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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 91 0 obj<> endobj 92 0 obj<>/FontDescriptor 91 0 R/DW 1000>> endobj 93 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 94 0 obj<>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. 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$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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gATA,SsS1{?c;pxZc_GqNYPnn<HL(|M\')I%l!'43>x 3(_~! f%~r*IfnQ52}/b̳ 7v$JFy #e<:6~4܋%ZDacAC-c)=džN/&k- ;8C3A>0!Mkh?iv\XboثOVD-Sũ5je $nP<]54:.)`iؽyiҀcgQҬF_hnA,=;էn Iy>sK2AY R$y@pQ̬޵Ҡ#wlħ&oDs;8pZvai~=Ûa)Kו'1?2M?e:렝1P3q3#Uʭ211 sj Y酫vzR : BmKUpV+RxVtb= 0hFS-?`?L?*p‡'}EɅ$,Vv=i t3{>N Y 7Lylzn􋙡4F/&mw !:%/OxQny̼r"1@,Nئ /#o}Cz[u؁şkwFvvitd '1DzNqiNW}&Y>-~Ǖ..6"7I E^oWM j ĥ/hv]C{O~tt izIš1tycY dlÂe!$̽3v7@ Qx83Ig/S</4.FcDnH cT9(gM5=fg"[ҹbe5X#V_@4'pǖoEqR)e5 +}i E%o͠Ƚly(;-%C) }5* adQ-Zf`>2_ZSD׌a&dҀÒ,&6Q\zmv,peʤFQO?`ϦsVH,|.~LT"9FBnjq,\ٳ?_*]hIIe;HnԑG"C3|z0^$*'ZH%usդ/D8AOm&Y Y#eIگ8:}x,Oo:S>GT8b<@P&COܑX.j᝛ ?:C8hYq_350=0!Vw@UW+8Knn!gޑ]%Pv͸ߒ}.`wԀ+Vhֻx!B,J|g0[d@6#~H8˪Et9:J1KTд>b|04²jRju O!(ɬh/0}!n_p 2^:+œOި`|eT*N hd*bR%~Gy;K $ V^ ܰZ?p[7TU!\ĩZ KT4~Ajx.s&\ 3pJ1UT*'PE]i.uHH8_xi3 }QO߈HPC0Ȏd}\pDh (te!;Y&^ 7c)æ^"e›{OKQ4y(%V<Nވـ/K#Q-~ n!!<.٧{>IZo{(Cn6wժyvVV+4 ( :Lrb%l| s=Y|,A̓!(XF1D7T8Wۈø^,>@ϡI eFIRBVǿ(LH߃kF P+vr]h͂˖ 0yDέ8- [GlGS)$1r:k{+e $#b1ɢɗRqz@zϷ$݄/-CHco'’_u>a;Pr,'{aG" }~ph e- lـz0([=4(S,'l 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! 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 97 0 obj<> endobj 98 0 obj<>/FontDescriptor 97 0 R/DW 1000>> endobj 99 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 100 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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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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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14999 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14999 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14999 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14999 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14999 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14999 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14999 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14999 229.01999 Tm (it is not used for commercial gain. 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Wyndthorpe Gardens)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (High Street )Tj 1 0 0 1 273.04999 729.03998 Tm (Dunsville)Tj 1 0 0 1 273.04999 711.45996 Tm (Doncaster)Tj 1 0 0 1 273.04999 693.88 Tm (South Yorkshire)Tj 1 0 0 1 273.04999 676.29999 Tm (DN7 4DB)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01302888141)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01302882189)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13998 m 353.25 457.13998 l S 1 1 1 RG 355.5 457.13998 m 565.90002 457.13998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38998 m 568.10004 491.38998 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38998 m 568.10004 491.38998 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 559.02997 m 567.01996 444.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Four Seasons Homes \(No 6\) )Tj 1 0 0 1 355.5 527.19 Tm (Limited \(A wholly owned )Tj 1 0 0 1 355.5 512.60999 Tm (subsidiary of Four Seasons )Tj 1 0 0 1 355.5 498.03 Tm (Healthcare\))Tj 1 0 0 1 34.05 475.20001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 475.20001 Tm (care home)Tj 1 0 0 1 34.05 452.37 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 452.37 Tm (38)Tj /T1_0 10 Tf 1 0 0 1 28.35001 433.42999 Tm (\240)Tj 1 0 0 1 28.35001 416.42999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 374.10999 m 564.46997 374.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 408.35001 m 567.79999 408.35001 l S 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 342.10999 m 567.79999 342.10999 l S 30.07001 409.42999 m 30.07001 341.03998 l S 298.32001 386.60001 m 298.32001 341.03998 l S 566.71997 409.42999 m 566.71997 341.03998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 392.16998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 369.34 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 369.34 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 348.75998 Tm (Under 65)Tj 1 0 0 1 435.37 348.75998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 327.32001 m 297.30002 327.32001 l S 299.54999 327.32001 m 431.44998 327.32001 l S 433.70001 327.32001 m 565.60004 327.32001 l S 35.16 w 31.2 297.20001 m 297.30002 297.20001 l S 299.54999 297.20001 m 431.44998 297.20001 l S 433.70001 297.20001 m 565.60004 297.20001 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 267.07999 m 565.60004 267.07999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 315.91 m 567.79999 315.91 l S 28.99001 278.5 m 567.79999 278.5 l S 28.99001 255.67 m 567.79999 255.67 l S 28.99001 218.25999 m 568.10004 218.25999 l S 28.99001 338.73999 m 567.79999 338.73999 l S 28.99001 315.91 m 567.79999 315.91 l S 28.99001 278.5 m 567.79999 278.5 l S 28.99001 255.67 m 568.10004 255.67 l S 28.99001 218.25999 m 568.10004 218.25999 l S 28.99001 180.84999 m 568.10004 180.84999 l S 30.07001 339.81 m 30.07001 179.76999 l S 298.41998 339.81 m 298.41998 277.41998 l S 432.56998 339.81 m 432.56998 277.41998 l S 566.71997 339.81 m 566.71997 179.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 322.54999 Tm (dementia)Tj 1 0 0 1 302.39999 322.54999 Tm (0)Tj 1 0 0 1 436.54999 322.54999 Tm (38)Tj 1 0 0 1 34.05 299.72 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 285.13998 Tm (disability or dementia)Tj 1 0 0 1 302.39999 299.72 Tm (0)Tj 1 0 0 1 436.54999 299.72 Tm (38)Tj 1 0 0 1 34.05 262.31 Tm (Additional conditions: )Tj 1 0 0 1 34.05 239.48 Tm (One named service user under 65 years of age, on variation \(V37384\) da\ ted 11th )Tj 1 0 0 1 34.05 224.90001 Tm (December 2006, may reside at the home.)Tj 1 0 0 1 34.05 202.06999 Tm (Two specific service users under the age of 65 named on variation applic\ ations dated )Tj 1 0 0 1 34.05 187.48999 Tm (30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89999 166.06 l S 474.14999 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 300 0 obj 2159 endobj 301 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 302 0 obj 3456 endobj 303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 304 0 obj 2604 endobj 305 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 306 0 obj 5458 endobj 307 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.89999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03999 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 308 0 obj 2913 endobj 309 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 310 0 obj 1804 endobj 311 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 312 0 obj 5678 endobj 313 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16998 l S 564.77997 716.82996 m 564.77997 506.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92999 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78999 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 314 0 obj 2045 endobj 315 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 316 0 obj 5624 endobj 317 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92999 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78999 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28999 Tm (\240)Tj 1 0 0 1 36.57001 180.78999 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 318 0 obj 4872 endobj 319 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 320 0 obj 1929 endobj 321 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 322 0 obj 5673 endobj 323 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16998 m 564.78998 499.16998 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87997 m 32.35001 346.63 l S 564.78998 487.87997 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92999 m 562.53998 201.92999 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78999 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28999 Tm (\240)Tj 1 0 0 1 36.57001 214.78999 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 324 0 obj 4565 endobj 325 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 326 0 obj 5773 endobj 327 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31999 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 328 0 obj 4075 endobj 329 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 330 0 obj 5489 endobj 331 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92999 m 562.53998 218.92999 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78999 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 332 0 obj 4620 endobj 333 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 334 0 obj 1827 endobj 335 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 336 0 obj 5539 endobj 337 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92999 m 562.53998 218.92999 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78999 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 338 0 obj 3455 endobj 339 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37997 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 340 0 obj 5877 endobj 341 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92999 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78999 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28999 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 342 0 obj 4396 endobj 343 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 344 0 obj 3690 endobj 345 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89999 599.48999 Tm (\240)Tj ET endstream endobj 346 0 obj 6093 endobj 347 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 666.41998 w 32.32001 440.63 m 564.96997 440.63 l S 1 1 1 RG 169.37999 w 31.2 602.72998 m 91.05 602.72998 l S 93.3 602.72998 m 197.40001 602.72998 l S 199.64999 602.72998 m 289.44998 602.72998 l S 291.70001 602.72998 m 473.80002 602.72998 l S 476.04999 602.72998 m 566.10004 602.72998 l S 111.06 w 31.2 460.25998 m 91.05 460.25998 l S 93.3 460.25998 m 197.40001 460.25998 l S 199.64999 460.25998 m 289.44998 460.25998 l S 291.70001 460.25998 m 473.80002 460.25998 l S 476.04999 460.25998 m 566.10004 460.25998 l S 96.48 w 31.2 354.23999 m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64999 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50999 m 91.05 255.50999 l S 93.3 255.50999 m 197.40001 255.50999 l S 199.64999 255.50999 m 289.44998 255.50999 l S 291.70001 255.50999 m 473.80002 255.50999 l S 476.04999 255.50999 m 566.10004 255.50999 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64999 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14999 m 568.29999 206.14999 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 106.34 l S 198.51999 689.63 m 198.51999 106.34 l S 290.57001 689.63 m 290.57001 106.34 l S 474.91998 689.63 m 474.91998 106.34 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14999 m 568.29999 206.14999 l S 28.99001 107.42 m 568.29999 107.42 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 374 0 obj 5469 endobj 375 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 376 0 obj 8746 endobj 377 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.95294 0.95294 0.95294 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.95294 0.95294 0.95294 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.95294 0.95294 0.95294 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Wyndthorpe Gardens)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (High Street )Tj 1 0 0 1 273.04999 729.03998 Tm (Dunsville)Tj 1 0 0 1 273.04999 711.45996 Tm (Doncaster)Tj 1 0 0 1 273.04999 693.88 Tm (South Yorkshire)Tj 1 0 0 1 273.04999 676.29999 Tm (DN7 4DB)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01302888141)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01302882189)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13995 m 353.25 457.13995 l S 1 1 1 RG 355.5 457.13995 m 565.90002 457.13995 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38995 m 568.10004 491.38995 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38995 m 568.10004 491.38995 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 559.02997 m 567.01996 444.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Four Seasons Homes \(No 6\) )Tj 1 0 0 1 355.5 527.19 Tm (Limited \(A wholly owned )Tj 1 0 0 1 355.5 512.60999 Tm (subsidiary of Four Seasons )Tj 1 0 0 1 355.5 498.03 Tm (Healthcare\))Tj 1 0 0 1 34.05 475.20001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 475.20001 Tm (care home)Tj 1 0 0 1 34.05 452.37 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 452.37 Tm (38)Tj /T1_0 10 Tf 1 0 0 1 28.35001 433.42999 Tm (\240)Tj 1 0 0 1 28.35001 416.42999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 374.10999 m 564.46997 374.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 408.35001 m 567.79999 408.35001 l S 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 342.10999 m 567.79999 342.10999 l S 30.07001 409.42999 m 30.07001 341.03998 l S 298.32001 386.60001 m 298.32001 341.03998 l S 566.71997 409.42999 m 566.71997 341.03998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 392.16998 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 369.34 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 369.34 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 348.75998 Tm (Under 65)Tj 1 0 0 1 435.37 348.75998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 327.32001 m 297.30002 327.32001 l S 299.54999 327.32001 m 431.44998 327.32001 l S 433.70001 327.32001 m 565.60004 327.32001 l S 35.16 w 31.2 297.20001 m 297.30002 297.20001 l S 299.54999 297.20001 m 431.44998 297.20001 l S 433.70001 297.20001 m 565.60004 297.20001 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 267.07999 m 565.60004 267.07999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 315.91 m 567.79999 315.91 l S 28.99001 278.5 m 567.79999 278.5 l S 28.99001 255.67 m 567.79999 255.67 l S 28.99001 218.25998 m 568.10004 218.25998 l S 28.99001 338.73999 m 567.79999 338.73999 l S 28.99001 315.91 m 567.79999 315.91 l S 28.99001 278.5 m 567.79999 278.5 l S 28.99001 255.67 m 568.10004 255.67 l S 28.99001 218.25998 m 568.10004 218.25998 l S 28.99001 180.84999 m 568.10004 180.84999 l S 30.07001 339.81 m 30.07001 179.76999 l S 298.41998 339.81 m 298.41998 277.41998 l S 432.56998 339.81 m 432.56998 277.41998 l S 566.71997 339.81 m 566.71997 179.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 322.54999 Tm (dementia)Tj 1 0 0 1 302.39999 322.54999 Tm (0)Tj 1 0 0 1 436.54999 322.54999 Tm (38)Tj 1 0 0 1 34.05 299.72 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 285.13998 Tm (disability or dementia)Tj 1 0 0 1 302.39999 299.72 Tm (0)Tj 1 0 0 1 436.54999 299.72 Tm (38)Tj 1 0 0 1 34.05 262.31 Tm (Additional conditions: )Tj 1 0 0 1 34.05 239.48 Tm (One named service user under 65 years of age, on variation \(V37384\) da\ ted 11th )Tj 1 0 0 1 34.05 224.90001 Tm (December 2006, may reside at the home.)Tj 1 0 0 1 34.05 202.06999 Tm (Two specific service users under the age of 65 named on variation applic\ ations dated )Tj 1 0 0 1 34.05 187.48999 Tm (30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89996 166.06 l S 474.14996 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 378 0 obj 2159 endobj 379 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 380 0 obj 3456 endobj 381 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 382 0 obj 2604 endobj 383 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 384 0 obj 5458 endobj 385 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.89996 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 386 0 obj 2913 endobj 387 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 388 0 obj 1804 endobj 389 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 390 0 obj 5678 endobj 391 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 392 0 obj 2045 endobj 393 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 394 0 obj 5624 endobj 395 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 396 0 obj 4872 endobj 397 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 398 0 obj 1929 endobj 399 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 400 0 obj 5673 endobj 401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87994 m 32.35001 346.63 l S 564.78998 487.87994 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 402 0 obj 4565 endobj 403 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 404 0 obj 5773 endobj 405 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 406 0 obj 4075 endobj 407 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 408 0 obj 5489 endobj 409 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 410 0 obj 4620 endobj 411 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 412 0 obj 1827 endobj 413 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 414 0 obj 5539 endobj 415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 416 0 obj 3455 endobj 417 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37994 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 418 0 obj 5877 endobj 419 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 420 0 obj 4396 endobj 421 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 422 0 obj 3690 endobj 423 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89996 599.48999 Tm (\240)Tj ET endstream endobj 424 0 obj 6093 endobj 425 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 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environment )Tj 1 0 0 1 478.89996 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89996 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89996 189.95999 Tm (29/07/2009)Tj ET endstream 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264.22 Tm (understand, and follow good practices that give people )Tj 1 0 0 1 202.5 249.64 Tm (better choice and control over their lives. )Tj 1 0 0 1 34.05 226.81 Tm (5)Tj 1 0 0 1 96.15001 226.81 Tm (18)Tj 1 0 0 1 202.5 226.81 Tm (The manager should contact POVA \(Protection of Vulnerable )Tj 1 0 0 1 202.5 212.23 Tm (Adults\) for advice to make sure the home has taken all the )Tj 1 0 0 1 202.5 197.64998 Tm (action possible to safeguard people. )Tj 1 0 0 1 34.05 174.81999 Tm (6)Tj 1 0 0 1 96.15001 174.81999 Tm (19)Tj 1 0 0 1 202.5 174.81999 Tm (Bathrooms should be decorated and furnished in a way that )Tj 1 0 0 1 202.5 160.23999 Tm (respects people's comfort and dignity)Tj 1 0 0 1 34.05 137.41 Tm (7)Tj 1 0 0 1 96.15001 137.41 Tm (26)Tj 1 0 0 1 202.5 137.41 Tm (The home should make sure there are sufficient staff, with )Tj 1 0 0 1 202.5 122.83 Tm (suitable training and skills, available daily, to meet the )Tj 1 0 0 1 202.5 108.25 Tm (homes daily and routine cleaning schedules)Tj 1 0 0 1 34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 434 0 obj 2408 endobj 435 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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way of )Tj 1 0 0 1 34.05 750.72998 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 729.90997 Tm (No)Tj 1 0 0 1 96.15001 729.90997 Tm (Refer to Standard)Tj 1 0 0 1 202.45 729.90997 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 200.25 713.87 Tm (above.)Tj 1 0 0 1 200.25 699.28998 Tm (\240)Tj 1 0 0 1 200.25 684.70996 Tm (This helps ensure people are in safe hands when receiving )Tj 1 0 0 1 200.25 670.13 Tm (care and support)Tj 1 0 0 1 34.05 645.04999 Tm (9)Tj 1 0 0 1 96.15001 645.04999 Tm (38)Tj 1 0 0 1 202.5 645.04999 Tm (The manager should make sure records relating to the )Tj 1 0 0 1 202.5 630.46997 Tm (maintenance of the home are accessible at all times)Tj ET endstream endobj 436 0 obj 1872 endobj 437 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 438 0 obj 4770 endobj 439 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 442 0 obj 5469 endobj 443 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 444 0 obj 8746 endobj 445 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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(30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 446 0 obj 2159 endobj 447 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 448 0 obj 3456 endobj 449 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 450 0 obj 2604 endobj 451 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 452 0 obj 5458 endobj 453 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.89993 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 454 0 obj 2913 endobj 455 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 456 0 obj 1804 endobj 457 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 458 0 obj 5678 endobj 459 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 460 0 obj 2045 endobj 461 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 462 0 obj 5624 endobj 463 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 464 0 obj 4872 endobj 465 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 466 0 obj 1929 endobj 467 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 468 0 obj 5673 endobj 469 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87991 m 32.35001 346.63 l S 564.78998 487.87991 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 470 0 obj 4565 endobj 471 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 472 0 obj 5773 endobj 473 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 474 0 obj 4075 endobj 475 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 476 0 obj 5489 endobj 477 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 478 0 obj 4620 endobj 479 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 480 0 obj 1827 endobj 481 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 482 0 obj 5539 endobj 483 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 484 0 obj 3455 endobj 485 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37991 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 486 0 obj 5877 endobj 487 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 488 0 obj 4396 endobj 489 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 490 0 obj 3690 endobj 491 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 492 0 obj 6093 endobj 493 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 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environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 502 0 obj 2408 endobj 503 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 506 0 obj 4766 endobj 507 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm [(care home)21( is:)]TJ /TT0 12 Tf 76.382 0 Td ( )Tj /TT1 12 Tf 110.07401 0 Td (O)Tj /TT0 12 Tf 0 Tr 9.694 0 Td (n)Tj /T1_0 12 Tf (e star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 510 0 obj 5469 endobj 511 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 512 0 obj 8746 endobj 513 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13995 m 353.25 457.13995 l S 1 1 1 RG 355.5 457.13995 m 565.90002 457.13995 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 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S 28.99001 255.67 m 568.10004 255.67 l S 28.99001 218.25998 m 568.10004 218.25998 l S 28.99001 180.84999 m 568.10004 180.84999 l S 30.07001 339.81 m 30.07001 179.76999 l S 298.41998 339.81 m 298.41998 277.41998 l S 432.56998 339.81 m 432.56998 277.41998 l S 566.71997 339.81 m 566.71997 179.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 322.54999 Tm (dementia)Tj 1 0 0 1 302.39999 322.54999 Tm (0)Tj 1 0 0 1 436.54999 322.54999 Tm (38)Tj 1 0 0 1 34.05 299.72 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 285.13998 Tm (disability or dementia)Tj 1 0 0 1 302.39999 299.72 Tm (0)Tj 1 0 0 1 436.54999 299.72 Tm (38)Tj 1 0 0 1 34.05 262.31 Tm (Additional conditions: )Tj 1 0 0 1 34.05 239.48 Tm (One named service user under 65 years of age, on variation \(V37384\) da\ ted 11th )Tj 1 0 0 1 34.05 224.90001 Tm (December 2006, may reside at the home.)Tj 1 0 0 1 34.05 202.06999 Tm (Two specific service users under the age of 65 named on variation applic\ ations dated )Tj 1 0 0 1 34.05 187.48999 Tm (30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 514 0 obj 2159 endobj 515 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 516 0 obj 3456 endobj 517 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 518 0 obj 2604 endobj 519 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 520 0 obj 5457 endobj 521 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 522 0 obj 2913 endobj 523 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 524 0 obj 1804 endobj 525 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 526 0 obj 5678 endobj 527 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 528 0 obj 2045 endobj 529 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 530 0 obj 5624 endobj 531 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 532 0 obj 4872 endobj 533 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 534 0 obj 1929 endobj 535 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 536 0 obj 5673 endobj 537 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 538 0 obj 4565 endobj 539 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 540 0 obj 5773 endobj 541 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 542 0 obj 4075 endobj 543 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 544 0 obj 5489 endobj 545 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 546 0 obj 4620 endobj 547 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 548 0 obj 1827 endobj 549 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 550 0 obj 5539 endobj 551 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 552 0 obj 3455 endobj 553 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37988 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 554 0 obj 5877 endobj 555 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 556 0 obj 4396 endobj 557 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 558 0 obj 3690 endobj 559 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 560 0 obj 6093 endobj 561 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 1 0 0 1 478.89993 672.35999 Tm (29/07/2009)Tj 1 0 0 1 35.5 503.72998 Tm (2)Tj 1 0 0 1 96.15001 500.72998 Tm (9)Tj 1 0 0 1 202.5 500.72998 Tm (13)Tj 1 0 0 1 294.54999 500.72998 Tm (Deep clean and tidy the )Tj 1 0 0 1 294.54999 486.14993 Tm (medication room and )Tj 1 0 0 1 294.54999 471.56998 Tm (trolleys.)Tj 1 0 0 1 294.54999 453.98999 Tm (\240)Tj 1 0 0 1 294.54999 439.41 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 424.82999 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 410.25 Tm (medication practices)Tj 1 0 0 1 478.89993 500.72998 Tm (29/07/2009)Tj 1 0 0 1 35.5 390.41998 Tm (3)Tj 1 0 0 1 96.15001 387.41998 Tm (19)Tj 1 0 0 1 202.5 387.41998 Tm (23)Tj 1 0 0 1 294.54999 387.41998 Tm (Make bathrooms accessible, )Tj 1 0 0 1 294.54999 372.84 Tm (safe and fit for purpose)Tj 1 0 0 1 294.54999 355.25998 Tm (\240)Tj 1 0 0 1 294.54999 340.67999 Tm (To meet peoples' personal )Tj 1 0 0 1 294.54999 326.10001 Tm (care needs in a safe and )Tj 1 0 0 1 294.54999 311.51999 Tm (accessible environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 570 0 obj 2408 endobj 571 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 574 0 obj 4766 endobj 575 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm [(care home)21( is:)]TJ /TT0 12 Tf 76.382 0 Td ( )Tj /TT1 12 Tf 110.07401 0 Td (O)Tj /TT0 12 Tf 0 Tr 9.694 0 Td (n)Tj /T1_0 12 Tf (e star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 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0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 578 0 obj 5469 endobj 579 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 580 0 obj 8746 endobj 581 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13995 m 353.25 457.13995 l S 1 1 1 RG 355.5 457.13995 m 565.90002 457.13995 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 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(30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 582 0 obj 2159 endobj 583 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 584 0 obj 3456 endobj 585 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 586 0 obj 2604 endobj 587 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 588 0 obj 5457 endobj 589 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 590 0 obj 2913 endobj 591 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 592 0 obj 1804 endobj 593 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 594 0 obj 5678 endobj 595 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 596 0 obj 2045 endobj 597 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 598 0 obj 5624 endobj 599 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 600 0 obj 4872 endobj 601 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 602 0 obj 1929 endobj 603 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 604 0 obj 5673 endobj 605 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 606 0 obj 4565 endobj 607 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 608 0 obj 5773 endobj 609 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 610 0 obj 4075 endobj 611 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 612 0 obj 5489 endobj 613 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 614 0 obj 4620 endobj 615 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 616 0 obj 1827 endobj 617 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 618 0 obj 5539 endobj 619 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 620 0 obj 3455 endobj 621 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37985 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 622 0 obj 5877 endobj 623 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 624 0 obj 4396 endobj 625 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 626 0 obj 3690 endobj 627 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 628 0 obj 6093 endobj 629 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 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environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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93.3 204.98999 m 197.40001 204.98999 l S 199.64998 204.98999 m 289.44998 204.98999 l S 291.70001 204.98999 m 473.80002 204.98999 l S 476.04999 204.98999 m 566.10004 204.98999 l S 79.21001 w 31.2 103.63 m 91.05 103.63 l S 93.3 103.63 m 197.40001 103.63 l S 199.64998 103.63 m 289.44998 103.63 l S 291.70001 103.63 m 473.80002 103.63 l S 476.04999 103.63 m 566.10004 103.63 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 488.85999 m 568.29999 488.85999 l S 28.99001 265.60999 m 568.29999 265.60999 l S 28.99001 144.36 m 568.29999 144.36 l S 30.07001 713.19 m 30.07001 61.82001 l S 567.21997 713.19 m 567.21997 61.82001 l S 28.99001 744.65997 m 568.40002 744.65997 l S 28.99001 712.10999 m 568.29999 712.10999 l S 92.17 713.19 m 92.17 61.82001 l S 198.51999 713.19 m 198.51999 61.82001 l S 290.57001 713.19 m 290.57001 61.82001 l S 474.91998 713.19 m 474.91998 61.82001 l S 28.99001 813.64996 m 568.40002 813.64996 l S 28.99001 744.65997 m 568.40002 744.65997 l S 28.99001 712.10999 m 568.40002 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34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 638 0 obj 2408 endobj 639 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 642 0 obj 4766 endobj 643 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm [(care home)21( is:)]TJ /TT0 12 Tf 76.382 0 Td ( )Tj /TT1 12 Tf 110.07401 0 Td (O)Tj /TT0 12 Tf 0 Tr 9.694 0 Td (n)Tj /T1_0 12 Tf (e star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 646 0 obj 5469 endobj 647 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 648 0 obj 8746 endobj 649 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13995 m 353.25 457.13995 l S 1 1 1 RG 355.5 457.13995 m 565.90002 457.13995 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 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(30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 650 0 obj 2159 endobj 651 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 652 0 obj 3456 endobj 653 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 654 0 obj 2604 endobj 655 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 656 0 obj 5457 endobj 657 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 658 0 obj 2913 endobj 659 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 660 0 obj 1804 endobj 661 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 662 0 obj 5678 endobj 663 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 664 0 obj 2045 endobj 665 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 666 0 obj 5624 endobj 667 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 668 0 obj 4872 endobj 669 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 670 0 obj 1929 endobj 671 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 672 0 obj 5673 endobj 673 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 674 0 obj 4565 endobj 675 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 676 0 obj 5773 endobj 677 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 678 0 obj 4075 endobj 679 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 680 0 obj 5489 endobj 681 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 682 0 obj 4620 endobj 683 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 684 0 obj 1827 endobj 685 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 686 0 obj 5539 endobj 687 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 688 0 obj 3455 endobj 689 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37985 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 690 0 obj 5877 endobj 691 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 692 0 obj 4396 endobj 693 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 694 0 obj 3690 endobj 695 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 696 0 obj 6093 endobj 697 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 1 0 0 1 478.89993 672.35999 Tm (29/07/2009)Tj 1 0 0 1 35.5 503.72998 Tm (2)Tj 1 0 0 1 96.15001 500.72998 Tm (9)Tj 1 0 0 1 202.5 500.72998 Tm (13)Tj 1 0 0 1 294.54999 500.72998 Tm (Deep clean and tidy the )Tj 1 0 0 1 294.54999 486.14993 Tm (medication room and )Tj 1 0 0 1 294.54999 471.56998 Tm (trolleys.)Tj 1 0 0 1 294.54999 453.98999 Tm (\240)Tj 1 0 0 1 294.54999 439.41 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 424.82999 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 410.25 Tm (medication practices)Tj 1 0 0 1 478.89993 500.72998 Tm (29/07/2009)Tj 1 0 0 1 35.5 390.41998 Tm (3)Tj 1 0 0 1 96.15001 387.41998 Tm (19)Tj 1 0 0 1 202.5 387.41998 Tm (23)Tj 1 0 0 1 294.54999 387.41998 Tm (Make bathrooms accessible, )Tj 1 0 0 1 294.54999 372.84 Tm (safe and fit for purpose)Tj 1 0 0 1 294.54999 355.25998 Tm (\240)Tj 1 0 0 1 294.54999 340.67999 Tm (To meet peoples' personal )Tj 1 0 0 1 294.54999 326.10001 Tm (care needs in a safe and )Tj 1 0 0 1 294.54999 311.51999 Tm (accessible environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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93.3 204.98999 m 197.40001 204.98999 l S 199.64998 204.98999 m 289.44998 204.98999 l S 291.70001 204.98999 m 473.80002 204.98999 l S 476.04999 204.98999 m 566.10004 204.98999 l S 79.21001 w 31.2 103.63 m 91.05 103.63 l S 93.3 103.63 m 197.40001 103.63 l S 199.64998 103.63 m 289.44998 103.63 l S 291.70001 103.63 m 473.80002 103.63 l S 476.04999 103.63 m 566.10004 103.63 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 488.85999 m 568.29999 488.85999 l S 28.99001 265.60999 m 568.29999 265.60999 l S 28.99001 144.36 m 568.29999 144.36 l S 30.07001 713.19 m 30.07001 61.82001 l S 567.21997 713.19 m 567.21997 61.82001 l S 28.99001 744.65997 m 568.40002 744.65997 l S 28.99001 712.10999 m 568.29999 712.10999 l S 92.17 713.19 m 92.17 61.82001 l S 198.51999 713.19 m 198.51999 61.82001 l S 290.57001 713.19 m 290.57001 61.82001 l S 474.91998 713.19 m 474.91998 61.82001 l S 28.99001 813.64996 m 568.40002 813.64996 l S 28.99001 744.65997 m 568.40002 744.65997 l S 28.99001 712.10999 m 568.40002 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This helps avoid administration errors.)Tj 1 0 0 1 34.05 499.41995 Tm (2)Tj 1 0 0 1 96.15001 499.41995 Tm (9)Tj 1 0 0 1 202.5 499.41995 Tm (Archives and other unused information should be removed )Tj 1 0 0 1 202.5 484.84 Tm (from the medication room. 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264.22 Tm (understand, and follow good practices that give people )Tj 1 0 0 1 202.5 249.64 Tm (better choice and control over their lives. )Tj 1 0 0 1 34.05 226.81 Tm (5)Tj 1 0 0 1 96.15001 226.81 Tm (18)Tj 1 0 0 1 202.5 226.81 Tm (The manager should contact POVA \(Protection of Vulnerable )Tj 1 0 0 1 202.5 212.23 Tm (Adults\) for advice to make sure the home has taken all the )Tj 1 0 0 1 202.5 197.64998 Tm (action possible to safeguard people. )Tj 1 0 0 1 34.05 174.81999 Tm (6)Tj 1 0 0 1 96.15001 174.81999 Tm (19)Tj 1 0 0 1 202.5 174.81999 Tm (Bathrooms should be decorated and furnished in a way that )Tj 1 0 0 1 202.5 160.23999 Tm (respects people's comfort and dignity)Tj 1 0 0 1 34.05 137.41 Tm (7)Tj 1 0 0 1 96.15001 137.41 Tm (26)Tj 1 0 0 1 202.5 137.41 Tm (The home should make sure there are sufficient staff, with )Tj 1 0 0 1 202.5 122.83 Tm (suitable training and skills, available daily, to meet the )Tj 1 0 0 1 202.5 108.25 Tm (homes daily and routine cleaning schedules)Tj 1 0 0 1 34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 706 0 obj 2408 endobj 707 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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way of )Tj 1 0 0 1 34.05 750.72998 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 729.90997 Tm (No)Tj 1 0 0 1 96.15001 729.90997 Tm (Refer to Standard)Tj 1 0 0 1 202.45 729.90997 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 200.25 713.87 Tm (above.)Tj 1 0 0 1 200.25 699.28998 Tm (\240)Tj 1 0 0 1 200.25 684.70996 Tm (This helps ensure people are in safe hands when receiving )Tj 1 0 0 1 200.25 670.13 Tm (care and support)Tj 1 0 0 1 34.05 645.04999 Tm (9)Tj 1 0 0 1 96.15001 645.04999 Tm (38)Tj 1 0 0 1 202.5 645.04999 Tm (The manager should make sure records relating to the )Tj 1 0 0 1 202.5 630.46997 Tm (maintenance of the home are accessible at all times)Tj ET endstream endobj 708 0 obj 1872 endobj 709 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (34)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 710 0 obj 4744 endobj 711 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 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m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm [(care home)21( is:)]TJ /TT0 12 Tf 76.382 0 Td ( )Tj 110.07401 0 Td (O)Tj 0 Tr 9.694 0 Td (n)Tj /T1_0 12 Tf (e star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 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RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 714 0 obj 5469 endobj 715 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 716 0 obj 8746 endobj 717 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (Wyndthorpe.gardens@fshc.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj 1 0 0 1 273.04999 584.97998 Tm (www.fshc.co.uk)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32001 500.72 m 564.76996 500.72 l S 1 1 1 RG 64.32001 w 355.5 524.66998 m 565.90002 524.66998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.97 m 353.25 479.97 l S 1 1 1 RG 355.5 479.97 m 565.90002 479.97 l S 0.95294 0.95294 0.95294 RG 31.2 457.13995 m 353.25 457.13995 l S 1 1 1 RG 355.5 457.13995 m 565.90002 457.13995 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 491.38989 m 568.10004 491.38989 l S 28.99001 468.56 m 568.10004 468.56 l S 28.99001 445.72998 m 568.10004 445.72998 l S 30.07001 559.02997 m 30.07001 444.64999 l S 354.37 559.02997 m 354.37 444.64999 l S 567.01996 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(30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 718 0 obj 2159 endobj 719 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 720 0 obj 3456 endobj 721 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 722 0 obj 2604 endobj 723 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 724 0 obj 5457 endobj 725 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 726 0 obj 2913 endobj 727 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 728 0 obj 1804 endobj 729 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 730 0 obj 5678 endobj 731 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 732 0 obj 2045 endobj 733 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 734 0 obj 5624 endobj 735 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 736 0 obj 4872 endobj 737 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 738 0 obj 1929 endobj 739 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 740 0 obj 5673 endobj 741 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 742 0 obj 4565 endobj 743 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 744 0 obj 5773 endobj 745 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 746 0 obj 4075 endobj 747 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 748 0 obj 5489 endobj 749 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 750 0 obj 4620 endobj 751 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 752 0 obj 1827 endobj 753 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 754 0 obj 5539 endobj 755 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 756 0 obj 3455 endobj 757 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37985 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 758 0 obj 5877 endobj 759 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 760 0 obj 4396 endobj 761 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. We )Tj 1 0 0 1 34.32001 184.23 Tm (acknowledge the home has plans in place to address this.)Tj ET endstream endobj 762 0 obj 3690 endobj 763 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 764 0 obj 6093 endobj 765 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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m 91.05 354.23999 l S 93.3 354.23999 m 197.40001 354.23999 l S 199.64998 354.23999 m 289.44998 354.23999 l S 291.70001 354.23999 m 473.80002 354.23999 l S 476.04999 354.23999 m 566.10004 354.23999 l S 31.2 255.50998 m 91.05 255.50998 l S 93.3 255.50998 m 197.40001 255.50998 l S 199.64998 255.50998 m 289.44998 255.50998 l S 291.70001 255.50998 m 473.80002 255.50998 l S 476.04999 255.50998 m 566.10004 255.50998 l S 31.2 156.78 m 91.05 156.78 l S 93.3 156.78 m 197.40001 156.78 l S 199.64998 156.78 m 289.44998 156.78 l S 291.70001 156.78 m 473.80002 156.78 l S 476.04999 156.78 m 566.10004 156.78 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 516.91998 m 568.29999 516.91998 l S 28.99001 403.60999 m 568.29999 403.60999 l S 28.99001 304.88 m 568.29999 304.88 l S 28.99001 206.14998 m 568.29999 206.14998 l S 30.07001 689.63 m 30.07001 106.34 l S 567.21997 689.63 m 567.21997 106.34 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 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had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (9)Tj 1 0 0 1 202.5 672.35999 Tm (13)Tj 1 0 0 1 294.54999 672.35999 Tm (Ensure correct prescription )Tj 1 0 0 1 294.54999 657.77997 Tm (and administration of all )Tj 1 0 0 1 294.54999 643.20001 Tm (medication.)Tj 1 0 0 1 294.54999 628.62 Tm (\240)Tj 1 0 0 1 294.54999 614.03998 Tm (Ensure safe and correct )Tj 1 0 0 1 294.54999 599.45996 Tm (recording of 'as required' )Tj 1 0 0 1 294.54999 584.88 Tm (medication.)Tj 1 0 0 1 294.54999 567.29999 Tm (\240)Tj 1 0 0 1 294.54999 552.71997 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 538.14001 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 523.56 Tm (medication practices)Tj 1 0 0 1 478.89993 672.35999 Tm (29/07/2009)Tj 1 0 0 1 35.5 503.72998 Tm (2)Tj 1 0 0 1 96.15001 500.72998 Tm (9)Tj 1 0 0 1 202.5 500.72998 Tm (13)Tj 1 0 0 1 294.54999 500.72998 Tm (Deep clean and tidy the )Tj 1 0 0 1 294.54999 486.14993 Tm (medication room and )Tj 1 0 0 1 294.54999 471.56998 Tm (trolleys.)Tj 1 0 0 1 294.54999 453.98999 Tm (\240)Tj 1 0 0 1 294.54999 439.41 Tm (To safeguard people from )Tj 1 0 0 1 294.54999 424.82999 Tm (risk of harm from poor )Tj 1 0 0 1 294.54999 410.25 Tm (medication practices)Tj 1 0 0 1 478.89993 500.72998 Tm (29/07/2009)Tj 1 0 0 1 35.5 390.41998 Tm (3)Tj 1 0 0 1 96.15001 387.41998 Tm (19)Tj 1 0 0 1 202.5 387.41998 Tm (23)Tj 1 0 0 1 294.54999 387.41998 Tm (Make bathrooms accessible, )Tj 1 0 0 1 294.54999 372.84 Tm (safe and fit for purpose)Tj 1 0 0 1 294.54999 355.25998 Tm (\240)Tj 1 0 0 1 294.54999 340.67999 Tm (To meet peoples' personal )Tj 1 0 0 1 294.54999 326.10001 Tm (care needs in a safe and )Tj 1 0 0 1 294.54999 311.51999 Tm (accessible environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 788 0 obj 8746 endobj 789 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 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559.02997 m 567.01996 444.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Four Seasons Homes \(No 6\) )Tj 1 0 0 1 355.5 527.19 Tm (Limited \(A wholly owned )Tj 1 0 0 1 355.5 512.60999 Tm (subsidiary of Four Seasons )Tj 1 0 0 1 355.5 498.03 Tm (Healthcare\))Tj 1 0 0 1 34.05 475.20001 Tm (Type of registration:)Tj 1 0 0 1 358.35001 475.20001 Tm (care home)Tj 1 0 0 1 34.05 452.37 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 452.37 Tm (38)Tj /T1_0 10 Tf 1 0 0 1 28.35001 433.42999 Tm (\240)Tj 1 0 0 1 28.35001 416.42999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 374.10999 m 564.46997 374.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 408.35001 m 567.79999 408.35001 l S 28.99001 385.51999 m 567.79999 385.51999 l S 28.99001 342.10999 m 567.79999 342.10999 l S 30.07001 409.42999 m 30.07001 341.03998 l S 298.32001 386.60001 m 298.32001 341.03998 l S 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S 28.99001 255.67 m 568.10004 255.67 l S 28.99001 218.25998 m 568.10004 218.25998 l S 28.99001 180.84999 m 568.10004 180.84999 l S 30.07001 339.81 m 30.07001 179.76999 l S 298.41998 339.81 m 298.41998 277.41998 l S 432.56998 339.81 m 432.56998 277.41998 l S 566.71997 339.81 m 566.71997 179.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 322.54999 Tm (dementia)Tj 1 0 0 1 302.39999 322.54999 Tm (0)Tj 1 0 0 1 436.54999 322.54999 Tm (38)Tj 1 0 0 1 34.05 299.72 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 285.13998 Tm (disability or dementia)Tj 1 0 0 1 302.39999 299.72 Tm (0)Tj 1 0 0 1 436.54999 299.72 Tm (38)Tj 1 0 0 1 34.05 262.31 Tm (Additional conditions: )Tj 1 0 0 1 34.05 239.48 Tm (One named service user under 65 years of age, on variation \(V37384\) da\ ted 11th )Tj 1 0 0 1 34.05 224.90001 Tm (December 2006, may reside at the home.)Tj 1 0 0 1 34.05 202.06999 Tm (Two specific service users under the age of 65 named on variation applic\ ations dated )Tj 1 0 0 1 34.05 187.48999 Tm (30th May 2003 and 27th May 2004 may reside at the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Wyndthorpe Gardens is a purpose built care home for up to 38 older peopl\ e with )Tj 1 0 0 1 35.5 102.96001 Tm (dementia or mental disorder. The service provides care for people with n\ ursing needs. )Tj 1 0 0 1 35.5 85.96001 Tm (The home is within the same grounds as Wyndthorpe Hall in the village of\ Dunsville )Tj 1 0 0 1 35.5 68.96001 Tm (near Doncaster. There is ample car parking space to the front of the hom\ e.)Tj 1 0 0 1 35.5 51.96001 Tm (\240)Tj ET endstream endobj 790 0 obj 2159 endobj 791 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 587.08002 l S 567.01996 795.47998 m 567.01996 587.08002 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 588.14996 m 568.10004 588.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (Accommodation is on two floors, accessed by a passenger lift and stairs.\ All bedrooms )Tj 1 0 0 1 33.25 766.46997 Tm (have en-suite lavatories. There are communal rooms on both floors. On th\ e ground )Tj 1 0 0 1 33.25 749.46997 Tm (floor the doors from communal areas open on to a large terrace with acce\ ss down a )Tj 1 0 0 1 33.25 732.46997 Tm (slope into a walled garden with paths and seating.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Information regarding the service was available from the home in the for\ m of a pack )Tj 1 0 0 1 33.25 681.46997 Tm (containing a brochure, and advised that the latest CSCI inspection repor\ t was available )Tj 1 0 0 1 33.25 664.46997 Tm (from the manager on request.)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj 1 0 0 1 33.25 630.46997 Tm (The manager confirmed that as of the 27 July 2009 the fees ranged from \243\ 493.87 to )Tj 1 0 0 1 33.25 613.46997 Tm (\243600.17 per week including the nursing care component. Hairdressing, \ chiropody and )Tj 1 0 0 1 33.25 596.46997 Tm (newspapers were not included in the fees and were charged extra.)Tj ET endstream endobj 792 0 obj 3456 endobj 793 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj /TT0 12 Tf ( One)Tj /T1_0 12 Tf ( star )Tj /TT0 12 Tf (adequate)Tj /T1_0 12 Tf ( service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (We carried out our last inspection on this service on 16 July 2008.)Tj 1 0 0 1 35.17 240.90001 Tm (\240)Tj 1 0 0 1 35.17 226.31998 Tm (We brought our site visit to Wyndthorpe Gardens forward because we had r\ eceived )Tj 1 0 0 1 35.17 211.73999 Tm (information about safeguarding referrals and complaints; therefore we wa\ nted to check )Tj 1 0 0 1 35.17 197.14998 Tm (people's experiences in the home.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (We inspected the home on 27 July 2009, we called unannounced with two in\ spectors. )Tj 1 0 0 1 35.17 153.41 Tm (Our visit took place between 09:10 am and 16:35 pm.)Tj 1 0 0 1 35.17 138.84 Tm (\240)Tj 1 0 0 1 35.17 124.25 Tm (We spoke to people who live at the home, staff and managers, and relativ\ es. We asked )Tj 1 0 0 1 35.17 109.68001 Tm (them their views about what it is like to live at Wyndthorpe Gardens. We\ also observed )Tj 1 0 0 1 35.17 95.10001 Tm (peoples' care, and how staff interact with people.)Tj 1 0 0 1 35.17 80.50999 Tm (\240)Tj 1 0 0 1 35.17 65.93001 Tm (We looked at the environment and checked some records, so that we could \ see how )Tj ET endstream endobj 794 0 obj 2604 endobj 795 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 338.34 w 32.32001 643.35999 m 566.71997 643.35999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 473.06 m 568.91998 473.06 l S 31.2 814.72998 m 31.2 471.98999 l S 567.84998 814.72998 m 567.84998 471.98999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (safe and well managed the home is.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Before our visit we looked at information we have received about the hom\ e since its )Tj 1 0 0 1 32.92 758.97998 Tm (last inspection. This included the homes annual quality assurance assess\ ments, where )Tj 1 0 0 1 32.92 744.40002 Tm (the home tells us what has happened over the past 12 months.)Tj 1 0 0 1 32.92 729.82001 Tm (\240)Tj 1 0 0 1 32.92 715.23999 Tm (We also looked at information the home had notified us about such as com\ plaints, )Tj 1 0 0 1 32.92 700.65997 Tm (accidents and safeguarding information. And we looked at what other peop\ le, with an )Tj 1 0 0 1 32.92 686.07996 Tm (interest in the service, told us.)Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (We sent out surveys to people who live at the home, staff and profession\ al visitors. We )Tj 1 0 0 1 32.92 642.33997 Tm (received two surveys back.)Tj 1 0 0 1 32.92 627.76001 Tm (\240)Tj 1 0 0 1 32.92 613.17999 Tm (We talked to the manager about how she was running the home, managing st\ aff and )Tj 1 0 0 1 32.92 598.60004 Tm (maintaining safety.)Tj 1 0 0 1 32.92 584.01996 Tm (\240)Tj 1 0 0 1 32.92 569.44 Tm (We gave some feedback about our findings to the manager before we left.)Tj 1 0 0 1 32.92 554.85999 Tm (\240)Tj 1 0 0 1 32.92 540.27997 Tm (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 1 0 0 1 32.92 525.70001 Tm (consistency. Some requirements from previous inspection reports may have\ been )Tj 1 0 0 1 32.92 511.12 Tm (deleted or carried forward into this report as recommendations, but only\ when it is )Tj 1 0 0 1 32.92 496.53998 Tm (considered that people who use services are not being put at significant\ risk of harm.)Tj 1 0 0 1 32.92 481.95999 Tm (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj ET endstream endobj 796 0 obj 5457 endobj 797 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 399.66 w 32.32001 573.98999 m 566.71997 573.98999 l S 20.58 w 32.7 361.62 m 569.34998 361.62 l S 78.90001 w 33.82001 309.63 m 568.21997 309.63 l S 20.58 w 33.45 257.63998 m 570.10004 257.63998 l S 181.08 w 34.57001 154.56999 m 568.96997 154.56999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 373.03998 m 568.91998 373.03998 l S 31.2 776.02997 m 31.2 371.95999 l S 31.2 373.03998 m 569.34998 373.03998 l S 32.7 350.20999 m 569.34998 350.20999 l S 31.62 350.20999 m 570.41998 350.20999 l S 31.62 269.06 m 570.41998 269.06 l S 33.45 246.23 m 570.10004 246.23 l S 33.45 269.06 m 570.10004 269.06 l S 32.37 246.23 m 571.16998 246.23 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 351.28998 m 32.7 267.97998 l S 33.45 247.31 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 371.95999 l S 569.34998 351.28998 m 569.34998 267.97998 l S 570.10004 247.31 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People have thorough assessments so that staff know what kind of care an\ d support )Tj 1 0 0 1 35.17 744.17999 Tm (they need.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (People have care plans which tell staff how to look after their health, \ personal, and )Tj 1 0 0 1 35.17 700.44 Tm (social needs and help minimise risks such as falls and pressure sores.)Tj 1 0 0 1 35.17 685.85999 Tm (\240)Tj 1 0 0 1 35.17 671.27997 Tm (Relatives told us their family members have good access to health care s\ ervices such )Tj 1 0 0 1 35.17 656.70001 Tm (as seeing a G.P, dentist or optician.)Tj 1 0 0 1 35.17 642.12 Tm (\240)Tj 1 0 0 1 35.17 627.53998 Tm (People had access to entertainment, and the home employed an activities \ co-ordinator )Tj 1 0 0 1 35.17 612.95996 Tm (to help people with social activities.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (Relatives said they felt they could raise concerns and complaints and th\ e manager and )Tj 1 0 0 1 35.17 569.21997 Tm (staff listen to them and take action.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (Most people's bedrooms had suitable furniture and fittings, and people c\ ould )Tj 1 0 0 1 35.17 525.47998 Tm (personalise their rooms to their own taste.)Tj 1 0 0 1 35.17 510.8999 Tm (\240)Tj 1 0 0 1 35.17 496.31998 Tm (We found sufficient staff on duty to meet people's needs. In the main, w\ e found staff )Tj 1 0 0 1 35.17 481.73999 Tm (were friendly and treated people with dignity and respect.)Tj 1 0 0 1 35.17 467.16 Tm (\240)Tj 1 0 0 1 35.17 452.57999 Tm (Records told us the home followed good recruitment procedures to make su\ re people )Tj 1 0 0 1 35.17 438 Tm (are safe.)Tj 1 0 0 1 35.17 423.41998 Tm (\240)Tj 1 0 0 1 35.17 408.84 Tm (\240)Tj 1 0 0 1 35.17 394.25998 Tm (\240)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 572.44 Tm (\240)Tj 1 0 0 1 31.2 359.50998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 356.85001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 360.06998 Tm (\240)Tj 1 0 0 1 31.2 308.07999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 334.01999 Tm (A new manager started at the home in October 2008, the manager has been \ working )Tj 1 0 0 1 36.67 319.44 Tm (on improving systems and care practices. These include assessments, care\ -plans and )Tj 1 0 0 1 36.67 304.85999 Tm (social activities.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj 1 0 0 1 36.67 275.70001 Tm (Recruitment records are robust; this safeguards people. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 308.07999 Tm (\240)Tj 1 0 0 1 31.2 256.09 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 252.87 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 153.00998 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 230.03998 Tm (Poor medication hygiene standards, and practices, had put people's healt\ h and welfare )Tj 1 0 0 1 37.42 215.45999 Tm (at risk. We asked the home to improve this immediately.)Tj 1 0 0 1 37.42 200.87999 Tm (\240)Tj 1 0 0 1 37.42 186.3 Tm (Mealtimes did not respect peoples' comfort dignity and safety. We found \ un-ironed )Tj 1 0 0 1 37.42 171.72 Tm (tablecloths, scratched and discoloured plastic drinks glasses; and one p\ erson, receiving )Tj 1 0 0 1 37.42 157.14 Tm (support to eat, was helped in a hurried, undignified manner.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (Since our last inspection, some people have experienced harmful or distr\ essing )Tj 1 0 0 1 37.42 113.40001 Tm (incidents from other people living at the home. They need to be able to \ live at the )Tj 1 0 0 1 37.42 98.82001 Tm (home with out fear of harm or distress from others.)Tj 1 0 0 1 37.42 84.24001 Tm (\240)Tj 1 0 0 1 37.42 69.66 Tm (The communal environments needed redecoration and refurbishment. The man\ ager )Tj ET endstream endobj 798 0 obj 2913 endobj 799 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (34)Tj ET 1 1 1 RG 280.01999 w 34.57001 672.51996 m 568.96997 672.51996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 531.38 m 571.16998 531.38 l S 33.45 814.72998 m 33.45 530.31 l S 570.10004 814.72998 m 570.10004 530.31 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (told us this would start in August 2009.)Tj 1 0 0 1 35.17 788.13995 Tm (\240)Tj 1 0 0 1 35.17 773.56 Tm (However, the home had areas that were not kept suitably well maintained \ and clean )Tj 1 0 0 1 35.17 758.97998 Tm (enough for people to be safe and comfortable. We asked the home to impro\ ve this )Tj 1 0 0 1 35.17 744.40002 Tm (immediately.)Tj 1 0 0 1 35.17 729.82001 Tm (\240)Tj 1 0 0 1 35.17 715.23999 Tm (Most people had access to only one shower, because they could not access\ the other )Tj 1 0 0 1 35.17 700.65997 Tm (bathrooms. We asked the home to improve this immediately.)Tj 1 0 0 1 35.17 686.07996 Tm (\240)Tj 1 0 0 1 35.17 671.5 Tm (Some people had to sleep in bedding that was worn and thin.)Tj 1 0 0 1 35.17 656.91998 Tm (\240)Tj 1 0 0 1 35.17 642.33997 Tm (There were not enough care staff with a National Vocational Qualificatio\ n at level two )Tj 1 0 0 1 35.17 627.76001 Tm (or above to make sure people were in competent hands at all times. And s\ ome staff )Tj 1 0 0 1 35.17 613.17999 Tm (had not had enough training to meet people's needs.)Tj 1 0 0 1 35.17 598.60004 Tm (\240)Tj 1 0 0 1 35.17 584.01996 Tm (There was evidence that the home carried out regular audits; however, th\ ese had not )Tj 1 0 0 1 35.17 569.44 Tm (picked up unsafe practices such as hygiene, medication, access to hazard\ ous )Tj 1 0 0 1 35.17 554.85999 Tm (substances, and poor access to bathing facilities. This means the audit \ systems fail to )Tj 1 0 0 1 35.17 540.27997 Tm (keep people safe.)Tj 1 0 0 1 28.35001 516.82001 Tm (\240)Tj 1 0 0 1 28.35001 496.82999 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 496.82999 Tm (care home)Tj 1 0 0 1 480.03998 496.82999 Tm ( is taking )Tj 1 0 0 1 28.35001 479.32999 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 459.34 Tm (\240)Tj 1 0 0 1 28.35001 439.34 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 439.34 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 419.34 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 419.34 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 399.35001 Tm (order line 0870 240 7535.)Tj ET endstream endobj 800 0 obj 1804 endobj 801 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 802 0 obj 5678 endobj 803 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 386.73999 m 562.53998 386.73999 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 84.36 w 33.47 375.5 m 563.65997 375.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 331.12 l S 564.78998 419.88 m 564.78998 331.12 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 332.19 m 565.87 332.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People have their needs assessed before they move into the home. This he\ lps make )Tj 1 0 0 1 36.62 341.25 Tm (sure the home is suitable for them and that staff can meet their needs. \ )Tj 1 0 0 1 28.35001 316.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.3 w 34.60001 194.17 m 562.53998 194.17 l S 1 1 1 RG 22.5 w 32.35001 297.32001 m 564.78998 297.32001 l S 202.92998 w 33.47 182.36 m 563.65997 182.36 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.94998 m 565.87 284.94998 l S 32.35001 286.03 m 32.35001 78.70001 l S 564.78998 286.03 m 564.78998 78.70001 l S 32.35001 284.94998 m 564.78998 284.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.26999 Tm (We checked three people's records, these contained good information abou\ t people's )Tj 1 0 0 1 36.57001 251.76999 Tm (personal, health and mental health needs. The assessments gave staff suf\ ficient )Tj 1 0 0 1 36.57001 234.26999 Tm (information to understand what each persons needs were.)Tj 1 0 0 1 36.57001 216.78 Tm (\240)Tj 1 0 0 1 36.57001 199.28 Tm (People had assessments that were carried out by the local authority and \ from the )Tj 1 0 0 1 36.57001 181.78998 Tm (home. The manager had carried out the most recent assessments; she had t\ he right )Tj 1 0 0 1 36.57001 164.28999 Tm (skills and experience to do this.)Tj 1 0 0 1 36.57001 146.78999 Tm (\240)Tj 1 0 0 1 36.57001 129.3 Tm (People who live at the home have dementia care needs, information about \ this was )Tj 1 0 0 1 36.57001 111.8 Tm (included in the assessments.)Tj 1 0 0 1 36.57001 94.31 Tm (\240)Tj ET endstream endobj 804 0 obj 2045 endobj 805 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We saw evidence that the home uses assessments to get information about \ people )Tj 1 0 0 1 34.32001 761.60004 Tm (before the home admits them. This is good practice because it enables th\ e home to )Tj 1 0 0 1 34.32001 744.10999 Tm (decide whether they can meet people's needs before they move in.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (One relative told us their family member had a comprehensive assessment \ before )Tj 1 0 0 1 34.32001 691.62 Tm (they came to the home, and that staff had interpreted their family membe\ r's needs )Tj 1 0 0 1 34.32001 674.12 Tm (well.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 34.32001 621.63 Tm (they carry out comprehensive pre-admission assessments, and this helps m\ ake sure )Tj 1 0 0 1 34.32001 604.14001 Tm (they can meet people's equality and diversity needs, such as race, belie\ fs and gender. )Tj ET endstream endobj 806 0 obj 5624 endobj 807 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 403.25 m 562.53998 403.25 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 119.35001 w 33.47 392 m 563.65997 392 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 330.12 l S 564.78998 453.88 m 564.78998 330.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 331.20001 m 565.87 331.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People have care plans, which set out their personal and health care nee\ ds, and they )Tj 1 0 0 1 36.62 375.25 Tm (have access to health care professionals.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (Medication practices put people's safety, health and welfare at risk.)Tj 1 0 0 1 28.35001 315.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.3 w 34.60001 193.67999 m 562.53998 193.67999 l S 1 1 1 RG 22.5 w 32.35001 296.32999 m 564.78998 296.32999 l S 201.92998 w 33.47 181.87 m 563.65997 181.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 283.95999 m 565.87 283.95999 l S 32.35001 285.04001 m 32.35001 78.70001 l S 564.78998 285.04001 m 564.78998 78.70001 l S 32.35001 283.95999 m 564.78998 283.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.26999 Tm (We spoke to two relatives who told us they were satisfied with their fam\ ily member's )Tj 1 0 0 1 36.57001 250.78 Tm (health care. One relative told us they had some concerns about personal \ care and )Tj 1 0 0 1 36.57001 233.28 Tm (they had made the manager and staff aware of this. This included the sta\ ndard of )Tj 1 0 0 1 36.57001 215.78998 Tm (laundry which affected the person's dignity.)Tj 1 0 0 1 36.57001 198.28998 Tm (\240)Tj 1 0 0 1 36.57001 180.78998 Tm (The manager told us in the homes AQAA \(annual quality assurance assessm\ ent\) that )Tj 1 0 0 1 36.57001 163.3 Tm (the home now had new systems in place that has improved the laundry serv\ ice.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (A relative told us the manager kept them involved in their family member\ 's care plan, )Tj 1 0 0 1 36.57001 110.81 Tm (they said the information in it was 'good and correct'.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 808 0 obj 4872 endobj 809 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We looked at three plans. These had a lot of information in them. In the\ main, staff )Tj 1 0 0 1 34.32001 761.60004 Tm (had kept these up to date and there was good evidence of regular reviews\ . The plans )Tj 1 0 0 1 34.32001 744.10999 Tm (covered people's health, mental health, and personal needs well, and con\ tained )Tj 1 0 0 1 34.32001 726.60999 Tm (information about risks, such as falls and skin integrity, and how to he\ lp keep the )Tj 1 0 0 1 34.32001 709.10999 Tm (person safe from these risks.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (We found good evidence in the plans about how nursing and care staff nee\ d to meet )Tj 1 0 0 1 34.32001 656.63 Tm (people's health needs, and evidence of external health professional inpu\ t such as GPs.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 604.14001 Tm ('Our residents have access to continence, dental, chiropodist, opticians\ , tissue viability )Tj 1 0 0 1 34.32001 586.64001 Tm (nurse, and community mental health liaison team. The manager recognised \ that )Tj 1 0 0 1 525.83002 586.64001 Tm (care-)Tj 1 0 0 1 34.32001 569.14996 Tm (plans)Tj 1 0 0 1 66.14 569.14996 Tm ( need to reflect people's psychological well-being better.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We found that the home did not always meet people's dignity and privacy \ needs, we )Tj 1 0 0 1 34.32001 516.65997 Tm (have explained this in more detail under standards relating to mealtimes\ , the )Tj 1 0 0 1 34.32001 499.16 Tm (environment, and management of the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the medication room, two medication trolleys, and the medicat\ ion )Tj 1 0 0 1 34.32001 446.66998 Tm (systems and records. We found that the home does not manage medications \ safely, )Tj 1 0 0 1 34.32001 429.17999 Tm (and this puts people's health and welfare at risk. The medication room w\ as dirty, it )Tj 1 0 0 1 34.32001 411.67999 Tm (had ingrained dust and dirt on equipment such as sharps bins; the room w\ as so full of )Tj 1 0 0 1 34.32001 394.19 Tm (documents and archives it was difficult to find information quickly.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The two medication trolleys were in a poor state of hygiene, they had in\ grained dirt on )Tj 1 0 0 1 34.32001 341.70001 Tm (the shelves, legs and wheels, equipment such as water jug and medication\ cups did )Tj 1 0 0 1 34.32001 324.20001 Tm (not look clean. Split medication caused the trolleys and medication cont\ ainer to be )Tj 1 0 0 1 34.32001 306.70999 Tm (sticky and dirty.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked three records, and we found that nurses administered a medica\ tion dose )Tj 1 0 0 1 34.32001 254.22 Tm (that did not match the prescription. A nurse showed us a persons record,\ stating the )Tj 1 0 0 1 34.32001 236.72 Tm (GP had advised an increase in the dose in November 2008, however, nurses\ had )Tj 1 0 0 1 34.32001 219.23 Tm (continued to administer the dose without updating the prescription.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (Nurses had failed to clearly record the dose and reason for 'as required\ ' medication, )Tj 1 0 0 1 34.32001 166.73999 Tm (this could lead to administration mistakes. Another prescription stated \ a particular )Tj 1 0 0 1 34.32001 149.23999 Tm (time of day to administer medication. This had been changed without upda\ ting the )Tj 1 0 0 1 34.32001 131.75 Tm (prescription.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj 1 0 0 1 34.32001 96.75 Tm (Creams and medication were kept in the same trolley areas, this is not g\ ood practice )Tj ET endstream endobj 810 0 obj 1929 endobj 811 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (as it can lead to administration mistakes.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (One prescription required a tablet to be split in half, the nurse demons\ trated splitting )Tj 1 0 0 1 34.32001 726.60999 Tm (the tablet with fingernails, this is unsafe and unhygienic.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (Records showed us that the home carries out regular audits on medication\ , however, )Tj 1 0 0 1 34.32001 674.12 Tm (these did not make sure practices were safe; the audits failed to pick u\ p the poor )Tj 1 0 0 1 34.32001 656.63 Tm (hygiene and administration practices.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We issued an immediate requirement and instructed the manager to take im\ mediate )Tj 1 0 0 1 34.32001 604.14001 Tm (action to make the medication systems safer for people.)Tj ET endstream endobj 812 0 obj 5673 endobj 813 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 428.5 m 562.53998 428.5 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 136.84999 w 33.47 417.25 m 563.65997 417.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 346.63 l S 564.78998 487.87988 m 564.78998 346.63 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 347.70001 m 565.87 347.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People can enjoy social, cultural and recreational activities, however, \ these need to )Tj 1 0 0 1 36.62 409.25 Tm (improve with better arrangements so that people are aware of, and can ac\ cess, them.)Tj 1 0 0 1 36.62 391.75998 Tm (\240)Tj 1 0 0 1 36.62 374.25998 Tm (People were not able to eat their meals in pleasing environments, and at\ times )Tj 1 0 0 1 36.62 356.76999 Tm (convenient to them. Some staff did not support people to eat their meals\ with dignity. )Tj 1 0 0 1 28.35001 332.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.81 w 34.60001 201.92998 m 562.53998 201.92998 l S 1 1 1 RG 22.5 w 32.35001 312.84 m 564.78998 312.84 l S 218.44 w 33.47 190.12 m 563.65997 190.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 300.45999 m 565.87 300.45999 l S 32.35001 301.53998 m 32.35001 78.70001 l S 564.78998 301.53998 m 564.78998 78.70001 l S 32.35001 300.45999 m 564.78998 300.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.78 Tm (We observed staff interacting with people, in the main, this was informa\ l and friendly. )Tj 1 0 0 1 36.57001 267.28 Tm (Staff took time to sit with people and talk to them. Staff offered peopl\ e drinks and )Tj 1 0 0 1 36.57001 249.78998 Tm (made social conversations.)Tj 1 0 0 1 36.57001 232.28998 Tm (\240)Tj 1 0 0 1 36.57001 214.78998 Tm (One relative told us the home had entertainment on a regular basis. The \ relative said )Tj 1 0 0 1 36.57001 197.3 Tm (although their family member showed little awareness of the entertainmen\ t, staff still )Tj 1 0 0 1 36.57001 179.8 Tm (made the effort to invite the person to join in.)Tj 1 0 0 1 36.57001 162.31 Tm (\240)Tj 1 0 0 1 36.57001 144.81 Tm (The home had recently held an open day, which relatives told us they enj\ oyed; this )Tj 1 0 0 1 36.57001 127.31 Tm (raised monies for the residents fund.)Tj 1 0 0 1 36.57001 109.82001 Tm (\240)Tj 1 0 0 1 36.57001 92.32001 Tm (An activities co-ordinator arranged activities for people, we noted that\ during our visit )Tj ET endstream endobj 814 0 obj 4565 endobj 815 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (no planned activities occurred. However, we did see 1 to 1 activities ta\ ke place such )Tj 1 0 0 1 34.32001 761.60004 Tm (as a hand massage.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager had devised an activities board, this contained pictures to \ help people )Tj 1 0 0 1 34.32001 709.10999 Tm (understand what was on offer and help people make choices. This was not \ yet up and )Tj 1 0 0 1 34.32001 691.62 Tm (running, but the principle was very good and we would encourage the home\ to make )Tj 1 0 0 1 34.32001 674.12 Tm (this a success.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The manager told us they provide activities such as music, films, coffee\ mornings, )Tj 1 0 0 1 34.32001 621.63 Tm (religious and spiritual events, dominoes, card games, themed meals, rela\ xation, )Tj 1 0 0 1 34.32001 604.14001 Tm (manicures, chair aerobics and reminiscence groups.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (One relative told us they visit very regularly, and at different times, \ they told us, )Tj 1 0 0 1 34.32001 551.64996 Tm ("Staff are friendly and hardworking, they make us feel welcome anytime w\ e visit".)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 499.16 Tm (the home would benefit from having an activities committee attended by p\ eople who )Tj 1 0 0 1 34.32001 481.66998 Tm (live there, and relatives. The manager had made arrangements to set this\ up.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (We visited the ground floor dining area where people were having lunch. \ Three tables )Tj 1 0 0 1 34.32001 429.17999 Tm (were set with creased, un-ironed tablecloths, no condiments or glasses. \ Staff gave )Tj 1 0 0 1 34.32001 411.67999 Tm (people a blackcurrant juice drink in plastic glasses, without offering c\ hoice or )Tj 1 0 0 1 34.32001 394.19 Tm (alternatives. The plastic glasses were worn, scratched and unsightly, th\ is does not )Tj 1 0 0 1 34.32001 376.69 Tm (promote respect and dignity for people.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (Staff served people their meals without offering them a choice or asking\ their )Tj 1 0 0 1 34.32001 324.20001 Tm (preference. One relative said they had already raised this concern with \ the home.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (We saw one staff support a person to eat in a discreet and dignified way\ , we saw them )Tj 1 0 0 1 34.32001 271.70999 Tm (speaking gently to the person and encouraging them to eat. However, anot\ her staff )Tj 1 0 0 1 34.32001 254.22 Tm (mashed a persons food up altogether, then gave it to the person in a hur\ ried manner )Tj 1 0 0 1 34.32001 236.72 Tm (with large amounts on the spoon; the staff left in a hurried manner with\ out telling the )Tj 1 0 0 1 34.32001 219.23 Tm (person they were going. This was poor practice, it failed to support the\ person's needs )Tj 1 0 0 1 34.32001 201.73 Tm (with respect and dignity, and it put them at risk of choking.)Tj 1 0 0 1 34.32001 184.23 Tm (We reported this to the manager and regional manager at the time. They a\ dvised us )Tj 1 0 0 1 34.32001 166.73999 Tm (that they had observed similar practices and had already addressed this \ with staff, so )Tj 1 0 0 1 34.32001 149.23999 Tm (were disappointed about what we saw. )Tj ET endstream endobj 816 0 obj 5773 endobj 817 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 453.25998 m 562.53998 453.25998 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 189.33 w 33.47 442.00998 m 563.65997 442.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 345.13998 l S 564.78998 538.88 m 564.78998 345.13998 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 346.22 m 565.87 346.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at Wyndthorpe Gardens, their relatives and friends can r\ aise concerns )Tj 1 0 0 1 36.62 460.25 Tm (and complaints; the manager and staff take action to address this and im\ prove )Tj 1 0 0 1 36.62 442.75998 Tm (people's lives.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People are not always protected from harm. There are a number of inciden\ ts between )Tj 1 0 0 1 36.62 390.26999 Tm (people who live at the home which puts them at risk of harm and distress\ . There are a )Tj 1 0 0 1 36.62 372.76999 Tm (number of safeguarding referrals that are not yet concluded, therefore, \ we do not yet )Tj 1 0 0 1 36.62 355.28 Tm (know whether the home had taken enough action to safeguard people. )Tj 1 0 0 1 28.35001 330.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 238.31998 w 34.60001 201.19 m 562.53998 201.19 l S 1 1 1 RG 22.5 w 32.35001 311.35001 m 564.78998 311.35001 l S 216.95 w 33.47 189.37999 m 563.65997 189.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 298.97998 m 565.87 298.97998 l S 32.35001 300.04999 m 32.35001 78.70001 l S 564.78998 300.04999 m 564.78998 78.70001 l S 32.35001 298.97998 m 564.78998 298.97998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 308.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 283.29001 Tm (We asked two relatives their views about raising concerns or making comp\ laints. One )Tj 1 0 0 1 36.57001 265.79001 Tm (relative told us they knew how to make a complaint because it was in the\ service )Tj 1 0 0 1 36.57001 248.3 Tm (users brochure, which the home had given their family member when they m\ oved in. )Tj 1 0 0 1 36.57001 230.8 Tm (They told us they felt they could discuss any concerns, and the manager \ and staff )Tj 1 0 0 1 36.57001 213.31 Tm (would listen and take action. Another relative said they had raised conc\ erns with the )Tj 1 0 0 1 36.57001 195.81 Tm (manager and staff and they had responded to make improvements for the fa\ mily )Tj 1 0 0 1 36.57001 178.31 Tm (member concerned.)Tj 1 0 0 1 36.57001 160.81999 Tm (\240)Tj 1 0 0 1 36.57001 143.31999 Tm (The home had received two complaints. We checked records and spoke to th\ e )Tj 1 0 0 1 36.57001 125.83 Tm (manager about these. We found that the home had taken the right action, \ this )Tj 1 0 0 1 36.57001 108.33 Tm (included investigating the concerns, sharing appropriate information wit\ h the local )Tj 1 0 0 1 36.57001 90.83 Tm (authority, feeding back to the complainant, and taking the right action \ to safeguard )Tj ET endstream endobj 818 0 obj 4075 endobj 819 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and improve people's welfare. Both complaints were partly substanciated,\ and )Tj 1 0 0 1 34.32001 761.60004 Tm (relevent information passed on as safeguarding information.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that )Tj 1 0 0 1 34.32001 709.10999 Tm (staff now have a confidential whistle-blowing helpline. This helps staff\ to report )Tj 1 0 0 1 34.32001 691.62 Tm (concerns about people's safety and welfare.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Doncaster Local Authority have received a number of safeguarding referra\ ls, relating )Tj 1 0 0 1 34.32001 639.13 Tm (to Wyndthorpe Gardens, since our last inspection in July 2008. We have l\ ooked at )Tj 1 0 0 1 34.32001 621.63 Tm (these carefully. We found that, in the main, the manager has followed th\ e correct )Tj 1 0 0 1 34.32001 604.14001 Tm (safeguarding procedures, worked with Doncaster Local Authority and polic\ e, and )Tj 1 0 0 1 34.32001 586.64001 Tm (maintained appropriate records. To safeguard people the home has followe\ d )Tj 1 0 0 1 34.32001 569.14996 Tm (disciplinary procedures, and suspended staff, where necessary, until the\ home can )Tj 1 0 0 1 34.32001 551.64996 Tm (establish the outcome of the allegations.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (At the time of our visit, some safeguarding referrals were concluded, ho\ wever, )Tj 1 0 0 1 34.32001 499.16 Tm (Doncaster Local Authority were still processing other referrals. This in\ cluded asking )Tj 1 0 0 1 34.32001 481.66998 Tm (the home's provider, Four Seasons, to carry out investigations, and feed\ -back their )Tj 1 0 0 1 34.32001 464.16998 Tm (findings to the local Authority. This is part of the safeguarding proced\ ures.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (At the time of writing this report we did not know the outcomes of the s\ afeguarding )Tj 1 0 0 1 34.32001 411.67999 Tm (referrals, therefore we were unable to conclude whether the home takes s\ ufficient )Tj 1 0 0 1 34.32001 394.19 Tm (action to prevent risk of harm to people happening in the first place. W\ e will continue )Tj 1 0 0 1 34.32001 376.69 Tm (to work with the home, and Doncaster Local Authority, until we can estab\ lish this.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (We noted that some referrals related to incidents between people who liv\ e at the )Tj 1 0 0 1 34.32001 324.20001 Tm (home. The home needs to address this to minimise harmful or distressing \ incidents )Tj 1 0 0 1 34.32001 306.70999 Tm (occurring for people in the first place.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We asked the manager and regional manager to contact ISA \(Independent )Tj 1 0 0 1 34.32001 254.22 Tm (Safeguarding Authority\) to check with them that they have taken as much\ action as )Tj 1 0 0 1 34.32001 236.72 Tm (possible to safeguard people. )Tj ET endstream endobj 820 0 obj 5489 endobj 821 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People did not live in a safe, well maintained environment, it was not c\ lean, pleasant )Tj 1 0 0 1 36.62 443.25 Tm (and hygienic. It did not respect people's comfort, dignity, and diversit\ y needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The home has plans to improve some of the environment in the near future\ , however, )Tj 1 0 0 1 36.62 390.76999 Tm (the home must take some immediate action to keep people safe and comfort\ able. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (The manager told us in the home's AQAA \(annual quality assurance assess\ ment\) that, )Tj 1 0 0 1 36.57001 301.28 Tm ('communal areas are to undergo improvement with replacement carpet, curt\ ains and )Tj 1 0 0 1 36.57001 283.79001 Tm (furniture.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (The manager confirmed that a refurbishment of the communal areas of the \ building )Tj 1 0 0 1 36.57001 231.3 Tm (would start in August 2009.)Tj 1 0 0 1 36.57001 213.8 Tm (\240)Tj 1 0 0 1 36.57001 196.31 Tm (We looked round some areas of the building, we looked to see if people l\ ived in a safe, )Tj 1 0 0 1 36.57001 178.81 Tm (comfortable and clean environment.)Tj 1 0 0 1 36.57001 161.31 Tm (\240)Tj 1 0 0 1 36.57001 143.81999 Tm (Staff had redecorated some areas of the home, however, overall we found \ that )Tj 1 0 0 1 36.57001 126.32001 Tm (furnishings, decor, and fabrics were worn and shabby, and some had ingra\ ined dirt )Tj 1 0 0 1 36.57001 108.83 Tm (and stains, such as the chairs. This did not enable people to live in a \ clean and )Tj 1 0 0 1 36.57001 91.33 Tm (dignified environment.)Tj ET endstream endobj 822 0 obj 4620 endobj 823 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (On the first floor, only one shower was accessible, out of three bathroo\ ms. This was )Tj 1 0 0 1 34.32001 744.10999 Tm (because one specialist bath was waiting repair and one bathroom was used\ for )Tj 1 0 0 1 34.32001 726.60999 Tm (hairdressing and storage. As a result 20 people were using one shower fo\ r their )Tj 1 0 0 1 34.32001 709.10999 Tm (personal care needs.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (One relative told us this affected their family member because they pref\ erred a bath )Tj 1 0 0 1 34.32001 656.63 Tm (and resisted having a shower. As a result the person bathed much less re\ gularly, that )Tj 1 0 0 1 34.32001 639.13 Tm (their usual preferred routine.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (We issued an immediate requirement during our visit, this requires the h\ ome to take )Tj 1 0 0 1 34.32001 586.64001 Tm (immediate action to improve this situation for people living at the home\ .)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The shower room on the second floor was decorated in an institutionalise\ d way; there )Tj 1 0 0 1 34.32001 534.14996 Tm (were no shower curtains, no blinds to the windows, and the environment w\ as not )Tj 1 0 0 1 34.32001 516.65997 Tm (comfortable and inviting. This failed to promote and maintain peoples' d\ ignity and )Tj 1 0 0 1 34.32001 499.16 Tm (comfort.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We checked the servery on the ground floor, this was open and accessible\ to people. )Tj 1 0 0 1 34.32001 446.66998 Tm (The stainless steel sink was very stained and black in colour. The sink \ unit doors were )Tj 1 0 0 1 34.32001 429.17999 Tm (stained and cracked, and the sealant between the unit and wall tiles was\ cracked and )Tj 1 0 0 1 34.32001 411.67999 Tm (dirty. The hot water boiler and shelving units were stained and had food\ debris on )Tj 1 0 0 1 34.32001 394.19 Tm (them. The shelves were porous and cracked, this means they could not be \ cleaned )Tj 1 0 0 1 34.32001 376.69 Tm (thoroughly. The work surfaces were dirty and stained and staff used this\ area to )Tj 1 0 0 1 34.32001 359.19 Tm (prepare snacks and drinks for people.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We reported this to the manager and area manager, and we issued an immed\ iate )Tj 1 0 0 1 34.32001 306.70999 Tm (requirement for the area to be made safe and hygienic for people.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj 1 0 0 1 34.32001 271.70999 Tm (We checked a number of people's bedrooms, overall these had adequate fur\ nishings )Tj 1 0 0 1 34.32001 254.22 Tm (to meet people's needs. The rooms had nice decor, and some were personal\ ised with )Tj 1 0 0 1 34.32001 236.72 Tm (people's own possessions.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Staff told us people needed new bedding because the current bedding was \ worn, and )Tj 1 0 0 1 34.32001 184.23 Tm (some carpets were stained and needed cleaning or replacing. We noted som\ e )Tj 1 0 0 1 34.32001 166.73999 Tm (bedrooms were bare, for example, one room did not have a headboard, the \ room was )Tj 1 0 0 1 34.32001 149.23999 Tm (not personalised to meet the person's needs.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (Some areas of the home had scuffs and stains to the walls, we noted some\ communal )Tj 1 0 0 1 34.32001 96.75 Tm (rooms were untidy, for example, old newspapers, someone's smeared glasse\ s left on a )Tj ET endstream endobj 824 0 obj 1827 endobj 825 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (shelf, and display areas in general disarray. This did not create a resp\ ectful, homely )Tj 1 0 0 1 34.32001 761.60004 Tm (and inviting environment for people.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (We checked the cleaning regime, this was inadequate, it identified the h\ ome needed )Tj 1 0 0 1 34.32001 709.10999 Tm (two cleaning staff on shift, however, there was only one staff available\ .)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The homes audits had failed to pick up the poor standards of hygiene and\ attention to )Tj 1 0 0 1 34.32001 656.63 Tm (peoples' safety, comfort and dignity. We have made a requirement about t\ his under )Tj 1 0 0 1 34.32001 639.13 Tm (standard 38.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj ET endstream endobj 826 0 obj 5539 endobj 827 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People receive care from staff available in sufficient numbers, the home\ s recruitment )Tj 1 0 0 1 36.62 443.25 Tm (policy helps protect people from harm.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (The significant use of nurse and carer agency staff, and gaps in staff t\ raining could put )Tj 1 0 0 1 36.62 390.76999 Tm (people at risk of receiving inconsistent care practices. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (Our unannounced visit found two registered general nurses, five care ass\ istants, and )Tj 1 0 0 1 36.57001 301.28 Tm (an activities co-ordinator on duty. There were sufficient staff availabl\ e to meet )Tj 1 0 0 1 36.57001 283.79001 Tm (people's needs.)Tj 1 0 0 1 36.57001 266.29001 Tm (\240)Tj 1 0 0 1 36.57001 248.78998 Tm (Two staff also told us this was the usual amount of staff and they felt \ there was )Tj 1 0 0 1 36.57001 231.3 Tm (enough staff. One relative said, sometimes there were not enough staff, \ and as a )Tj 1 0 0 1 36.57001 213.8 Tm (result had needed to help with their family members personal care; we fe\ d this back )Tj 1 0 0 1 36.57001 196.31 Tm (to the manager on the day.)Tj 1 0 0 1 36.57001 178.81 Tm (\240)Tj 1 0 0 1 36.57001 161.31 Tm (The manager told us she had found it difficult to recruit qualified nurs\ es and )Tj 1 0 0 1 36.57001 143.81999 Tm (experienced carers; and as an outcome the home relied on agency nurses a\ nd staff. )Tj 1 0 0 1 36.57001 126.32001 Tm (Information from the manager and AQAA \(annual quality assurance assessm\ ent\) )Tj 1 0 0 1 36.57001 108.83 Tm (showed us that the number of agency hours the home uses is quite signifi\ cant. This )Tj 1 0 0 1 36.57001 91.33 Tm (affects the continuity of people's care.)Tj ET endstream endobj 828 0 obj 3455 endobj 829 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 528.76001 w 34.60001 547.02997 m 562.53998 547.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 507.37985 w 33.47 535.21997 m 563.65997 535.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 279.32001 l S 564.78998 791.10999 m 564.78998 279.32001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 280.39999 m 565.87 280.39999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The manager and providers need to consider how much this affects standar\ ds in the )Tj 1 0 0 1 34.32001 744.10999 Tm (home, for example the medication practices, and the standards of hygiene\ we found.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The homes AQAA stated that out of twenty-one permanent care workers, six\ staff had )Tj 1 0 0 1 34.32001 691.62 Tm (a National Qualification, in care, at level 2 or above. This is not suff\ icient to ensure )Tj 1 0 0 1 34.32001 674.12 Tm (people are in safe hands at all times.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We checked a sample of staff recruitment files, these contained the righ\ t information )Tj 1 0 0 1 34.32001 621.63 Tm (and checks that the home needs to do in order to keep people safe by emp\ loying the )Tj 1 0 0 1 34.32001 604.14001 Tm (right staff.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The home's AQAA \(annual quality assurance assessment\) told us that the\ home has a )Tj 1 0 0 1 34.32001 551.64996 Tm (dedicated training section; some staff have trained in dementia care map\ ping, and )Tj 1 0 0 1 34.32001 534.14996 Tm (some in person centred training.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Some staff told us they had not had training in caring for people with d\ ementia. )Tj 1 0 0 1 34.32001 481.66998 Tm (Considering the home provides care for people with dementia, this should\ be part of )Tj 1 0 0 1 34.32001 464.16998 Tm (the homes induction and regular up-date training. We acknowledge the hom\ e has a )Tj 1 0 0 1 34.32001 446.66998 Tm (training plan to address this.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The home provides staff with induction training. Two staff told us they \ had had access )Tj 1 0 0 1 34.32001 394.19 Tm (to this training.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (When we observed staff, on the whole, we found them interacting with peo\ ple in a )Tj 1 0 0 1 34.32001 341.70001 Tm (safe, friendly, and dignified manner. Where we found staff did not inter\ act )Tj 1 0 0 1 34.32001 324.20001 Tm (appropriately we fed back to the manager; we have made reference to the \ incident in )Tj 1 0 0 1 34.32001 306.70999 Tm (this report.)Tj 1 0 0 1 34.32001 289.20999 Tm (\240)Tj ET endstream endobj 830 0 obj 5877 endobj 831 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 403.73999 m 562.53998 403.73999 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 84.36 w 33.47 392.5 m 563.65997 392.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 348.12 l S 564.78998 436.88 m 564.78998 348.12 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 349.19 m 565.87 349.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People live in a home where quality assurance and safety must improve in\ order to )Tj 1 0 0 1 36.62 358.25 Tm (keep people safe and meet their best interests.)Tj 1 0 0 1 28.35001 333.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 241.3 w 34.60001 202.67 m 562.53998 202.67 l S 1 1 1 RG 22.5 w 32.35001 314.32001 m 564.78998 314.32001 l S 219.92998 w 33.47 190.86 m 563.65997 190.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.94998 m 565.87 301.94998 l S 32.35001 303.03 m 32.35001 78.70001 l S 564.78998 303.03 m 564.78998 78.70001 l S 32.35001 301.94998 m 564.78998 301.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 311.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 286.26999 Tm (The manager told us she started at the home in October 2008, and was pre\ paring to )Tj 1 0 0 1 36.57001 268.76999 Tm (submit an application to register as the registered manager. This is imp\ ortant so that )Tj 1 0 0 1 36.57001 251.26999 Tm (the home can demonstrate accountability for delivering a safe and effect\ ive service. )Tj 1 0 0 1 36.57001 233.78 Tm (The manager told us she was a qualified nurse, had a Registered Managers\ Award )Tj 1 0 0 1 36.57001 216.28 Tm (qualification and had managed other care homes building on her skills an\ d experience. )Tj 1 0 0 1 36.57001 198.78998 Tm (The AQAA \(annual quality assurance assessment\), records in the home, a\ nd )Tj 1 0 0 1 36.57001 181.28998 Tm (interviews with the manager and area manager, demonstrated that the home\ carries )Tj 1 0 0 1 36.57001 163.78999 Tm (out a number of quality assurance checks. Some of these are not effectiv\ e because )Tj 1 0 0 1 36.57001 146.3 Tm (they have not picked up poor practices, and unsafe areas, which put peop\ les health )Tj 1 0 0 1 36.57001 128.8 Tm (and safety at risk. For example the condition of the environment, medica\ tion )Tj 1 0 0 1 36.57001 111.31 Tm (practices, and training.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 832 0 obj 4396 endobj 833 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (We checked a sample of service users finance records and interviewed the\ )Tj 1 0 0 1 34.32001 761.60004 Tm (administrator. We found good systems in place to support people with, an\ d protect )Tj 1 0 0 1 34.32001 744.10999 Tm (their finances.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We have reported in other areas of this report about inadequate safe-wor\ king )Tj 1 0 0 1 34.32001 691.62 Tm (practices such as medication, supporting people to eat, hygiene, access \ to bathrooms, )Tj 1 0 0 1 34.32001 674.12 Tm (and safe-working practice training. The manager and area manager should \ have )Tj 1 0 0 1 34.32001 656.63 Tm (picked these up from their routine quality audit checks and taken action\ to ensure the )Tj 1 0 0 1 34.32001 639.13 Tm (home meets people's safety, comfort and dignity needs.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (When we toured parts of the building we found people had access to unsaf\ e )Tj 1 0 0 1 34.32001 586.64001 Tm (substances such as creams and aerosol cans, this put people at risk, esp\ ecially )Tj 1 0 0 1 34.32001 569.14996 Tm (because the home cared for people with significant health and dementia n\ eeds. We )Tj 1 0 0 1 34.32001 551.64996 Tm (issued an immediate requirement and instructed the manager to remove all\ harmful )Tj 1 0 0 1 34.32001 534.14996 Tm (substances accessible to people.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The AQAA told us health and safety checks such as fire, and equipment we\ re up-to )Tj 1 0 0 1 34.32001 481.66998 Tm (-date. However, when we visited the manager did not have access to some \ of this )Tj 1 0 0 1 34.32001 464.16998 Tm (information.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (The home carried out a monthly risk monitor report which monitored the n\ umber and )Tj 1 0 0 1 34.32001 411.67999 Tm (nature of accidents, tissue viability \(pressure care\), weight loss, in\ fection control, )Tj 1 0 0 1 34.32001 394.19 Tm (safeguarding, complaints and environmental health. This is good practice\ , however, )Tj 1 0 0 1 34.32001 376.69 Tm (this needs to link more closely with the conditions and practices in the\ home in order )Tj 1 0 0 1 34.32001 359.19 Tm (for it to be affective and improve peoples welfare, safety, and daily li\ ves.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We asked staff about the safety and maintenance of equipment, one staff \ told us a )Tj 1 0 0 1 34.32001 306.70999 Tm (part of the hoist came lose each time staff used it, and this caused the\ m concern. We )Tj 1 0 0 1 34.32001 289.20999 Tm (issued an immediate requirement for the home to check the safety of the \ hoist.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home provides staff with mandatory training. Two staff told us they \ had had )Tj 1 0 0 1 34.32001 236.72 Tm (access to this training. However, we found from interviewing staff and l\ ooking at )Tj 1 0 0 1 34.32001 219.23 Tm (records that not all training was up to date. For example not all staff \ were up to date )Tj 1 0 0 1 34.32001 201.73 Tm (with fire, infection control and food hygiene, moving and handling, and \ first aid. 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are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 836 0 obj 6093 endobj 837 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 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environment )Tj 1 0 0 1 478.89993 387.41998 Tm (29/07/2009)Tj 1 0 0 1 35.5 291.69 Tm (4)Tj 1 0 0 1 96.15001 288.69 Tm (26)Tj 1 0 0 1 202.5 288.69 Tm (13)Tj 1 0 0 1 294.54999 288.69 Tm (Deep clean the servery and )Tj 1 0 0 1 294.54999 274.10999 Tm (make it safe and fit for )Tj 1 0 0 1 294.54999 259.53 Tm (purpose)Tj 1 0 0 1 294.54999 241.95 Tm (\240)Tj 1 0 0 1 294.54999 227.37 Tm (To keep people safe from )Tj 1 0 0 1 294.54999 212.78998 Tm (toxic and infectious risks)Tj 1 0 0 1 478.89993 288.69 Tm (29/07/2009)Tj 1 0 0 1 35.5 192.95999 Tm (5)Tj 1 0 0 1 96.15001 189.95999 Tm (38)Tj 1 0 0 1 202.5 189.95999 Tm (23)Tj 1 0 0 1 294.54999 189.95999 Tm (Make sure the hoist is safe )Tj 1 0 0 1 294.54999 175.37999 Tm (and fit for purpose )Tj 1 0 0 1 294.54999 157.8 Tm (\240)Tj 1 0 0 1 294.54999 143.22 Tm (So that staff know the )Tj 1 0 0 1 294.54999 128.64 Tm (equipment they use is safe )Tj 1 0 0 1 294.54999 114.06 Tm (and suitable )Tj 1 0 0 1 478.89993 189.95999 Tm (29/07/2009)Tj ET endstream 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34.05 85.42 Tm (8)Tj 1 0 0 1 96.15001 85.42 Tm (28)Tj 1 0 0 1 202.5 85.42 Tm (At least 50% of the care staff team one each shift should )Tj 1 0 0 1 202.5 70.84 Tm (have a National Vocational Qualification in care at level 2 or )Tj ET endstream endobj 846 0 obj 2408 endobj 847 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (33)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 187.56999 w 32.32001 717.62 m 564.96997 717.62 l S 1 1 1 RG 61.32001 w 31.2 693.01996 m 91.05 693.01996 l S 93.3 693.01996 m 197.40001 693.01996 l S 199.64998 693.01996 m 566.10004 693.01996 l S 35.16 w 31.2 642.52997 m 91.05 642.52997 l S 93.3 642.52997 m 197.40001 642.52997 l S 199.64998 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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