 407.36 l S 31.2 408.44 m 31.2 236.57 l S 565.9 408.44 m 565.9 236.57 l S 31.2 407.36 m 565.9 407.36 l S 30.12 237.65 m 566.98 237.65 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.18 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (Prospective residents can be assured that their needs will be assessed, \ to ensure that )Tj 1 0 0 1 35.47 316.69 Tm (the home can support and care for them appropriately if they move in. Pe\ ople have )Tj 1 0 0 1 35.47 299.2 Tm (good information about the home to help them make an informed decision a\ bout )Tj 1 0 0 1 35.47 281.7 Tm (where to live.)Tj 1 0 0 1 35.47 264.2 Tm (\240)Tj 1 0 0 1 35.47 246.71 Tm (The home does not provide intermediate care.)Tj ET 0.996 0.945 0.761 RG 143.55 w 33.45 140 m 563.65 140 l S 1 1 1 RG 22.5 w 31.2 202.78 m 565.9 202.78 l S 122.18 w 32.32 128.19 m 564.78 128.19 l S 0.992 0.898 0.545 RG 2.25 w 30.12 190.4 m 566.98 190.4 l S 31.2 191.48 m 31.2 64.9 l S 565.9 191.48 m 565.9 64.9 l S 31.2 190.4 m 565.9 190.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 199.47 Tm (Evidence:)Tj 1 0 0 1 35.47 174.72 Tm (In surveys from people who lived at the home, most confirmed they had en\ ough )Tj 1 0 0 1 35.47 157.22 Tm (information about the home before they moved in. We were shown an inform\ ation )Tj 1 0 0 1 35.47 139.73 Tm (pack taken by the manager when she meets prospective residents to tell t\ hem about )Tj 1 0 0 1 35.47 122.23 Tm (the home and assess their needs. It included the home's Service User Gui\ de, a sample )Tj 1 0 0 1 35.47 104.74 Tm (weekly menu and the current activity programme. A company website has al\ so been )Tj 1 0 0 1 35.47 87.24 Tm (set up to provide people with information about the home.)Tj ET endstream endobj 151 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (We saw the home provided a breakdown of individuals' care fees, in their\ 'Terms and )Tj 1 0 0 1 33.22 744.11 Tm (conditions' or contract, to clarify nursing care fees as opposed to fees\ for )Tj 1 0 0 1 33.22 726.61 Tm (accommodation, etc.)Tj 1 0 0 1 33.22 709.11 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Someone new to the home confirmed their advocate had been shown around t\ he home )Tj 1 0 0 1 33.22 674.12 Tm (and had discussed the individual's care needs with senior staff, before \ the manager )Tj 1 0 0 1 33.22 656.63 Tm (went to meet the person and assessed their needs.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (We noted that the Service User Guide said people would not be excluded o\ n the )Tj 1 0 0 1 33.22 604.14 Tm (grounds of their religion, ethnicity or culture, but did not include oth\ er aspects of )Tj 1 0 0 1 33.22 586.64 Tm (diversity such as people's sexuality. The manager said this was an unint\ ended )Tj 1 0 0 1 33.22 569.15 Tm (omission, which she would rectify, and that the home did not discriminat\ e on such )Tj 1 0 0 1 33.22 551.65 Tm (matters.)Tj 1 0 0 1 33.22 534.15 Tm (\240)Tj 1 0 0 1 33.22 516.66 Tm (The home's assessments that we read were comprehensive. Information had \ also been )Tj 1 0 0 1 33.22 499.16 Tm (obtained from Social services care managers or hospital staff where they\ were )Tj 1 0 0 1 33.22 481.67 Tm (involved with supporting or caring for the person.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (A health professional who completed our survey thought the home's assess\ ment )Tj 1 0 0 1 33.22 429.18 Tm (processes usually ensured the right service was planned for people. We s\ aw action )Tj 1 0 0 1 33.22 411.68 Tm (plans had been drawn up subsequent to the home's initial assessment - fu\ rther )Tj 1 0 0 1 518.07 411.68 Tm (follow-)Tj 1 0 0 1 33.22 394.19 Tm (up)Tj 1 0 0 1 48.29 394.19 Tm ( that was needed, such as getting equipment, noting furniture that peopl\ e wished to )Tj 1 0 0 1 33.22 376.69 Tm (bring so their room was prepared accordingly, etc.)Tj 1 0 0 1 33.22 359.19 Tm (\240)Tj 1 0 0 1 33.22 341.7 Tm (Information gained pre-admission included clubs people were attending an\ d current )Tj 1 0 0 1 33.22 324.2 Tm (friendships, with action planned to enable these to be continued. Where \ people's faith )Tj 1 0 0 1 33.22 306.71 Tm (was recorded, it was also noted if they still practised this faith, etc.\ )Tj 1 0 0 1 33.22 289.21 Tm (\240)Tj 1 0 0 1 33.22 271.71 Tm (The AQAA indicated that the home's pre-admission assessment form had bee\ n revised )Tj 1 0 0 1 33.22 254.22 Tm (with consideration for the Mental Capacity Act 2005, so as to gather inf\ ormation )Tj 1 0 0 1 33.22 236.72 Tm (regarding people's Power of Attorney, Advanced Decisions, etc. One pre-a\ dmission )Tj 1 0 0 1 33.22 219.23 Tm (assessment we saw had little reference to the person's capacity to make \ decisions for )Tj 1 0 0 1 33.22 201.73 Tm (themselves, their 'last wishes', etc., although it was recorded that thi\ s was still to be )Tj 1 0 0 1 33.22 184.23 Tm (discussed. This meant there was no current guidance on how staff should \ respond if )Tj 1 0 0 1 33.22 166.74 Tm (the person - who was now living at the home - were taken seriously ill, \ for example.)Tj 1 0 0 1 33.22 149.24 Tm (\240)Tj 1 0 0 1 33.22 131.75 Tm (Information from assessments had been used as the basis for plans of car\ e for each )Tj 1 0 0 1 33.22 114.25 Tm (person. Staff told us they were given good information about people's ne\ eds before )Tj 1 0 0 1 33.22 96.75 Tm (and when they moved in, which helped them to care for people safely and \ in an )Tj 1 0 0 1 33.22 79.26 Tm (individual way.)Tj ET endstream endobj 152 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 128.85 w 33.45 746.98 m 563.65 746.98 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 107.48 w 32.32 735.17 m 564.78 735.17 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 679.23 l S 565.9 791.11 m 565.9 679.23 l S 31.2 790.03 m 565.9 790.03 l S 30.12 680.31 m 566.98 680.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (Some additional detail would have been helpful, to further ensure people\ received )Tj 1 0 0 1 33.22 744.11 Tm (person-centred care. For example, no risk assessment was recorded in rel\ ation to a )Tj 1 0 0 1 33.22 726.61 Tm (prospective resident with impaired sight, and their subsequent care plan\ said they had )Tj 1 0 0 1 33.22 709.11 Tm ('visual problems' but without stating what these were or how they affect\ ed the person )Tj 1 0 0 1 33.22 691.62 Tm (and their daily life. )Tj ET endstream endobj 153 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 594.42 m 565.85 594.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 594.42 m 565.85 594.42 l S 28.99 524.17 m 565.85 524.17 l S 30.07 699.74 m 30.07 523.09 l S 564.78 699.74 m 564.78 523.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.48 Tm (dignity.)Tj 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 483.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 466.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w 33.45 402.74 m 563.65 402.74 l S 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 97.48 w 32.32 391.5 m 564.78 391.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 441.36 m 566.98 441.36 l S 31.2 442.44 m 31.2 340.55 l S 565.9 442.44 m 565.9 340.55 l S 31.2 441.36 m 565.9 441.36 l S 30.12 341.63 m 566.98 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.18 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (People's healthcare and personal care needs are met through good care pl\ anning and )Tj 1 0 0 1 35.47 350.69 Tm (management. Their privacy and dignity is respected.)Tj ET 0.996 0.945 0.761 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.992 0.898 0.545 RG 2.25 w 30.12 294.39 m 566.98 294.39 l S 31.2 295.47 m 31.2 64.9 l S 565.9 295.47 m 565.9 64.9 l S 31.2 294.39 m 565.9 294.39 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.45 Tm (Evidence:)Tj 1 0 0 1 35.47 278.7 Tm (All but one of the surveys from people who lived at the home said they a\ lways or )Tj 1 0 0 1 35.47 261.21 Tm (usually received the care or support they needed, including medical atte\ ntion. Asked )Tj 1 0 0 1 35.47 243.71 Tm (what the home did well, their comments included, 'Excellent care on a on\ e to one basis )Tj 1 0 0 1 35.47 226.22 Tm (- from carers and nurses', 'Give you personal treatment', and 'Everythin\ g possible has )Tj 1 0 0 1 35.47 208.72 Tm (been done to make me comfortable since I came out of hospital, and I app\ reciate this.' )Tj 1 0 0 1 35.47 191.22 Tm (One person added, 'I am more than happy with my spouse's care.')Tj 1 0 0 1 35.47 173.73 Tm (\240)Tj 1 0 0 1 35.47 156.23 Tm (Each person at the home had a care plan, which they or their representat\ ive had been )Tj 1 0 0 1 35.47 138.74 Tm (involved in developing. Key needs, such as maintaining nutrition and hyd\ ration, safe )Tj 1 0 0 1 35.47 121.24 Tm (moving or handling, and skin care needs, had been considered and identif\ ied. Plans )Tj 1 0 0 1 35.47 103.74 Tm (detailed how people's needs were to be met. We saw detailed information \ on what )Tj 1 0 0 1 35.47 86.25 Tm (support people needed with their personal care, the nature of any pain t\ hey )Tj ET endstream endobj 154 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (experienced, their preferred bedtime, etc. One included arranging hairdr\ essers' visits )Tj 1 0 0 1 33.22 761.6 Tm (in the mornings, when the person would be more settled and receptive to \ such )Tj 1 0 0 1 33.22 744.11 Tm (attention. One person was to be offered a hot meal in the evenings, staf\ f having noted )Tj 1 0 0 1 33.22 726.61 Tm (they did not appear to 'enjoy' sandwiches.)Tj 1 0 0 1 33.22 709.11 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (People's care records included their 'Social profiles', which described \ their personal )Tj 1 0 0 1 33.22 674.12 Tm (histories, their likes, dislikes or preferences, events important to the\ m, etc. Staff we )Tj 1 0 0 1 33.22 656.63 Tm (spoke with knew about people's individual preferences. However, actions \ to meet )Tj 1 0 0 1 33.22 639.13 Tm (related social needs were either not then stated for two of the four peo\ ple we )Tj 1 0 0 1 506.9 639.13 Tm (case-)Tj 1 0 0 1 33.22 621.63 Tm (tracked,)Tj 1 0 0 1 82.64 621.63 Tm ( or not followed up.)Tj 1 0 0 1 33.22 604.14 Tm (\240)Tj 1 0 0 1 33.22 586.64 Tm (In some cases, we observed that people were not given care included in t\ heir care )Tj 1 0 0 1 33.22 569.15 Tm (plans, and asked staff about this. They were able to give satisfactory e\ xplanations, but )Tj 1 0 0 1 33.22 551.65 Tm (this information should then also be included in the care plans, to prom\ ote consistent )Tj 1 0 0 1 33.22 534.15 Tm (care and ensure care plans are up-to-date. Where care plan reviews had b\ een carried )Tj 1 0 0 1 33.22 516.66 Tm (out to ensure the care planned was appropriate to meet all the person's \ needs, we )Tj 1 0 0 1 33.22 499.16 Tm (noted the evaluations reflected people's physical needs more than how ho\ w people )Tj 1 0 0 1 33.22 481.67 Tm (spent their time or had their social needs met.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (Some of the people we case-tracked had mental health needs. Advice had b\ een sought )Tj 1 0 0 1 33.22 429.18 Tm (from a Community Psychiatric nurse in one case, and this advice had been\ )Tj 1 0 0 1 33.22 411.68 Tm (incorporated into the person's care plan, as a specific aspect of care a\ nd where the )Tj 1 0 0 1 33.22 394.19 Tm (advice was relevant to other aspects of care needed by the person. Their\ care plans )Tj 1 0 0 1 33.22 376.69 Tm (did not yet include assessments of their capacity to make decisions, etc\ .)Tj 1 0 0 1 33.22 359.19 Tm (\240)Tj 1 0 0 1 33.22 341.7 Tm (Where the use of bed-rails was considered for individuals, risk assessme\ nts had been )Tj 1 0 0 1 33.22 324.2 Tm (completed. They, or their representative, had signed to show they had be\ en involved )Tj 1 0 0 1 33.22 306.71 Tm (in the matter, although we noted the section for recording their opinion\ was often )Tj 1 0 0 1 33.22 289.21 Tm (blank.)Tj 1 0 0 1 33.22 271.71 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (Staff meeting minutes indicated that fluid intake targets for individual\ s should be part )Tj 1 0 0 1 33.22 236.72 Tm (of their care plan. This was not the case for someone we case-tracked, w\ ho had a fluid )Tj 1 0 0 1 33.22 219.23 Tm (intake chart in their room. Although the person looked hydrated and was \ being given )Tj 1 0 0 1 33.22 201.73 Tm (fluids regularly, staff could not tell us what the target was, and no to\ tals were included )Tj 1 0 0 1 33.22 184.23 Tm (in the person's daily care notes made by staff. We discussed this with t\ he manager.)Tj 1 0 0 1 33.22 166.74 Tm (\240)Tj 1 0 0 1 33.22 149.24 Tm (Care plans included the check ups, by community-based professionals, tha\ t people )Tj 1 0 0 1 33.22 131.75 Tm (would need for certain medical conditions they had. The health professio\ nal who )Tj 1 0 0 1 33.22 114.25 Tm (completed our survey thought the home usually monitored and met people's\ needs )Tj 1 0 0 1 33.22 96.75 Tm (properly, and said they were particularly good at pro-actively seeking a\ nd acting on )Tj 1 0 0 1 33.22 79.26 Tm (advice effectively, so as to improve people's well-being.)Tj ET endstream endobj 155 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (People we spoke with also felt staff attended to their health needs well\ . One person )Tj 1 0 0 1 33.22 744.11 Tm (told us staff had given them prompt attention when the individual themse\ lves had not )Tj 1 0 0 1 33.22 726.61 Tm (realised they had a health problem. Care notes showed that staff had obs\ erved that )Tj 1 0 0 1 33.22 709.11 Tm (someone with communication difficulties due to mental health needs was i\ n pain; they )Tj 1 0 0 1 33.22 691.62 Tm (arranged for a dentist to see the person, and the problem was successful\ ly addressed. )Tj 1 0 0 1 33.22 674.12 Tm (Advice from a Speech and Language therapist had been transferred to one \ person's )Tj 1 0 0 1 33.22 656.63 Tm (care plan; the therapist noted an improvement in the person's state over\ time. A care )Tj 1 0 0 1 33.22 639.13 Tm (plan for someone with diabetes included the usual range of their blood g\ lucose and )Tj 1 0 0 1 33.22 621.63 Tm (what staff should do if it was not within this range. Information leafle\ ts were available, )Tj 1 0 0 1 33.22 604.14 Tm (in the entrance corridor, on 'Staying steady', 'Healthy bones', and 'Bet\ ter hearing', )Tj 1 0 0 1 33.22 586.64 Tm (among other topics.)Tj 1 0 0 1 33.22 569.15 Tm (\240)Tj 1 0 0 1 33.22 551.65 Tm (However, we noted a risk assessment had been carried out which resulted \ in the )Tj 1 0 0 1 33.22 534.15 Tm (footrests being removed from someone's wheelchair. There was no evidence\ that other )Tj 1 0 0 1 33.22 516.66 Tm (relevant professionals, such as a physiotherapist or occupational therap\ ist, had been )Tj 1 0 0 1 33.22 499.16 Tm (consulted, which we discussed with the manager since a lack of footrests\ also carries )Tj 1 0 0 1 33.22 481.67 Tm (risks.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (Several people had profiling beds to help make them comfortable and safe\ ly positioned )Tj 1 0 0 1 33.22 429.18 Tm (when in bed.)Tj 1 0 0 1 33.22 411.68 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (Two staff - a nurse and a care assistant - represent the home as Link St\ aff for )Tj 1 0 0 1 33.22 376.69 Tm (palliative care meetings held by the local Primary Care Trust. Some staf\ f are currently )Tj 1 0 0 1 33.22 359.19 Tm (undertaking a course on this area of care.)Tj 1 0 0 1 33.22 341.7 Tm (\240)Tj 1 0 0 1 33.22 324.2 Tm (We saw the home included in their admission procedures a system for chec\ king that )Tj 1 0 0 1 33.22 306.71 Tm (the medicines people brought in with them were their current medication \ and that )Tj 1 0 0 1 33.22 289.21 Tm (nothing was missing. This is very good practise. Medicines received by t\ he home, and )Tj 1 0 0 1 33.22 271.71 Tm (disposed of, were recorded. Medication administration records were mostl\ y up to date, )Tj 1 0 0 1 33.22 254.22 Tm (although applications of skin creams were still not recorded - something\ raised at our )Tj 1 0 0 1 33.22 236.72 Tm (last inspection. Staff gave different explanations of practises for reco\ rding the )Tj 1 0 0 1 33.22 219.23 Tm (administration of such creams. The manager confirmed that some action ha\ d been )Tj 1 0 0 1 33.22 201.73 Tm (taken to try to improve such recording, but agreed this needed to be pro\ perly )Tj 1 0 0 1 33.22 184.23 Tm (addressed. She also agreed audits of medication not taken by mouth, incl\ uding insulin, )Tj 1 0 0 1 33.22 166.74 Tm (needed improving.)Tj 1 0 0 1 33.22 149.24 Tm (\240)Tj 1 0 0 1 33.22 131.75 Tm (When we checked stocks of controlled drugs, we found that there was no w\ ay of )Tj 1 0 0 1 33.22 114.25 Tm (confirming when one item, with a limited shelf-life once opened, had in \ fact been )Tj 1 0 0 1 33.22 96.75 Tm (opened. Systems in place showed medicines requiring cool storage had bee\ n kept at )Tj 1 0 0 1 33.22 79.26 Tm (appropriate temperatures)Tj ET endstream endobj 156 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 504.27 l S 565.9 791.11 m 565.9 504.27 l S 31.2 790.03 m 565.9 790.03 l S 30.12 505.35 m 566.98 505.35 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (Two people we case-tracked were on medication that could be used to seda\ te people, )Tj 1 0 0 1 33.22 744.11 Tm (which is not always in an individual's best interests. We found little h\ ad been given, )Tj 1 0 0 1 33.22 726.61 Tm (with, in one case, evidence that staff had tried alternative, more posit\ ive strategies, as )Tj 1 0 0 1 33.22 709.11 Tm (guided in the person's care plan.)Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The health professional who completed our survey said the care service a\ lways )Tj 1 0 0 1 33.22 656.63 Tm (respected people's privacy and dignity, as people confirmed and we obser\ ved during )Tj 1 0 0 1 33.22 639.13 Tm (our visit. One person told us they would appreciate having a lock fitted\ on their )Tj 1 0 0 1 33.22 621.63 Tm (bedroom door, and we passed this information to the manager.)Tj 1 0 0 1 33.22 604.14 Tm (\240)Tj 1 0 0 1 33.22 586.64 Tm (Asked what the home could do better, a relative said 'All the nursing, c\ are and )Tj 1 0 0 1 33.22 569.15 Tm (attention is beyond what I expected, although aspects of personal care s\ ometimes )Tj 1 0 0 1 33.22 551.65 Tm (need attention.' On our visit, we noted some people had nails or spectac\ les that )Tj 1 0 0 1 33.22 534.15 Tm (needed cleaning. A hairdresser visited the home regularly, and we could \ see the )Tj 1 0 0 1 33.22 516.66 Tm (positive results of this.)Tj ET endstream endobj 157 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 577.42 m 565.85 577.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 577.42 m 565.85 577.42 l S 28.99 558.17 m 565.85 558.17 l S 30.07 699.74 m 30.07 557.09 l S 564.78 699.74 m 564.78 557.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 539.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 517.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 500.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 419.25 m 563.65 419.25 l S 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 132.47 w 32.32 408 m 564.78 408 l S 0.992 0.898 0.545 RG 2.25 w 30.12 475.36 m 566.98 475.36 l S 31.2 476.44 m 31.2 339.56 l S 565.9 476.44 m 565.9 339.56 l S 31.2 475.36 m 565.9 475.36 l S 30.12 340.64 m 566.98 340.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.18 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (The majority of people living at the home benefit from varied and intere\ sting daily )Tj 1 0 0 1 35.47 384.69 Tm (lives, which are enhanced by continued links with the community around t\ he home, )Tj 1 0 0 1 35.47 367.2 Tm (including their friends and families. They enjoy an appealing and nutrit\ ious diet, )Tj 1 0 0 1 35.47 349.7 Tm (although the variety of meals offered could be improved in some cases.)Tj ET 0.996 0.945 0.761 RG 246.54 w 33.45 191.5 m 563.65 191.5 l S 1 1 1 RG 22.5 w 31.2 305.77 m 565.9 305.77 l S 225.17 w 32.32 179.69 m 564.78 179.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 293.4 m 566.98 293.4 l S 31.2 294.47 m 31.2 64.9 l S 565.9 294.47 m 565.9 64.9 l S 31.2 293.4 m 565.9 293.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 302.46 Tm (Evidence:)Tj 1 0 0 1 35.47 277.71 Tm (Comments in surveys from people who lived at the home, about what the ho\ me did )Tj 1 0 0 1 35.47 260.22 Tm (well, included, 'Care & support with a very good family atmosphere, good\ social )Tj 1 0 0 1 35.47 242.72 Tm (activities' and 'Relaxed & homely atmosphere. Freedom of choice at all t\ imes.')Tj 1 0 0 1 35.47 225.22 Tm (\240)Tj 1 0 0 1 35.47 207.73 Tm (The home's 3-monthly newsletter dated March 2009, displayed in the entra\ nce hall, )Tj 1 0 0 1 35.47 190.23 Tm (covered Easter celebrations at the home, the Queen's birthday, watching \ of a video on )Tj 1 0 0 1 35.47 172.74 Tm (a local village that some residents used to live in, and dates for futur\ e planned events. )Tj 1 0 0 1 35.47 155.24 Tm (We saw the current activities programme in some people's bedrooms, which\ showed )Tj 1 0 0 1 35.47 137.74 Tm (activities were planned Monday-Friday. When we asked people how they fou\ nd the )Tj 1 0 0 1 35.47 120.25 Tm (week-ends, when no activities were planned, some told us they enjoyed us\ ing the )Tj 1 0 0 1 35.47 102.75 Tm (garden, others said they had visitors.)Tj 1 0 0 1 35.47 85.26 Tm (\240)Tj ET endstream endobj 158 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (Of 14 surveys from people at the home, 10 said there were always or usua\ lly activities )Tj 1 0 0 1 33.22 761.6 Tm (organised that they could take part in. The home had libraries of large \ print books. )Tj 1 0 0 1 33.22 744.11 Tm (People told us they enjoyed the Bingo games, and regular musical enterta\ inment led )Tj 1 0 0 1 33.22 726.61 Tm (by a pianist in the Ballroom/function room. One said they watched the ex\ ercise class )Tj 1 0 0 1 33.22 709.11 Tm (that was held, choosing not to join in. Another was going on the outing \ \(a 2-hour trip\) )Tj 1 0 0 1 33.22 691.62 Tm (taking place during our visit. People would not be getting off the bus b\ ecause of their )Tj 1 0 0 1 33.22 674.12 Tm (mobility needs, but the Organiser took along homemade cakes and flasks o\ f tea, which )Tj 1 0 0 1 33.22 656.63 Tm (people told us they enjoyed greatly on these trips. A visitor praised th\ e Activities )Tj 1 0 0 1 33.22 639.13 Tm (Organiser, saying she was 'excellent'.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14 Tm (One person said they were staying in to see visitors, but would go on th\ e next outing )Tj 1 0 0 1 33.22 586.64 Tm (which was in a fortnight's time. They said winter outings had included t\ rips to watch )Tj 1 0 0 1 33.22 569.15 Tm (fireworks and to see the Christmas lights.)Tj 1 0 0 1 33.22 551.65 Tm (\240)Tj 1 0 0 1 33.22 534.15 Tm (People told us Communion was offered monthly, with a church service also\ held )Tj 1 0 0 1 33.22 516.66 Tm (regularly. This was as a result of discussions at a residents' meeting, \ according to the )Tj 1 0 0 1 33.22 499.16 Tm (AQAA.)Tj 1 0 0 1 33.22 481.67 Tm (\240)Tj 1 0 0 1 33.22 464.17 Tm (The Service User Guide encouraged people to say if they had a particular\ interest and )Tj 1 0 0 1 33.22 446.67 Tm (the home would try to accommodate this in the home's activity programme.\ The AQAA )Tj 1 0 0 1 33.22 429.18 Tm (stated 'Activities are organised on a group basis and one-one basis', an\ d we saw some )Tj 1 0 0 1 33.22 411.68 Tm (evidence of one-to-one time spent by the Activities Organiser with indiv\ iduals. )Tj 1 0 0 1 33.22 394.19 Tm (However, records indicated such time was limited - for example, if someo\ ne was )Tj 1 0 0 1 33.22 376.69 Tm (asleep when she visited them, records showed it could be a little while \ before they )Tj 1 0 0 1 33.22 359.19 Tm (were visited again, especially when the Activities Organiser was away. A\ sked what the )Tj 1 0 0 1 33.22 341.7 Tm (home could do better, the health professional who completed our survey s\ uggested )Tj 1 0 0 1 33.22 324.2 Tm ('Consider an inclusive environment, encouraging further a community spir\ it for those )Tj 1 0 0 1 33.22 306.71 Tm (less able to control their social contact independently.')Tj 1 0 0 1 33.22 289.21 Tm (\240)Tj 1 0 0 1 33.22 271.71 Tm (Of 14 surveys from people at the home, 10 said staff always or usually l\ istened to )Tj 1 0 0 1 33.22 254.22 Tm (them and did as asked; 4 said this happened sometimes. The health profes\ sional who )Tj 1 0 0 1 33.22 236.72 Tm (completed our survey said the home usually supported people to live the \ life they )Tj 1 0 0 1 33.22 219.23 Tm (chose, where possible. People we spoke with felt they were generally giv\ en sufficient )Tj 1 0 0 1 33.22 201.73 Tm (choice in their daily lives. They confirmed people went to bed at a vari\ ety of times )Tj 1 0 0 1 33.22 184.23 Tm (from early to late evening, at times of their choosing. One person was p\ articularly )Tj 1 0 0 1 33.22 166.74 Tm (pleased that they were now offered a choice of meal at lunchtime, a day \ ahead of the )Tj 1 0 0 1 33.22 149.24 Tm (meal. One person commented that they would like baths to be available; w\ e have )Tj 1 0 0 1 33.22 131.75 Tm (discussed this further in the section on 'Environment'. We found bedroom\ s were )Tj 1 0 0 1 33.22 114.25 Tm (personalised with people's possessions.)Tj 1 0 0 1 33.22 96.75 Tm (\240)Tj 1 0 0 1 33.22 79.26 Tm (Two people living at the home told us they were given minutes of the res\ idents' )Tj ET endstream endobj 159 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 653.73 w 33.45 484.54 m 563.65 484.54 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 632.36 w 32.32 472.73 m 564.78 472.73 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 154.35 l S 565.9 791.11 m 565.9 154.35 l S 31.2 790.03 m 565.9 790.03 l S 30.12 155.43 m 566.98 155.43 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (meetings which they then shared with their visitors. The AQAA said visit\ ors were )Tj 1 0 0 1 33.22 761.6 Tm (offered refreshments and could stay for a meal should they wish to do so\ , which )Tj 1 0 0 1 33.22 744.11 Tm (people confirmed during our visit. We met someone who had recently had a\ birthday. )Tj 1 0 0 1 33.22 726.61 Tm (They said the cook had made them a lovely cake, and they had been able t\ o entertain )Tj 1 0 0 1 33.22 709.11 Tm (family members for tea. One care plan said staff should first check if a\ n individual )Tj 1 0 0 1 33.22 691.62 Tm (wanted to receive any visitors who arrived to see them, because the pers\ on was )Tj 1 0 0 1 33.22 674.12 Tm (particularly prone to tiredness.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (Of 14 surveys from people at the home, 13 said they always or usually li\ ked the meals )Tj 1 0 0 1 33.22 621.63 Tm (provided. Asked what the home did well, responses included, 'Meals' and \ 'Excellent )Tj 1 0 0 1 33.22 604.14 Tm (food - quality, quantity, choice & service.')Tj 1 0 0 1 33.22 586.64 Tm (\240)Tj 1 0 0 1 33.22 569.15 Tm (People living at the home said breakfast was served by about 8.30am. A v\ isitor told us )Tj 1 0 0 1 33.22 551.65 Tm (the meals were 'out of this world'. Lunchtime choices during the week we\ visited )Tj 1 0 0 1 33.22 534.15 Tm (included fish pie or lamb chops, sweet and sour chicken or egg and chips\ . Evening )Tj 1 0 0 1 33.22 516.66 Tm (meal choices included scrambled eggs or ham salad, cheese and biscuits o\ r cauliflower )Tj 1 0 0 1 33.22 499.16 Tm (cheese. Sunday lunch was a roast dinner, with a buffet for the evening m\ eal.)Tj 1 0 0 1 33.22 481.67 Tm (\240)Tj 1 0 0 1 33.22 464.17 Tm (Lunchtimes we observed during our visit were calm occasions, with staff \ making )Tj 1 0 0 1 33.22 446.67 Tm (themselves available discretely to assist people throughout the meal. Pl\ ated meals )Tj 1 0 0 1 33.22 429.18 Tm (looked appetising, with vegetable nicely cooked. Eating aids were provid\ ed, and a hot )Tj 1 0 0 1 33.22 411.68 Tm (trolley taken to upper floors for serving of meals to people not eating \ in the dining )Tj 1 0 0 1 33.22 394.19 Tm (room. Most people seemed to be enjoying the food and confirmed this when\ we asked; )Tj 1 0 0 1 33.22 376.69 Tm (where someone was not eating their meal, staff offered an alternative.)Tj 1 0 0 1 33.22 359.19 Tm (\240)Tj 1 0 0 1 33.22 341.7 Tm (We noted people were given plastic disposable aprons to protect their cl\ othing, which )Tj 1 0 0 1 33.22 324.2 Tm (looked inappropriate. The manager told us she was awaiting delivery of l\ ess )Tj 1 0 0 1 33.22 306.71 Tm (institutional clothing protectors, although we discussed whether good qu\ ality cloth )Tj 1 0 0 1 33.22 289.21 Tm (napkins might be suitable also.)Tj 1 0 0 1 33.22 271.71 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (There were fresh fruit and vegetable in the kitchen stores, including sa\ lad items, and )Tj 1 0 0 1 33.22 236.72 Tm (fruit juice, a variety of fruit squashes, and yogurts. Pureed meals were\ served )Tj 1 0 0 1 33.22 219.23 Tm (attractively, with individual components served separately on the plate.\ However, we )Tj 1 0 0 1 33.22 201.73 Tm (found through our observations and conversations with staff that people \ needing such )Tj 1 0 0 1 33.22 184.23 Tm (a diet were given the same for lunch and tea, with the evening meal plat\ ed up at )Tj 1 0 0 1 33.22 166.74 Tm (lunchtime. The manager said she would look into this.)Tj ET endstream endobj 160 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 628.42 m 565.85 628.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 628.42 m 565.85 628.42 l S 28.99 609.17 m 565.85 609.17 l S 30.07 699.74 m 30.07 608.09 l S 564.78 699.74 m 564.78 608.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.48 Tm (allegations.)Tj 1 0 0 1 35.5 615.23 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35 590.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 568.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 551.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 526.36 m 566.98 526.36 l S 31.2 527.44 m 31.2 425.55 l S 565.9 527.44 m 565.9 425.55 l S 31.2 526.36 m 565.9 526.36 l S 30.12 426.63 m 566.98 426.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.18 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (People's complaints are heard and acted upon. They are generally kept sa\ fe and )Tj 1 0 0 1 35.47 435.69 Tm (protected from harm. )Tj ET 0.996 0.945 0.761 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.992 0.898 0.545 RG 2.25 w 30.12 379.39 m 566.98 379.39 l S 31.2 380.47 m 31.2 64.9 l S 565.9 380.47 m 565.9 64.9 l S 31.2 379.39 m 565.9 379.39 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj 1 0 0 1 35.47 363.7 Tm (Most - but not all - surveys returned from people living at the home ind\ icated that they )Tj 1 0 0 1 35.47 346.21 Tm (knew who to speak to if they were not happy, and knew how to make a form\ al )Tj 1 0 0 1 35.47 328.71 Tm (complaint. The home's AQAA said they had received 9 complaints, all of w\ hich were )Tj 1 0 0 1 35.47 311.22 Tm (upheld. We found action had been taken to address the concerns raised. W\ hen we )Tj 1 0 0 1 35.47 293.72 Tm (spoke with someone who had raised concerns, their responses indicated th\ at the )Tj 1 0 0 1 35.47 276.22 Tm (issues had been resolved. They, with others, told us staff 'do try to pu\ t things right'. )Tj 1 0 0 1 35.47 258.73 Tm (The health professional who completed our survey also reflected this.)Tj 1 0 0 1 35.47 241.23 Tm (\240)Tj 1 0 0 1 35.47 223.74 Tm (We saw the Service User Guide was provided in each bedroom. This include\ d the )Tj 1 0 0 1 35.47 206.24 Tm (complaints policy and how people should give feedback if they felt the h\ ome was 'not )Tj 1 0 0 1 35.47 188.74 Tm (achieving desirable and acceptable standards'.)Tj 1 0 0 1 35.47 171.25 Tm (\240)Tj 1 0 0 1 35.47 153.75 Tm (One person living at the home commented, 'I am very happy, feel safe and\ am well )Tj 1 0 0 1 35.47 136.26 Tm (looked after.' Staff had received training in safeguarding people. They \ demonstrated )Tj 1 0 0 1 35.47 118.76 Tm (good knowledge of what abuse is, and said they would report any allegati\ ons or )Tj 1 0 0 1 35.47 101.26 Tm (suspicions to the manager, or external agencies if more appropriate.)Tj 1 0 0 1 35.47 83.77 Tm (\240)Tj ET endstream endobj 161 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 504.27 l S 565.9 791.11 m 565.9 504.27 l S 31.2 790.03 m 565.9 790.03 l S 30.12 505.35 m 566.98 505.35 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (We saw people's valuables were listed on their admission to the home.)Tj 1 0 0 1 33.22 761.6 Tm (\240)Tj 1 0 0 1 33.22 744.11 Tm (The use of bed-rails creates potential risks to individuals' welfare. Th\ is had been )Tj 1 0 0 1 33.22 726.61 Tm (considered, with risk assessments written, for some people we case-track\ ed. These )Tj 1 0 0 1 33.22 709.11 Tm (records showed a variety of outcomes, with decisions made that using the\ m was not )Tj 1 0 0 1 33.22 691.62 Tm (the safest action for some individuals. Alternative strategies for reduc\ ing risks to the )Tj 1 0 0 1 33.22 674.12 Tm (person's wellbeing were then given.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (One person said that their call-bell was sometimes not available to them\ , because staff )Tj 1 0 0 1 33.22 621.63 Tm (left the bell near their weak arm rather than where they could use it. S\ taff we spoke )Tj 1 0 0 1 33.22 604.14 Tm (with were aware of the need to mindful of such a problem, but the manage\ r said she )Tj 1 0 0 1 33.22 586.64 Tm (would address this matter further. We were told one person without a cal\ l-bell )Tj 1 0 0 1 33.22 569.15 Tm (available would not use it if it were provided. Their care plan did not \ specify how staff )Tj 1 0 0 1 33.22 551.65 Tm (were to ensure their comfort and safety when the individual could not su\ mmon help, )Tj 1 0 0 1 33.22 534.15 Tm (and staff gave different frequencies for checks they said they would mak\ e to see if the )Tj 1 0 0 1 33.22 516.66 Tm (person was alright.)Tj ET endstream endobj 162 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 662.42 m 565.85 662.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 662.42 m 565.85 662.42 l S 28.99 592.17 m 565.85 592.17 l S 30.07 699.74 m 30.07 591.09 l S 564.78 699.74 m 564.78 591.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35 573.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 551.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 534.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 462 m 563.65 462 l S 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 509.36 m 566.98 509.36 l S 31.2 510.44 m 31.2 391.06 l S 565.9 510.44 m 565.9 391.06 l S 31.2 509.36 m 565.9 509.36 l S 30.12 392.14 m 566.98 392.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.18 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (People benefit from accommodation that is safe and homely. It is being i\ mproved to )Tj 1 0 0 1 35.47 418.69 Tm (make it safer and easier to access for those people who are disabled, al\ though further )Tj 1 0 0 1 35.47 401.2 Tm (action is needed to ensure improvements are made in a timely way and it \ is hygienic. )Tj ET 0.996 0.945 0.761 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.992 0.898 0.545 RG 2.25 w 30.12 344.89 m 566.98 344.89 l S 31.2 345.97 m 31.2 64.9 l S 565.9 345.97 m 565.9 64.9 l S 31.2 344.89 m 565.9 344.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj 1 0 0 1 35.47 329.21 Tm (When asked what the home did well, comments on surveys from people who l\ ived at )Tj 1 0 0 1 35.47 311.71 Tm (the home included, 'I have my own room', 'Comfortable beds', 'Pleasant e\ nvironment )Tj 1 0 0 1 35.47 294.22 Tm (to move around with many different places to be seated inside & outside.\ Extensive )Tj 1 0 0 1 35.47 276.72 Tm (grounds for wheelchair use. Freedom of movement yet with plenty of atten\ tion from )Tj 1 0 0 1 35.47 259.22 Tm (staff.' Asked what could be improved, one person said, 'Make a more inte\ resting )Tj 1 0 0 1 35.47 241.73 Tm (garden.')Tj 1 0 0 1 35.47 224.23 Tm (\240)Tj 1 0 0 1 35.47 206.74 Tm (Where a carpet presented a tripping hazard on our last visit, we found t\ his had been )Tj 1 0 0 1 35.47 189.24 Tm (addressed. People told us they did not encounter any problems getting ar\ ound the )Tj 1 0 0 1 35.47 171.74 Tm (home, including those who used walking aids.)Tj 1 0 0 1 35.47 154.25 Tm (\240)Tj 1 0 0 1 35.47 136.75 Tm (The AQAA said the programme for re-decoration and re-carpeting in the ho\ me was )Tj 1 0 0 1 35.47 119.26 Tm (ongoing, and we met two people who had had their bedrooms redecorated an\ d )Tj 1 0 0 1 518.51 119.26 Tm (re-)Tj 1 0 0 1 35.47 101.76 Tm (carpeted)Tj 1 0 0 1 88.04 101.76 Tm ( recently. Most people we spoke with could tell us they were happy with \ their )Tj 1 0 0 1 35.47 84.26 Tm (bedroom and its facilities.)Tj ET endstream endobj 163 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (We case-tracked one person because they had few visitors, and were cared\ for in their )Tj 1 0 0 1 33.22 744.11 Tm (bed, being relatively frail. The carpet in and outside their room was he\ avily stained, )Tj 1 0 0 1 33.22 726.61 Tm (with staff telling us that because the person was bed-bound this could n\ ot be )Tj 1 0 0 1 33.22 709.11 Tm (addressed properly. The person had very little of interest to look at fr\ om their bed. The )Tj 1 0 0 1 33.22 691.62 Tm (Activities Organiser described ways in which she had tried to improve th\ e room, but )Tj 1 0 0 1 33.22 674.12 Tm (had encountered difficulties finding something the person liked. She and\ the manager )Tj 1 0 0 1 33.22 656.63 Tm (agreed to try further to address this matter, to improve the quality of \ this person's day )Tj 1 0 0 1 33.22 639.13 Tm (and environment.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14 Tm (The home's lift had broken down 3 times since our last inspection, as on\ e person )Tj 1 0 0 1 33.22 586.64 Tm (raised with us during our visit. This was despite regular servicing, evi\ denced by the )Tj 1 0 0 1 33.22 569.15 Tm (engineers' reports we saw. The home is now considering installation of a\ chair lift to )Tj 1 0 0 1 33.22 551.65 Tm (avoid inconveniencing people again.)Tj 1 0 0 1 33.22 534.15 Tm (\240)Tj 1 0 0 1 33.22 516.66 Tm (The handyman usually worked at the home full time, and was on call at we\ ek-ends for )Tj 1 0 0 1 33.22 499.16 Tm (emergencies. People said that minor repairs were attended to quickly. Th\ e )Tj 1 0 0 1 33.22 481.67 Tm (maintenance log we saw confirmed most repairs were carried out in 1-3 da\ ys.)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (The home is a Grade II Listed Building, which affects some alterations. \ Some changes )Tj 1 0 0 1 33.22 429.18 Tm (had been made, in response to people's diverse needs or their suggestion\ s. )Tj 1 0 0 1 495.14 429.18 Tm (Pre-)Tj 1 0 0 1 33.22 411.68 Tm (admission)Tj 1 0 0 1 93.54 411.68 Tm ( assessments we saw for people who had since moved into the home )Tj 1 0 0 1 33.22 394.19 Tm (included equipment, rails, etc. that were to be in place ready for their\ arrival.)Tj 1 0 0 1 33.22 376.69 Tm (\240)Tj 1 0 0 1 33.22 359.19 Tm (The home had two level-access showers, as well as adapted baths for peop\ le with )Tj 1 0 0 1 33.22 341.7 Tm (certain mobility problems. A comment in one survey was that the responde\ nt would )Tj 1 0 0 1 33.22 324.2 Tm (appreciate it if baths were available. The manager explained that the cu\ rrent baths did )Tj 1 0 0 1 33.22 306.71 Tm (not accommodate people who needed hoisting. We spoke with one person who\ told us )Tj 1 0 0 1 33.22 289.21 Tm (they did not have a bath or shower, and didn't like having their hair wa\ shed in bed. )Tj 1 0 0 1 33.22 271.71 Tm (The manager told us the home had recently obtained a specialist chair fo\ r use in the )Tj 1 0 0 1 33.22 254.22 Tm (shower, that would enable this person to have a shower. Other aids \(suc\ h as raised )Tj 1 0 0 1 33.22 236.72 Tm (seats or surrounding frames\), to help people remain independent, were a\ vailable. )Tj 1 0 0 1 33.22 219.23 Tm (Whilst other shared areas looked homely, toilets and bathrooms tended to\ look more )Tj 1 0 0 1 33.22 201.73 Tm (institutional and less welcoming.)Tj 1 0 0 1 33.22 184.23 Tm (\240)Tj 1 0 0 1 33.22 166.74 Tm (The home had a number of communal areas for people to sit in. This inclu\ ded a )Tj 1 0 0 1 33.22 149.24 Tm ('chapel', accessible for those wanting a quieter place to sit. On our la\ st visit, someone )Tj 1 0 0 1 33.22 131.75 Tm (said they were not able to sit in one area any more, because seating had\ been )Tj 1 0 0 1 33.22 114.25 Tm (removed. On this visit, we found people sitting happily in the area agai\ n. New seating )Tj 1 0 0 1 33.22 96.75 Tm (had been provided around the home, to suit people needing differing heig\ hts of )Tj 1 0 0 1 33.22 79.26 Tm (furniture to promote their independence and comfort. People we spoke wit\ h and our )Tj ET endstream endobj 164 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (observations confirmed they were able to use the seating available.)Tj 1 0 0 1 33.22 761.6 Tm (\240)Tj 1 0 0 1 33.22 744.11 Tm (There is level access to the gardens and grounds, which are usable by wh\ eelchair )Tj 1 0 0 1 33.22 726.61 Tm (users, as we saw during our visit. People enjoyed the sunny weather by u\ sing the )Tj 1 0 0 1 33.22 709.11 Tm (paved areas of the garden, where seating was available, flowers were gro\ wing \(- some )Tj 1 0 0 1 33.22 691.62 Tm (planted by people living at the home\), and shaded areas had been provid\ ed.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (Staff surveys raised the point that there were no staff rooms at the hom\ e. During our )Tj 1 0 0 1 33.22 639.13 Tm (visit, we observed the dining room for use by the people living at the h\ ome was used )Tj 1 0 0 1 33.22 621.63 Tm (by staff for their breaks. Some individuals looked uneasy at disturbing \ the staff as they )Tj 1 0 0 1 33.22 604.14 Tm (walked through the area.)Tj 1 0 0 1 33.22 586.64 Tm (\240)Tj 1 0 0 1 33.22 569.15 Tm (When we carried out our Annual Service Review, servicing of gas applianc\ es was )Tj 1 0 0 1 33.22 551.65 Tm (overdue, but we were told this was being looked into. On this inspection\ we found )Tj 1 0 0 1 33.22 534.15 Tm (kitchen appliances had been serviced since then, but not the gas boilers\ \(which were )Tj 1 0 0 1 33.22 516.66 Tm (to be serviced the week after our visit\). Some portable electrical appl\ iances had not )Tj 1 0 0 1 33.22 499.16 Tm (been tested in the last year. The manager confirmed this testing would b\ e completed )Tj 1 0 0 1 33.22 481.67 Tm (by early July 2009. We saw evidence that 5 hoists were serviced recently\ .)Tj 1 0 0 1 33.22 464.17 Tm (\240)Tj 1 0 0 1 33.22 446.67 Tm (The AQAA said a Home Services Manager visited the home on a weekly basis\ to review )Tj 1 0 0 1 33.22 429.18 Tm (the housekeeping services. Surveys from people living at the home the ho\ me was )Tj 1 0 0 1 33.22 411.68 Tm ('always' or 'usually' clean and fresh. A relative praised the home for t\ heir )Tj 1 0 0 1 33.22 394.19 Tm (achievements in keeping one person's room clean and fresh. We too genera\ lly found )Tj 1 0 0 1 33.22 376.69 Tm (the home clean and without malodours when we arrived at a relatively ear\ ly hour. )Tj 1 0 0 1 33.22 359.19 Tm (Furniture had been moved for thorough cleaning. However, there was a sli\ ght odour )Tj 1 0 0 1 33.22 341.7 Tm (on entering the home, and one room remained very odorous, despite being \ aired all )Tj 1 0 0 1 33.22 324.2 Tm (day. A lounge carpet was stained in places. A domestic staff member was \ still working )Tj 1 0 0 1 33.22 306.71 Tm (her way around the home in the mid-afternoon; a carpet cleaner was used \ during the )Tj 1 0 0 1 33.22 289.21 Tm (day.)Tj 1 0 0 1 33.22 271.71 Tm (\240)Tj 1 0 0 1 33.22 254.22 Tm (The laundry had washing machines with programmes suitable to deal approp\ riately )Tj 1 0 0 1 33.22 236.72 Tm (with items, including soiled linen. It was orderly on the days of our vi\ sit, with a variety )Tj 1 0 0 1 33.22 219.23 Tm (of wash programmes used.)Tj 1 0 0 1 33.22 201.73 Tm (\240)Tj 1 0 0 1 33.22 184.23 Tm (Disposable gloves and aprons were distributed throughout the home for st\ aff to use in )Tj 1 0 0 1 33.22 166.74 Tm (preventing the spread of any infections. Staff we spoke with described a\ ppropriate )Tj 1 0 0 1 33.22 149.24 Tm (infection control practises also. However, we pointed out to the manager\ that the )Tj 1 0 0 1 33.22 131.75 Tm (AQAA said that of 31 staff, only 16 had had infection control training, \ and that the )Tj 1 0 0 1 33.22 114.25 Tm (infection control policy had not been reviewed since 2005.)Tj 1 0 0 1 33.22 96.75 Tm (\240)Tj 1 0 0 1 33.22 79.26 Tm (The home had sluicing facilities, but not all were mechanical so staff w\ ould have to )Tj ET endstream endobj 165 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 111.35 w 33.45 755.73 m 563.65 755.73 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 89.98 w 32.32 743.92 m 564.78 743.92 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 696.73 l S 565.9 791.11 m 565.9 696.73 l S 31.2 790.03 m 565.9 790.03 l S 30.12 697.8 m 566.98 697.8 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (deal with some items by hand, which creates cross-infection risks. This \ is not )Tj 1 0 0 1 33.22 761.6 Tm (appropriate in a care home for people with nursing needs. One sluice roo\ m had )Tj 1 0 0 1 33.22 744.11 Tm (damaged tiling, which would affect the levels of cleanliness that could \ be achieved )Tj 1 0 0 1 33.22 726.61 Tm (there. The kitchen walls and floor had been repaired as recommended at o\ ur last visit, )Tj 1 0 0 1 33.22 709.11 Tm (which would help to maintain the hygiene of that area.)Tj ET endstream endobj 166 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 592.17 m 565.85 592.17 l S 30.07 699.74 m 30.07 591.09 l S 564.78 699.74 m 564.78 591.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.48 Tm (managers.)Tj 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 573.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 551.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 534.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 132.47 w 32.32 442 m 564.78 442 l S 0.992 0.898 0.545 RG 2.25 w 30.12 509.36 m 566.98 509.36 l S 31.2 510.44 m 31.2 373.56 l S 565.9 510.44 m 565.9 373.56 l S 31.2 509.36 m 565.9 509.36 l S 30.12 374.64 m 566.98 374.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.18 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (People living at the home are supported by sufficient numbers of suitabl\ e, caring staff. )Tj 1 0 0 1 35.47 418.69 Tm (They will benefit further from ongoing staff training and support, which\ is being )Tj 1 0 0 1 35.47 401.2 Tm (developed so as to ensure people's needs are met and they are in safe ha\ nds at all )Tj 1 0 0 1 35.47 383.7 Tm (times. )Tj ET 0.996 0.945 0.761 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 327.4 m 566.98 327.4 l S 31.2 328.47 m 31.2 64.9 l S 565.9 328.47 m 565.9 64.9 l S 31.2 327.4 m 565.9 327.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj 1 0 0 1 35.47 311.71 Tm (Asked what the home did well, some people replied in their surveys, 'Sta\ ff are very )Tj 1 0 0 1 35.47 294.22 Tm (good', 'Staff very friendly', and 'All staff - from kitchen, cleaners, c\ arers, sisters - )Tj 1 0 0 1 35.47 276.72 Tm (they're all angels.' One person living at the home told us they were goo\ d friends with )Tj 1 0 0 1 35.47 259.22 Tm (the carers, and a visitor said staff were '100% caring'.)Tj 1 0 0 1 35.47 241.73 Tm (\240)Tj 1 0 0 1 35.47 224.23 Tm (The great majority of surveys from people living at the home said staff \ were always or )Tj 1 0 0 1 35.47 206.74 Tm (usually available when needed. Most staff thought staffing levels were s\ ufficient except )Tj 1 0 0 1 35.47 189.24 Tm (when affected by sickness or holiday leave. Asked how the home could imp\ rove, one )Tj 1 0 0 1 35.47 171.74 Tm (person wanted action about staff who called in sick, and on our visit, w\ e noted )Tj 1 0 0 1 35.47 154.25 Tm (sickness absences on work rotas. The manager was clear that this was bei\ ng )Tj 1 0 0 1 35.47 136.75 Tm (addressed with individuals concerned.)Tj 1 0 0 1 35.47 119.26 Tm (\240)Tj 1 0 0 1 35.47 101.76 Tm (When we first arrived, there were 38 people living at the home, with jus\ t over half of )Tj 1 0 0 1 35.47 84.26 Tm (them needing nursing care. Two Registered Nurses were on duty with 6 car\ e assistants )Tj ET endstream endobj 167 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (to provide care and support for them. In the afternoon, the team was red\ uced by 1 )Tj 1 0 0 1 33.22 761.6 Tm (care assistant, with another reduction to 4 carers at 5pm. Overnight, th\ ere was 1 )Tj 1 0 0 1 33.22 744.11 Tm (Registered Nurse with 3 carers.)Tj 1 0 0 1 33.22 726.61 Tm (\240)Tj 1 0 0 1 33.22 709.11 Tm (The manager, also a nurse, was supernumerary to the care team. In additi\ on there )Tj 1 0 0 1 33.22 691.62 Tm (was a cook, a kitchen assistant, 2 cleaners and an administrator on duty\ . The )Tj 1 0 0 1 33.22 674.12 Tm (handyman was on holiday, so maintenance cover was provided from another \ of the )Tj 1 0 0 1 33.22 656.63 Tm (provider's homes. The AQAA indicated that there was relatively little us\ e of agency )Tj 1 0 0 1 33.22 639.13 Tm (staff.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14 Tm (People told us that, generally, staff were fairly punctual with meals, m\ edications, )Tj 1 0 0 1 33.22 586.64 Tm (assistance to get up or go to bed when they wanted, etc., although some \ said that call )Tj 1 0 0 1 33.22 569.15 Tm (bells were not always answered promptly. A visitor said staff always wen\ t to sit with )Tj 1 0 0 1 33.22 551.65 Tm (people who lived at the home rather than just 'sitting around' together.\ )Tj 1 0 0 1 33.22 534.15 Tm (\240)Tj 1 0 0 1 33.22 516.66 Tm (Someone living at the home had been charged the flat rate for a staff es\ cort for an )Tj 1 0 0 1 33.22 499.16 Tm (appointment that was unexpectedly short, feeling this was unfair. The ma\ nager )Tj 1 0 0 1 33.22 481.67 Tm (explained that the fee covered costs of an additional staff member to ac\ company )Tj 1 0 0 1 33.22 464.17 Tm (individuals, rather than sending staff who were rostered to work as part\ of the usual )Tj 1 0 0 1 33.22 446.67 Tm (numbers.)Tj 1 0 0 1 33.22 429.18 Tm (\240)Tj 1 0 0 1 33.22 411.68 Tm (Staff recruitment was ongoing. We checked the recruitment files of 3 sta\ ff members )Tj 1 0 0 1 33.22 394.19 Tm (recruited since our last inspection. Each contained an application form,\ written )Tj 1 0 0 1 33.22 376.69 Tm (references and proof of identity, and timely police checks as is good pr\ actise to ensure )Tj 1 0 0 1 33.22 359.19 Tm (that appropriate people are recruited to work in the home. The registrat\ ion status of )Tj 1 0 0 1 33.22 341.7 Tm (nurses in this sample had been checked by the home with their registerin\ g body, with )Tj 1 0 0 1 33.22 324.2 Tm (evidence kept to show they were permitted to work in the capacity of nur\ ses.)Tj 1 0 0 1 33.22 306.71 Tm (\240)Tj 1 0 0 1 33.22 289.21 Tm (We saw that the staff induction programme was now based on a recognised \ induction )Tj 1 0 0 1 33.22 271.71 Tm (for care staff. The AQAA said that new staff are given the relevant code\ of conduct \(for )Tj 1 0 0 1 33.22 254.22 Tm (social care staff\) in their first language.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (One comment made was 'The majority \(of staff\) are excellent, but Engli\ sh language a )Tj 1 0 0 1 33.22 201.73 Tm (problem for other staff & patients.' A certificate displayed, given by a\ college of further )Tj 1 0 0 1 33.22 184.23 Tm (education in April 2009, evidenced that the home had taken steps to help\ staff from )Tj 1 0 0 1 33.22 166.74 Tm (overseas to improve their English language skills. When we asked people \ at the home )Tj 1 0 0 1 33.22 149.24 Tm (about ease of communication with staff, one said that they came from ano\ ther part of )Tj 1 0 0 1 33.22 131.75 Tm (England and did not always understand staff from Devon.)Tj 1 0 0 1 33.22 114.25 Tm (\240)Tj 1 0 0 1 33.22 96.75 Tm (Other comments on what the home could do better included 'Staff training\ , especially )Tj 1 0 0 1 33.22 79.26 Tm (the young and foreign staff' and 'Maybe more training in basic needs wou\ ld ensure )Tj ET endstream endobj 168 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 408.78 w 33.45 607.01 m 563.65 607.01 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 387.41 w 32.32 595.2 m 564.78 595.2 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 399.29 l S 565.9 791.11 m 565.9 399.29 l S 31.2 790.03 m 565.9 790.03 l S 30.12 400.37 m 566.98 400.37 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (quality care - not easy for staff under pressure,' which reflected our f\ indings about )Tj 1 0 0 1 33.22 761.6 Tm (aspects of personal care. Of 22 staff, 10 had a recognised care qualific\ ation, and 7 )Tj 1 0 0 1 33.22 744.11 Tm (others were undertaking one. The home also employed a company to provide\ training )Tj 1 0 0 1 33.22 726.61 Tm (to staff who were not currently able to undertake a care qualification, \ which included )Tj 1 0 0 1 33.22 709.11 Tm (some of the staff from overseas. The health professional who completed o\ ur survey )Tj 1 0 0 1 33.22 691.62 Tm (said the staff usually had the right skills and experience to support pe\ ople's needs and )Tj 1 0 0 1 33.22 674.12 Tm (respond to their more diverse needs.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (Staff had a limited understanding of the implications that the Mental Ca\ pacity Act 2005 )Tj 1 0 0 1 33.22 621.63 Tm (had for their work and responsibilities, but further training on the sub\ ject was held )Tj 1 0 0 1 33.22 604.14 Tm (during our visit. We asked staff what a 'diabetic diet' meant, having re\ ad in someone's )Tj 1 0 0 1 33.22 586.64 Tm (care plan that they required this. We got various responses, most of whi\ ch were not in )Tj 1 0 0 1 33.22 569.15 Tm (line with current guidance. One staff member said they had not had any t\ raining on )Tj 1 0 0 1 33.22 551.65 Tm (diabetes and would find it helpful. Two people we case-tracked had sight\ problems, )Tj 1 0 0 1 33.22 534.15 Tm (and staff were knowledgeable about the support they consequently needed \ as )Tj 1 0 0 1 33.22 516.66 Tm (individuals.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.67 Tm (The manager confirmed a group of staff were undertaking accredited long-\ distance )Tj 1 0 0 1 33.22 464.17 Tm (learning on dementia, palliative care, and equality and diversity matter\ s.The health )Tj 1 0 0 1 33.22 446.67 Tm (professional we surveyed said they were 'Impressed by evidence of recent\ training )Tj 1 0 0 1 33.22 429.18 Tm (taken up by the home aimed at improving understanding and care for indiv\ iduals with )Tj 1 0 0 1 33.22 411.68 Tm (cognitive deficits.' )Tj ET endstream endobj 169 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 507.17 m 565.85 507.17 l S 30.07 699.74 m 30.07 506.09 l S 564.78 699.74 m 564.78 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 466.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 449.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 377 m 563.65 377 l S 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 114.98 w 32.32 365.75 m 564.78 365.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 424.36 m 566.98 424.36 l S 31.2 425.44 m 31.2 306.06 l S 565.9 425.44 m 565.9 306.06 l S 31.2 424.36 m 565.9 424.36 l S 30.12 307.14 m 566.98 307.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.18 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (People benefit from living in a well managed home which is striving to i\ mprove )Tj 1 0 0 1 517.37 351.19 Tm (person-)Tj 1 0 0 1 35.47 333.69 Tm (centred)Tj 1 0 0 1 80.95 333.69 Tm ( care and which is working hard to make sure it is run in their best int\ erests. )Tj 1 0 0 1 35.47 316.2 Tm (People's health and safety is not protected robustly.)Tj ET 0.996 0.945 0.761 RG 213.04 w 33.45 174.74 m 563.65 174.74 l S 1 1 1 RG 22.5 w 31.2 272.27 m 565.9 272.27 l S 191.67 w 32.32 162.93 m 564.78 162.93 l S 0.992 0.898 0.545 RG 2.25 w 30.12 259.89 m 566.98 259.89 l S 31.2 260.97 m 31.2 64.9 l S 565.9 260.97 m 565.9 64.9 l S 31.2 259.89 m 565.9 259.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.95 Tm (Evidence:)Tj 1 0 0 1 35.47 244.21 Tm (Mrs Paula Burtoft was registered as the home's manager in May 2007, havi\ ng )Tj 1 0 0 1 35.47 226.71 Tm (previously worked as a Registered Nurse in hospital settings. Comments m\ ade in the )Tj 1 0 0 1 35.47 209.22 Tm (surveys we received from people living at the home included, 'The leader\ ship through )Tj 1 0 0 1 35.47 191.72 Tm (Paula creates a very pleasant efficient working atmosphere,' and from st\ aff surveys, )Tj 1 0 0 1 35.47 174.22 Tm ('Over the past few years it \(ie the home\) has improved.' Positive comm\ ents about the )Tj 1 0 0 1 35.47 156.73 Tm (management of the home were also made to us by people we spoke with, and\ we )Tj 1 0 0 1 35.47 139.23 Tm (found action had been taken to address issues raised at our last inspect\ ion. Staff felt )Tj 1 0 0 1 35.47 121.74 Tm (well supported. They and other people we spoke with said the manager - a\ nd senior )Tj 1 0 0 1 35.47 104.24 Tm (staff in general - were very approachable.)Tj 1 0 0 1 35.47 86.74 Tm (\240)Tj ET endstream endobj 170 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 66.02 l S 565.9 791.11 m 565.9 66.02 l S 31.2 790.03 m 565.9 790.03 l S 30.12 67.1 m 566.98 67.1 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (There was no-one living at the home who was subject to a deprivation of \ liberty )Tj 1 0 0 1 33.22 761.6 Tm (authorisation, and we did not find that anyone was having their liberty \ deprived )Tj 1 0 0 1 33.22 744.11 Tm (without an authorisation. The home's AQAA included that they needed to d\ o more in )Tj 1 0 0 1 33.22 726.61 Tm (relation to this relatively new legislation. However, there was no guida\ nce available for )Tj 1 0 0 1 33.22 709.11 Tm (staff that staff were aware of, to ensure the the requirements of the Me\ ntal Capacity )Tj 1 0 0 1 33.22 691.62 Tm (Act 2005 will be met.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (When we carried out the Annual Service Review, we noted that some polici\ es had not )Tj 1 0 0 1 33.22 639.13 Tm (been reviewed for three or more years but were told by the manager that \ these were )Tj 1 0 0 1 33.22 621.63 Tm (currently being re-drafted. On this inspection, we found that this has s\ till not been )Tj 1 0 0 1 33.22 604.14 Tm (addressed.)Tj 1 0 0 1 33.22 586.64 Tm (\240)Tj 1 0 0 1 33.22 569.15 Tm (A notice on display informed about a forthcoming relatives' meeting. Min\ utes for the )Tj 1 0 0 1 33.22 551.65 Tm (last residents' meeting showed topics discussed included meals, decor, s\ taffing )Tj 1 0 0 1 33.22 534.15 Tm (matters, individual care, activities, and a request that home-made cakes\ be provided )Tj 1 0 0 1 33.22 516.66 Tm (with the mid-afternoon tea again. People confirmed that action was taken\ to address )Tj 1 0 0 1 33.22 499.16 Tm (suggestions or other comments made at such meetings.)Tj 1 0 0 1 33.22 481.67 Tm (\240)Tj 1 0 0 1 33.22 464.17 Tm (We were shown the home's quality assurance plan, which included regular \ meetings or )Tj 1 0 0 1 33.22 446.67 Tm (reviews concerning catering services and activities provided by the home\ , as well as )Tj 1 0 0 1 33.22 429.18 Tm (making provision for subsequent action plans.)Tj 1 0 0 1 33.22 411.68 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (The AQAA informed us that the home had begun surveys specifically for ne\ w residents, )Tj 1 0 0 1 33.22 376.69 Tm (carried out after they had been at the home for 14 days. This, as we saw\ , included a )Tj 1 0 0 1 33.22 359.19 Tm (comment cards about their pre- and post-admission experiences.)Tj 1 0 0 1 33.22 341.7 Tm (\240)Tj 1 0 0 1 33.22 324.2 Tm (The manager told us that the annual survey had just been sent out by the\ company's )Tj 1 0 0 1 33.22 306.71 Tm (head office to people living at the home and their relatives, with surve\ ys sent out late )Tj 1 0 0 1 33.22 289.21 Tm (last year to the home's staff and visiting professionals. We saw these s\ urveys asked )Tj 1 0 0 1 33.22 271.71 Tm (people about cleanliness, decor, activities, the laundry, staff meals, a\ nd the home's )Tj 1 0 0 1 33.22 254.22 Tm (response to any concerns, among other things. We found where people had \ raised )Tj 1 0 0 1 33.22 236.72 Tm (matters they felt could be improved, action had already been taken about\ some of )Tj 1 0 0 1 33.22 219.23 Tm (these, addressing the issue.)Tj 1 0 0 1 33.22 201.73 Tm (\240)Tj 1 0 0 1 33.22 184.23 Tm (We checked the personal monies records of 3 people for whom the home kep\ t monies )Tj 1 0 0 1 33.22 166.74 Tm (on their behalf. Good records were kept, along with receipts, with trans\ actions )Tj 1 0 0 1 33.22 149.24 Tm (witnessed and verified by 2 signatories. This ensured that these account\ s were )Tj 1 0 0 1 33.22 131.75 Tm (auditable and monies accounted for. The manager confirmed that no employ\ ees of the )Tj 1 0 0 1 33.22 114.25 Tm (company acted as appointee for anyone living at the home. We also saw pe\ ople had )Tj 1 0 0 1 33.22 96.75 Tm (been notified in writing, in advance, of changes to care fees and the ex\ tras they could )Tj 1 0 0 1 33.22 79.26 Tm (be charged for.)Tj ET endstream endobj 171 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.996 0.945 0.761 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 206.84 l S 565.9 791.11 m 565.9 206.84 l S 31.2 790.03 m 565.9 790.03 l S 30.12 207.91 m 566.98 207.91 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (We saw records of regular maintenance or safety checks for bed-rails, ho\ t water )Tj 1 0 0 1 33.22 744.11 Tm (temperatures, window restrictors, and fire equipment. The manager told u\ s that )Tj 1 0 0 1 33.22 726.61 Tm (thermostatic valves were being fitted to sinks, to control risks from ve\ ry hot water. )Tj 1 0 0 1 33.22 709.11 Tm (Risk assessments had been written meanwhile for people who were consider\ ed at )Tj 1 0 0 1 33.22 691.62 Tm (particular risk from very hot water. We have discussed elsewhere issues \ relating to )Tj 1 0 0 1 33.22 674.12 Tm (overdue servicing of some gas appliances.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (We discussed that other environmental risk assessments also needed to co\ nsider all )Tj 1 0 0 1 33.22 621.63 Tm (individuals likely to put themselves at risk, and not just the environme\ nt alone. )Tj 1 0 0 1 33.22 604.14 Tm (Window restrictors were in place where we checked. Kitchen fridge and fr\ eezer )Tj 1 0 0 1 33.22 586.64 Tm (temperatures had been recorded weekly, and showed food was stored at wit\ hin )Tj 1 0 0 1 33.22 569.15 Tm (recommended ranges. An inspection of catering facilities, in the last ye\ ar, by )Tj 1 0 0 1 33.22 551.65 Tm (Environmental Health staff stated no further action was required by the \ home.)Tj 1 0 0 1 33.22 534.15 Tm (\240)Tj 1 0 0 1 33.22 516.66 Tm (The home had to undertake some work by mid August 2009, following a visi\ t by the )Tj 1 0 0 1 33.22 499.16 Tm (local fire service. The manager told us that fire drills had since been \ carried out for )Tj 1 0 0 1 33.22 481.67 Tm (night staff that had met the required timescale, and other action had be\ en taken to )Tj 1 0 0 1 33.22 464.17 Tm (improve fire safety at the home. However, when we spoke with staff about\ procedures )Tj 1 0 0 1 33.22 446.67 Tm (in the event of the fire alarms sounding, they all gave different respon\ ses. The )Tj 1 0 0 1 33.22 429.18 Tm (manager said she would speak to the home's fire safety trainer to addres\ s this matter )Tj 1 0 0 1 33.22 411.68 Tm (urgently, and also to address training for a very small number of staff \ who had not )Tj 1 0 0 1 33.22 394.19 Tm (attended recent fire safety updates as required by the home.)Tj 1 0 0 1 33.22 376.69 Tm (\240)Tj 1 0 0 1 33.22 359.19 Tm (A form had just been devised to record the support each individual livin\ g at the home )Tj 1 0 0 1 33.22 341.7 Tm (might need in an emergency such as a fire - information needed to also i\ nform the )Tj 1 0 0 1 33.22 324.2 Tm (home's fire risk assessment. The manager confirmed this information was \ in place for )Tj 1 0 0 1 33.22 306.71 Tm (everyone living at the home by the second day of our visit.)Tj 1 0 0 1 33.22 289.21 Tm (\240)Tj 1 0 0 1 33.22 271.71 Tm (Several staff had undertaken first aid courses, meaning that it was like\ ly that an )Tj 1 0 0 1 33.22 254.22 Tm (appropriately trained person would be on duty every shift. However, ther\ e was no )Tj 1 0 0 1 33.22 236.72 Tm (system at present for ensuring this was the case, which the manager said\ she would )Tj 1 0 0 1 33.22 219.23 Tm (address.)Tj ET endstream endobj 172 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.992 0.945 0.761 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.996 0.945 0.761 RG 17 w 28.35 784.78 m 422.1 784.78 l S 424.35 784.78 m 467.1 784.78 l S 1 1 1 RG 469.35 784.78 m 494.1 784.78 l S 0.996 0.945 0.761 RG 496.35 784.78 m 539.1 784.78 l S 1 1 1 RG 541.35 784.78 m 566.1 784.78 l S 0.992 0.898 0.545 RG 2.25 w 26.14 794.4 m 568.3 794.4 l S 26.14 813.65 m 568.3 813.65 l S 26.14 794.4 m 568.3 794.4 l S 26.14 775.15 m 568.3 775.15 l S 27.22 814.73 m 27.22 774.08 l S 423.22 795.48 m 423.22 774.08 l S 468.22 795.48 m 468.22 774.08 l S 495.22 795.48 m 495.22 774.08 l S 540.22 795.48 m 540.22 774.08 l S 567.22 814.73 m 567.22 774.08 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.22 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.16 Tm <0035>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.22 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 546.75 783.16 Tm <0085>Tj ET 0.996 0.945 0.761 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 30.3 w 31.2 631.95 m 91 631.95 l S 93.25 631.95 m 197.4 631.95 l S 199.65 631.95 m 289.5 631.95 l S 291.75 631.95 m 473.9 631.95 l S 476.15 631.95 m 566.2 631.95 l S 1 1 1 RG 358.92 w 31.2 435.09 m 91.05 435.09 l S 93.3 435.09 m 197.4 435.09 l S 199.65 435.09 m 289.45 435.09 l S 291.7 435.09 m 473.8 435.09 l S 476.05 435.09 m 566.1 435.09 l S 0.992 0.898 0.545 RG 2.25 w 28.99 648.22 m 568.4 648.22 l S 28.99 615.67 m 568.4 615.67 l S 92.12 649.3 m 92.12 253.43 l S 290.62 649.3 m 290.62 253.43 l S 475.02 649.3 m 475.02 253.43 l S 28.99 719.65 m 568.4 719.65 l S 28.99 648.22 m 568.4 648.22 l S 28.99 615.67 m 568.3 615.67 l S 28.99 254.5 m 568.3 254.5 l S 30.07 720.73 m 30.07 253.43 l S 92.17 616.75 m 92.17 253.43 l S 198.52 649.3 m 198.52 253.43 l S 290.57 616.75 m 290.57 253.43 l S 474.92 616.75 m 474.92 253.43 l S 567.32 720.73 m 567.32 253.43 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45 Tm (been met.)Tj 1 0 0 1 95.57 669.45 Tm (\240 )Tj 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.05 Tm (No.)Tj 1 0 0 1 96.1 634.05 Tm (Standard)Tj 1 0 0 1 202.5 634.05 Tm (Regulation)Tj 1 0 0 1 294.6 634.05 Tm (Requirement)Tj 1 0 0 1 479 634.05 Tm (Timescale for )Tj 1 0 0 1 479 621.9 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.49 Tm (1)Tj 1 0 0 1 96.15 599.49 Tm (9)Tj 1 0 0 1 202.5 599.49 Tm (13 \(2\))Tj 1 0 0 1 294.55 599.49 Tm (To ensure that people )Tj 1 0 0 1 294.55 584.91 Tm (receive their medicines )Tj 1 0 0 1 294.55 570.33 Tm (safely:)Tj 1 0 0 1 294.55 555.75 Tm (\240)Tj 1 0 0 1 294.55 541.17 Tm (All creams prescribed for )Tj 1 0 0 1 294.55 526.59 Tm (people must be signed as )Tj 1 0 0 1 294.55 512.01 Tm (being applied by the person )Tj 1 0 0 1 294.55 497.43 Tm (who did this.)Tj 1 0 0 1 294.55 482.85 Tm (\240)Tj 1 0 0 1 294.55 468.27 Tm (A record should be kept of )Tj 1 0 0 1 294.55 453.69 Tm (the use by date of all )Tj 1 0 0 1 294.55 439.11 Tm (medications with a limited )Tj 1 0 0 1 294.55 424.53 Tm (shelf life, so that they are )Tj 1 0 0 1 294.55 409.95 Tm (not used beyond this date.)Tj 1 0 0 1 294.55 395.37 Tm (\240)Tj 1 0 0 1 294.55 380.79 Tm (All medications in the home )Tj 1 0 0 1 294.55 366.21 Tm (that are no longer used \(e.g. )Tj 1 0 0 1 294.55 351.63 Tm (because the person for )Tj 1 0 0 1 294.55 337.05 Tm (whom they were prescribed )Tj 1 0 0 1 294.55 322.47 Tm (has died\) must not be kept in )Tj 1 0 0 1 294.55 307.89 Tm (the home for any longer than )Tj 1 0 0 1 294.55 293.31 Tm (necessary.)Tj 1 0 0 1 294.55 278.73 Tm (\240)Tj 1 0 0 1 294.55 261.15 Tm (\240)Tj 1 0 0 1 478.9 599.49 Tm (31/08/2007)Tj ET endstream endobj 173 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj /T1_0 16 Tf 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35 782.15 Tm (\240)Tj ET 0.996 0.945 0.761 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 30.3 w 31.2 704.82 m 91 704.82 l S 93.25 704.82 m 197.4 704.82 l S 199.65 704.82 m 289.5 704.82 l S 291.75 704.82 m 473.9 704.82 l S 476.15 704.82 m 566.2 704.82 l S 0.992 0.898 0.545 RG 2.25 w 28.99 721.1 m 568.4 721.1 l S 28.99 776.09 m 568.4 776.09 l S 28.99 721.1 m 568.4 721.1 l S 28.99 688.55 m 568.4 688.55 l S 30.07 777.17 m 30.07 687.47 l S 92.12 722.18 m 92.12 687.47 l S 198.52 722.18 m 198.52 687.47 l S 290.62 722.18 m 290.62 687.47 l S 475.02 722.18 m 475.02 687.47 l S 567.32 777.17 m 567.32 687.47 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.92 Tm (No.)Tj 1 0 0 1 96.1 706.92 Tm (Standard)Tj 1 0 0 1 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should consider them as\ a way of )Tj 1 0 0 1 34.05 561.48 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 543.66 Tm (No.)Tj 1 0 0 1 96.1 540.66 Tm (Refer to Standard)Tj 1 0 0 1 202.5 540.66 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 518.25 Tm (1)Tj 1 0 0 1 96.15 518.25 Tm (10)Tj 1 0 0 1 202.5 518.25 Tm (It is recommended that personal care be such as to ensure )Tj 1 0 0 1 202.5 503.67 Tm (people's dignity is upheld at all times, with regard for )Tj 1 0 0 1 529.94 503.67 Tm (nail-)Tj 1 0 0 1 202.5 489.09 Tm (care)Tj 1 0 0 1 228.24 489.09 Tm ( and cleanliness of people's spectacles, etc.)Tj 1 0 0 1 34.05 466.26 Tm (2)Tj 1 0 0 1 96.15 466.26 Tm (12)Tj 1 0 0 1 202.5 466.26 Tm (It is recommended that you continue to develop provision )Tj 1 0 0 1 202.5 451.68 Tm (of opportunities for improving the quality of individuals' )Tj 1 0 0 1 202.5 437.1 Tm (lives through leisure and recreational activities, especially )Tj 1 0 0 1 202.5 422.52 Tm (where they are not able 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202.5 696.49 Tm (a\) Regularly reviewed in the light of changing legislation )Tj 1 0 0 1 202.5 681.91 Tm (and good practise guidance \(as noted in Standard 33.9\); )Tj 1 0 0 1 202.5 667.33 Tm (and)Tj 1 0 0 1 202.5 652.75 Tm (b\) Provided for staff to ensure that the requirements of the )Tj 1 0 0 1 202.5 638.17 Tm (Mental Capacity Act 2005 will be fully met.)Tj 1 0 0 1 34.05 615.34 Tm (11)Tj 1 0 0 1 96.15 615.34 Tm (38)Tj 1 0 0 1 202.5 615.34 Tm (It is recommended that servicing of all gas appliances is )Tj 1 0 0 1 202.5 600.76 Tm (done in a timely manner.)Tj ET endstream endobj 179 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.984 0.788 0.086 RG 22.5 w 22.95 802.41 m 560.45 802.41 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35 781.11 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.6 Tm (or )Tj 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35 679.61 Tm (\240)Tj 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35 532.64 Tm (misleading context. 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