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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Stubby Leas Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Fisherwick Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Whittington)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Lichfield)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Staffordshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (WS13 8PT)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01827383496)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01827383086)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.3 m 353.25 479.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 479.3 m 565.9 479.3 l S 0.001 w 0.95294 0.95294 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385.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 362.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 362.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 341.39 m 297.25 341.39 l S 0.001 w 20.58 w 299.5 341.39 m 429.25 341.39 l S 0.001 w 20.58 w 431.5 341.39 m 565.9 341.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 352.81 m 568.1 352.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.89 m 30.07 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 353.89 m 298.37 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 353.89 m 430.37 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 353.89 m 567.02 328.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 336.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 336.63 Tm (48)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 336.63 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 132.81 w 32.32 240.95 m 564.77 240.95 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 286.77 m 567.8 286.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.95 m 568.1 263.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.12 m 568.1 241.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.61 m 567.8 309.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.77 m 568.1 286.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.95 m 568.1 263.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.12 m 568.1 241.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.54 m 568.1 174.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 310.68 m 30.07 173.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 310.68 m 566.72 173.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 293.42 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.59 Tm (Age: Dementia \(DE\) age 55 and above.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.76 Tm (The maximum number of service users who can be accommodated is: 48)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.93 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 210.35 Tm (with Nursing \(Code N\); To service users of the following gender: Either; Whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.77 Tm (care needs on admission to the home are within the following categories: Dementia )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 181.19 Tm (\(DE\) 48)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 159.76 m 315.25 159.76 l S 0.001 w 1 1 1 RG 20.58 w 317.5 159.76 m 346.55 159.76 l S 0.001 w 20.58 w 348.8 159.76 m 377.9 159.76 l S 0.001 w 20.58 w 380.15 159.76 m 409.2 159.76 l S 0.001 w 20.58 w 411.45 159.76 m 440.55 159.76 l S 0.001 w 20.58 w 442.8 159.76 m 471.9 159.76 l S 0.001 w 20.58 w 474.15 159.76 m 503.2 159.76 l S 0.001 w 20.58 w 505.45 159.76 m 534.55 159.76 l S 0.001 w 20.58 w 536.8 159.76 m 565.9 159.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 171.17 m 568.1 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.34 m 568.1 148.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 172.25 m 30.07 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 172.25 m 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The home is situated in its own )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 79.65 Tm (grounds on the edge of Fisherwick, a rural hamlet fairly close to the city of Tamworth, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 62.65 Tm (with accommodation provided on three levels, which are accessed, by stairs or a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 45.65 Tm (passenger lift. We found the grounds spacious, and there are pleasant country views )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 491.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 491.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.85 m 568.1 492.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (all round, although with a limited car park. The attractive garden and patio areas are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (well maintained and secure. There was level access into the building, which was )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (suitable for people who use wheelchairs, or have mobility problems. Rooms are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (provided on all levels of the home with a mixture of single or double rooms, some with )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (en suite facilities. Communal areas are on the ground floor and there is a separate )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (smoking area. The home has a purpose built activity room where people have the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (opportunity to maintain their skills and hobbies or to enjoy new interests. The full )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (range of fees were not detailed in the service Statement of Purpose or Service User )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (Guide documents as routine. The reader may wish to contact the service to obtain )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (more detailed and up to date information about )Tj ET /F1 12 Tf BT 1 0 0 1 325.58 603.16 Tm (fees.)Tj ET /F1 12 Tf BT 1 0 0 1 354.73 603.16 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 518.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 501.17 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (Two Regulation Inspectors carried out this unannounced random inspection to monitor )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (outcomes of an action plan, submitted to us by the Registered Provider of Stubby Leas, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (on the 26/05/09. This was made in response to concerns raised following a large scale )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (review report of care, following a conference convened in accordance with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (Staffordshire Safeguarding Vulnerable Adults Procedures, held on the 05/05/09. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (found a number of areas that needed to be addressed and improved upon to increase )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (people's safety. This random inspection was to look at what the Registered Provider had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (done to make sure that the required outcomes of standards had been met. We conducted )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (the random inspection with the Acting Care Manager and senior nursing and care staff on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (duty. We were joined at a later stage by the Registered Provider, Mrs. J Patel, and Mr. P )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (Hetherington, Operations Director to assist in the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (The assessment process.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (The home has been subject to a cessation of admissions from the 30.02.09. From that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (date there has been an ongoing inquiry into events in accordance with the Staffordshire )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (Safeguarding Vulnerable Adults Procedure. There are presently 32 people in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (residence, registered for 48 people. We had conducted an unannounced key inspection on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (the 07/01/09, and concluded that the service offered a one star \(adequate\) quality rating )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (outcome. We examined the policies and procedures that have been reviewed, to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (that people who may use the service are appropriately assessed, to take into )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (consideration their personal and specialist needs, and to ensure that those needs can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (fully met before offering a placement. We also discussed with the Registered Provider and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (care managers the admission process, and were satisfied that there is a satisfactory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (procedure in place to ensure compliance to this requirement in practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (Care planning.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (We looked at how care is being arranged and supported for a range of people with health )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (care needs who are presently using the service. We undertook an examination of five )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (people's care records \(case tracked\) from the last key inspection to the present time. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (also interviewed care staff on duty and looked at other information such as complaints, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (incidents, accidents and other professional reports, including the review assessments )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (submitted to the Staffordshire and Stoke on Trent Safeguarding of Vulnerable Adults )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (strategy group.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (Our examination of care records and case tracking showed an improved consistency of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (quality of assessment, personal risk screening, care planning and review since the last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (inspection. We acknowledge that there have been no admissions to the home for the past )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (five months, during the current review programme. Five care plans were examined, four )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (having been recently modified in accordance to the acting Care Manager's instructions. It )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (is expected that the process will be completed by the end of July 2009. Those )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (outstanding care files were seen to have an adequate care plan structure. We found that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (a comprehensive personal risk screening process is recognised as the foundation for a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (competent care planning process. Each person's health, personal and social care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (were found to be presented in an individual plan of care that is diligently reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (monthly, to reflect changing needs and adapting care profiles, supported with a )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (substantial and informative daily progress report. Each profile was seen to be supported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (by a dependency screening, including falls, movement and handling, nutritional, and a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (Waterlow pressure sore risk assessment. It was also noted from evidence provided from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (weighing people on a regular basis, has shown overall improvements in weight gains, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (where previously they had experienced weight loss in some people being reviewed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (We found that appropriate monitoring of physical health observations were consistent and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (meaningful, and that we confirmed that those people who use the service, families and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (friends are invited to participate in the care planning process, and established reviews.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Case tracking confirmed to us that specialist support and advice are sought as needed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (with each person using the service having access to a local Doctor, Dentist, Optician, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Chiropodist, and Community Psychiatric Nurse as required. We consider that the strength )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (of planned care lies within the frequency of the review process in monitoring and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (adapting care profiles, now established as a monthly routine by the acting Care Manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (and Registered Nurses.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (A purposeful daily report is maintained to support and control monitoring, and offer an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (full account of care and service given during the day and night, updated with events and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (incidents, as and when necessary. Our observations showed that generally people using )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (the service appeared to be content, comfortable and happy with their lifestyle, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (complimentary regarding the quality of their lives and the care they were receiving at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Stubby Leas Comments we received from people using the service and visiting relatives )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (were:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ("I've been coming to Stubby Leas since my husband's admission last October, and I have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (been very impressed with every aspect of his care. The home is always clean and fresh )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (smelling, and the nurses and carers are brilliant, I'm very happy with the way that 'X' is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (looked after here".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ("I come every other day and find everyone to be so kind and very attentive, with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (everyone caring, understanding and respecting everyone's privacy".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ("Staff are very, very helpful".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (The Acting Care Manager informed us that there remains a number of care plans still to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (be organized under the revised system, although the one outstanding file we examined )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (showed a competent assessment, risk analysis, plan and review process, supported by a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (detailed daily report, and associated monitoring arrangements.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (The administration of medicines adhered to procedures, with no observed inconsistencies. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We reviewed the policy and procedure and found them appropriate to meet the demands )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (for an elderly mentally ill nursing home. We saw that the receipt, storage, security and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (administration were of a good standard, including Controlled drugs management. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (checked the medicines regimes for those people being case tracked and a random checks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (of Medicines Administration Record \(MAR\) sheets, which confirmed a consistent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (administration with an adequate audit trail for medicines received, administered and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (disposed of.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Self medication and risk assessment policies were seen to be satisfactory, with no one in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (at the time who was able or wished to participate in the scheme. We confirmed that only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (nursing staff administer medication, have received updated training in the Safe Handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (of Medications. We checked those case tracked individuals medication charts, and found )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (all to receive appropriate medication regimes. A recorded incident regarding staff failing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (to confirm that a person has taken a prescribed medication was examined. We found that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (appropriate action has taken place to ensure future compliance with regulation.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Social stimulation and recreation.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We found daily life to be flexible to accommodate people's needs and capabilities, offering )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (choices at meal times, and during personal and social activities, including recognition of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (varied religious needs. Our discussions with people who use the service and staff, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (identified a relaxed atmosphere in which the people's needs were respected, with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (security that there are familiar events to the day they could relate to.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (We are informed that two activity coordinators has been appointed, working from a large )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (activities room, which had displays of art and craft work. We were informed that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (Home is planning extended activities to add to those already in place, including a mix of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (individual and group activities, whilst recognising that normal daily routines, such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (personal care procedures, should be a social interaction. On the day of inspection we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (spoke with one of the activity coordinators, who informed us that the following week she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (will be working full time at Stubby Leas. She was seen to be reading to a lady in the day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (room. We were informed by the Acting Care Manager that the two coordinators were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (having a significant influence on the daily lives of people, and would be presenting a plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (of objectives to include a person centred support plan for each individual. We discussed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (their roles in relation with the objectives in reaching a quality environment for people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (with dementia care needs. We recognize that dementia needs are now being considered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (in relation to stimulation and occupation, and that no one was seen on the day to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (isolated. Staff were seen to be actively involved in the programme and generally chatting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (with people throughout the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Several people were asked about activities at the home, one would like to have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (entertainers brought in on a regular basis, and the other would like to spend more time )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (talking and going out on day trips. One comment we received from a person using the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (service was:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ("I don't like to mix with the others, but it's nice to have the attention of the girls \(activity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (coordinators\) to talk with and do some exercises".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Families and friends are actively encouraged to participate in the daily life of the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (with no restriction being placed on visiting times. During the course of the inspection we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (saw staff and visitors interact with people in a positive and polite manner. Staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (seen to supervise people in the dining and lounge areas.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Those individuals' rooms inspected showed a positive influence of personalisation in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (inclusion of belongings, some furniture and general decor. Our inspection of the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (demonstrated a degree of expressed individuality in most of the bedrooms inspected. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (Environmental issues.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (Stubby Leas Care home is situated in its own, extensive grounds, with accommodation )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (provided on three levels, which are accessed, by stairs or a passenger lift. We found the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (grounds spacious, and there are pleasant country views all round, although with a limited )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (car park. The attractive garden and patio areas are well maintained and secure. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (was level access into the building, which was suitable for people who use wheelchairs, or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (have mobility problems. The new reception area was found to be secure and the general )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (state of exterior repair and maintenance was found to be satisfactory. It is recognized )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (that there have been no admissions to the home since February 2009. We were informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (that the procedure on admission the Acting Care Manager would assess each individual's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (needs for equipment and necessary adaptations. We confirmed that those facilities are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (available throughout the home, with suitable fittings of hand and grab rails, in adequate, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (well lit and airy corridors; wheelchair access was satisfactory throughout the home. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (observed that people had access to all communal areas, allowing relative freedom, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (including wheelchair access, in an improved, maintained, clean and safe environment. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (The Fire Officer report for the 05/01/09 had been received, with no major concerns. Our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (inspection showed us that fire doors were secure, equipment recently maintained and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (staff training to be in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Communal areas present much improved, pleasantly furnished areas to accommodate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (social or reflective needs, in a homely setting. There are four main lounges, each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (providing a comfortable seating area, with a satisfactory standard of furnishings. On the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (day of inspection staff were seen to be deployed in lounges with people, and actively )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (engaged in interactions. The dining areas are well furnished, and presented to provide a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (good quality, conducive environment, to enjoy a good meal. We observed that staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (supervision is available throughout the day.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (Efforts had been made to provide a homely atmosphere and the decor throughout was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (found to be of a steadily improving standard. Recent redecoration of bedrooms, new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (carpets and upgrades to bathrooms were satisfactory. The lounge spaces allow activities )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (to be presented in pleasant areas of the home, with furniture and fittings of a good )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (quality. We found sufficient evidence to confirm a progressive refurbishment programme. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Bedroom areas were seen to be generally better maintained, decorated and furnished; )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (some were seen to have been personalised with people's possessions, and some personal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (furniture brought in with them. The ongoing re-decoration and maintenance are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (continuing, evidencing the Provider's commitment to the future development of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (We inspected a number of bedrooms throughout the home, and four of the bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (were identified as those of the people being case tracked. All had been subject to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (upgrading of the central heating system, with temperature monitoring, with each having )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (a room thermometer. The atmosphere was found to be pleasantly ambient on a warm )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (day. Bedrooms were individually and naturally ventilated, and windows were provided )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (with restrainers for safety and security reasons. Radiators and hot water temperatures )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (were regulated to reduce the risks of accidents from scalds, and all personal electrical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (equipment were seen to be tested. The Provider had stated that all maintenance worked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (highlighted in the reviews have been addressed, which we found to be true. Of the rooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (inspected only one had a slight malodour due to an unwillingness in allowing regular )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (cleaning to take place. People we spoke to during the course of the inspection expressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (their general approval of their accommodation standards. We noted the action taken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (replace insecure bedrails, and pressure relieving mattresses; and that wheelchairs were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (seen to be appropriately equipped with footrests.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (The standard and presentation of all the toilets and bathrooms continued to be an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (improving quality of decoration, having been recently refurbished. They were seen to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (clean, uncluttered and odour free. Toilets are accessible to all, and within close proximity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (to all communal areas.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (The domestic services in the Home were seen to be of a good standard. The home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (presented to us a clean and pleasant atmosphere. To complement the presentation there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (were a number of floral and decorative displays. Those people we spoke to remarked, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (that they found the environment very clean, and fresh.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We recognised the improvements made to provide an environment conducive to meeting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the needs of individuals with dementia, with a programme of bedrooms being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (redecorated to meet individual wants and needs, with easier recognition and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (personalisation being introduced, for example, clear identification on their bedroom )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (doors, and people's artwork on display. We were informed that work will be going ahead )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (on collages and murals for reminiscence, and pathway findings made easy with landmark )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (items, to facilitate easily recognized routes in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (Staffing levels)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (There were 32 people using the service on the day of the random inspection, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (included 25 people requiring nursing care. Three weeks of duty rotas were examined, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (providing evidence that the home is suitably staffed in numbers, skills and qualifications )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (to ensure the needs of people are met. We recognised that the Acting Care Manager is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (supernumerary to the staffing rota. Flexible rostering, with agreed overtime, are used to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (accommodate shortfalls due to sickness and absence; agency staff are infrequently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (employed. The staffing establishments were examined and found to be satisfactory in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (meeting the staffing standards. An average coverage was seen to be:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (0700 to 1430 2 Trained Nurse and 6 Carers)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (1430 to 2130 1 Trained Nurse and 6 Carers)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (2130 to 0700 1 Trained Nurse and 3 Carers)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (The manager is supported by a team of Registered Nurses and experienced senior carers. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (The administrative, catering, domestic and laundry staff were found to be appropriate for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (the size of the home and the needs of the people who use the service. We were informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (that two more Registered Nurses would be joining the complement in the next three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (weeks.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (We have noted through our examination of staff records, and discussions with staff that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (training programme is drawn up, although the records have not been kept up to date to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (evidence the effort. It is recognised that staff received a meaningful induction programme )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (to meet their level of experience, and that mandatory training is given, and we confirmed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (that fire training is arranged, and movement and handling is presently underway. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (has been a significant improvement in the numbers of staff undertaking Safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (awareness and Dementia training for the past 6 months. A training matrix was presented )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (to us to evidence the degree of training undertaken in 2009, although failing to identify )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Registered Nurses training arrangements. Discussion with a senior nurse confirmed she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (had had a clear induction, and all mandatory training since commencing. It was agreed )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 615.36 w 31.2 477.55 m 580.26 477.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 168.74 m 582.46 168.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 167.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 167.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (that a Registered Nurse would take up the responsibility for ensuring that training took )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (place at the appropriate times, and that staff records be kept up to date. We received a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (number of comments regarding the staff at Stubby Leas, from visitors and people using )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (the service, all being very complimentary.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Policy and procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (The acting Care Manager present at the last inspection has resigned his post, and a new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Acting Care Manager has been in post since March 2009. He is a Registered Mental Nurse )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (with extensive experience, working in a variety of care setting, including that of Quality )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (assurance nurse and Deputy Care Manager, in two homes in the Staffordshire area over )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the past four years. He has yet to submit an application form for registration with us at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the time of inspection, but stated that it was in the process of being addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (We recognise that he has been appointed to head a team of Registered Nurses with a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (mandate to manage the service at Stubby Leas, with direct accountability to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Registered Provider. We have found a willingness to demonstrate an assertive )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (commitment to the management task in hand, in addressing assessments, care planning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (and risk assessments for review, and ensure that practice is applied at a high standard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (throughout.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (We acknowledged the commitment and level of achievement, evidenced to show that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (good standard of care practice has been observed, addressing clinical competence, and a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (very caring attitude and environment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (Through the inspection process we found appropriate personal risk assessments in place )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (for people using the service, through care planning, review and monitoring, and of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (general environment. The Acting Care Manager offered evidence of procedure reviews, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (and safe working practices. We examined the accident records and found them to be in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (order, with a regular, and effective follow through of action taken, including a review of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (care plans and risk assessments when considered appropriate.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (We discussed with the Acting Care Manager, Operations Director, and the Registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (Provider the issue of reporting Safeguarding matters to Social Services and the Care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Quality Commission \(CQC\). We reminded the team present of the importance to report )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (and refer all issues of safeguarding concerns speedily, to allow a strategy to be organised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (to deal with the issues. We reinforced the commitment of CQC in the safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (procedure, which was acknowledged by the team.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (We discussed the issue of medical authorisation for resuscitation instructions, and have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (been informed that a satisfactory outcome and policy have been agreed with the medical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (staff supporting Stubby Leas.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 150.67 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 150.67 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 96.93 w 31.2 92.14 m 580.26 92.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 141.73 m 582.46 141.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 142.81 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 142.81 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (We are assured that requirements that we made following our 07/01/09 key inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (have been met. Under the direction of the Acting Care Manager and Registered Provider )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (we acknowledged that the home has responded positively to the issues raised by the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (review of care commissioned by the Staffordshire and Stoke on Trent Safeguarding of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (Vulnerable Adults strategy group, and to our request for an action plan to address those )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (issues, We found that the management has re-established a genuine commitment to )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 192.54 w 31.2 688.96 m 580.26 688.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.56 m 582.46 591.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 590.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 590.48 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (care, with an open, confident and personable approach, which reflects a sound )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (relationship between carer and people who use the service. We found that this has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (enhanced the involvement of families in the process of care, providing an individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (approach to meeting personal and health care needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We confirmed that a review of assessment procedures and care planning has presented a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (good standard, offering essential information on each person's progress in the meeting of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (objectives.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We have recognised improved deployment of staffing resources, and that staff training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (and supervision are re-established in safeguarding the interests of people who use the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (No additional requirements were made as a result of this inspection.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 573.49 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 151.8 w 31.2 486.4 m 580.26 486.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 563.42 m 582.46 563.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 409.38 m 582.46 409.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 564.5 m 30.07 408.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 564.5 m 581.38 408.3 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm (It was noted by us that activity plans need resources and support to realize the laudable )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (objectives proposed by the Acting Care Manager, consistent with good care practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (Continuing efforts to enable a more conducive environment for people with dementia are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (to be encouraged.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (The administration and organizing of staff training need to reflect the observed level of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm (commitment to the training process.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.02 Tm (The appointment of a permanent Registered Care Manager is to be facilitated.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 391.07 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 391.07 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 375.07 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 122.12 w 32.32 537.73 m 564.97 537.73 l S 0.001 w 1 1 1 RG 20.58 w 31.2 488.08 m 91.05 488.08 l S 0.001 w 20.58 w 93.3 488.08 m 197.4 488.08 l S 0.001 w 20.58 w 199.65 488.08 m 289.45 488.08 l S 0.001 w 20.58 w 291.7 488.08 m 473.8 488.08 l S 0.001 w 20.58 w 476.05 488.08 m 566.1 488.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.67 m 568.3 476.67 l S 0.001 w [] 0 d [] 0 d 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The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 398.77 m 564.97 398.77 l S 0.001 w 1 1 1 RG 20.58 w 31.2 354.91 m 91.05 354.91 l S 0.001 w 20.58 w 93.3 354.91 m 197.4 354.91 l S 0.001 w 20.58 w 199.65 354.91 m 566.1 354.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 367.4 m 30.07 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 367.4 m 567.22 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.3 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 367.4 m 92.17 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 367.4 m 198.52 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 456.3 m 568.4 456.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.4 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.49 m 568.3 343.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 457.37 m 30.07 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 387.8 m 92.17 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 387.8 m 198.47 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 457.37 m 567.32 365.25 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 440.11 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 422.53 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.95 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.37 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 372.55 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 372.55 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 372.55 Tm (Good Practice Recommendations)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 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Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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