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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 124.75 w 24.07 747.9 m 558.15 747.9 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 1 0 0 1 28.35 514.98 Tm (Care homes for older people)Tj ET /F1 6 Tf BT 1 0 0 1 28.35 503.94 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 496.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 482.92 m 160.38 482.92 l S 0.001 w 1 1 1 RG 20.58 w 162.63 482.92 m 563.65 482.92 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 433.71 m 160.38 433.71 l S 0.001 w 1 1 1 RG 73.33 w 162.63 433.71 m 563.65 433.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 471.5 m 565.85 471.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.33 m 565.85 494.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.5 m 565.85 471.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 395.92 m 565.85 395.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.41 m 30.07 394.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.41 m 161.5 394.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.41 m 564.78 394.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 478.14 Tm (Name:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 478.14 Tm (Fern Villa)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 455.31 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 455.31 Tm (The Green )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 437.73 Tm (Ellerker)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 420.15 Tm (East Riding Of Yorks)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 402.56 Tm (HU15 2DP)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 383.67 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 366.67 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 347.13 m 358.95 347.13 l S 0.001 w 1 1 1 RG 20.58 w 361.2 347.13 m 565.9 347.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 358.54 m 568.1 358.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 335.71 m 568.1 335.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 359.62 m 30.07 334.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 359.62 m 360.07 334.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 359.62 m 567.02 334.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 342.36 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 342.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 342.36 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 400.15 342.36 Tm (two star good service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 323.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 304.4 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 287.4 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 287.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 287.4 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 270.4 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 270.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 270.4 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 253.4 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 235.92 m 315.25 235.92 l S 0.001 w 20.58 w 317.5 235.92 m 565.9 235.92 l S 0.001 w 1 1 1 RG 20.58 w 317.5 213.09 m 346.55 213.09 l S 0.001 w 20.58 w 348.8 213.09 m 377.9 213.09 l S 0.001 w 20.58 w 380.15 213.09 m 409.2 213.09 l S 0.001 w 20.58 w 411.45 213.09 m 440.55 213.09 l S 0.001 w 20.58 w 442.8 213.09 m 471.9 213.09 l S 0.001 w 20.58 w 474.15 213.09 m 503.2 213.09 l S 0.001 w 20.58 w 505.45 213.09 m 534.55 213.09 l S 0.001 w 20.58 w 536.8 213.09 m 565.9 213.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 224.5 m 568.1 224.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.34 m 568.1 247.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.5 m 568.1 224.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.67 m 568.1 201.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.41 m 30.07 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.41 m 316.37 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 225.58 m 347.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 225.58 m 379.02 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 225.58 m 410.32 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 225.58 m 441.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 225.58 m 473.02 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 225.58 m 504.32 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 225.58 m 535.67 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.41 m 567.02 200.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 231.15 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 231.15 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 208.31 Tm (Janet Lamb)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 208.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 208.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 208.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 208.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 208.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 208.31 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 189.42 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 172.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 155.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 143.35 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 131.28 Tm ()Tj ET endstream endobj 7 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 11 0 obj<>>> endobj 12 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (2)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (32)Tj ET /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.02 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F3 12 Tf BT 1 0 0 1 428.23 787.02 Tm (care home is meeting )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.52 Tm (the needs of people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 226.59 769.52 Tm (There is a summary of what we think this service does )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 752.02 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 734.52 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 717.03 Tm (experience.)Tj ET /F3 12 Tf BT 1 0 0 1 106.58 717.03 Tm (National minimum standards are written by the Department of Health for )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.53 Tm (each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.53 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.03 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.84 m 572.15 653.84 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.16 m 572.15 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.85 m 22.7 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.85 m 572.15 320.16 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 31.2 640.54 Tm (Outcome area \(for example )Tj ET /F2 10 Tf BT 1 0 0 1 189.13 640.54 Tm (Choice of home\))Tj ET /F2 10 Tf BT 1 0 0 1 31.2 610.24 Tm (These are the outcomes that people )Tj ET /F2 10 Tf BT 1 0 0 1 236.38 610.24 Tm (staying in care homes should experience.)Tj ET /F2 10 Tf BT 1 0 0 1 479.51 610.24 Tm (They reflect )Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.08 Tm (the things that people have said are important to them:)Tj ET 1 0.9451 0.76078 RG 82.25 w 30.6 533.34 m 562.45 533.34 l S 0.001 w 1 1 1 RG 40 w 29.47 513.34 m 563.57 513.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.71 m 565.77 576.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.21 m 565.77 492.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.78 m 28.35 491.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.78 m 564.7 491.14 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 561.02 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 543.52 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.79 543.52 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 518.77 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 501.27 Tm (key inspection.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.76 Tm (This is what people )Tj ET /F2 10 Tf BT 1 0 0 1 143.21 461.76 Tm (staying in this care home experience:)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 424.6 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 40 w 30.6 393.29 m 562.45 393.29 l S 0.001 w 1 1 1 RG 40 w 29.47 394.41 m 563.57 394.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.54 m 565.77 415.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.29 m 565.77 373.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.61 m 28.35 372.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.61 m 564.7 372.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 399.85 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.65 399.85 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 382.35 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 356.47 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.91 m 562.45 333.91 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.04 m 563.57 335.04 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.41 m 565.77 347.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.66 m 565.77 322.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.49 m 28.35 321.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.49 m 564.7 321.59 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 331.72 Tm (This box describes the information we used to come to our judgement.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 285.1 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.81 285.1 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.54 285.1 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.39 285.1 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.19 285.1 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 232.6 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.68 232.6 Tm (www.tso.co.uk/bookshop)Tj ET [] 0 d 0.708 w 0 0 1 RG 238.68 231.55 m 390.93 231.55 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.61 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 172.61 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 172.61 Tm (Put the people who use social care first)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 154.97 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 154.97 Tm (Improve services and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 137.33 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 137.33 Tm (Be an expert voice on social care)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 119.69 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 119.69 Tm (Practise what we preach in our own organisation)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 79.55 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (3)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (32)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.38 m 224.05 751.38 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.38 m 567 751.38 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.55 m 224.05 728.55 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.55 m 567 728.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.72 m 224.05 705.72 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.72 m 567 705.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.83 w 28.35 617.26 m 224.05 617.26 l S 0.001 w 1 1 1 RG 151.83 w 226.3 617.26 m 567 617.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.8 m 224.05 528.8 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.8 m 567 528.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.39 m 569.2 517.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 769.44 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 769.44 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 746.61 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 746.61 Tm (CSCI)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 723.78 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 723.78 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 700.94 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 700.94 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 678.11 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 678.11 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 313.49 678.11 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 344 678.11 Tm (\) Commission for Social Care )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 663.53 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 648.95 Tm (in whole or in part, free of charge, in any format or )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 634.36 Tm (medium provided that it is not used for commercial )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 619.78 Tm (gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 605.2 Tm (reproduced accurately and on proviso that it is not )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 590.61 Tm (used in a derogatory manner or misleading context. )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 576.03 Tm (The material should be acknowledged as CSCI )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 561.45 Tm (copyright, with the title and date of publication of the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 546.86 Tm (document specified.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 524.03 Tm (Internet address)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 524.03 Tm (www.csci.org.uk)Tj ET endstream endobj 15 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (4)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (32)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 725.01 m 267.95 725.01 l S 0.001 w 1 1 1 RG 73.33 w 270.2 725.01 m 565.65 725.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.8 m 267.95 675.8 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.8 m 565.65 675.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.97 m 267.95 652.97 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.97 m 565.65 652.97 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.14 m 267.95 630.14 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.14 m 565.65 630.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.3 m 267.95 607.3 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.3 m 565.65 607.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 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769.44 Tm (Fern Villa)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.61 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.61 Tm (The Green)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Ellerker)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (East Riding Of Yorks)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (HU15 2DP)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.03 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.03 Tm (01430422262)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.2 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 648.2 Tm (01482666013)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.36 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.53 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.09 m 353.25 564.09 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.09 m 565.9 564.09 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.26 m 565.6 541.26 l S 0.001 w 20.58 w 31.2 495.6 m 353.25 495.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 495.6 m 565.9 495.6 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.76 m 353.25 472.76 l S 0.001 w 1 1 1 RG 20.58 w 355.5 472.76 m 565.9 472.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.68 m 568.1 552.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.84 m 567.8 529.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.01 m 567.8 507.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.59 m 354.37 551.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.18 m 568.1 484.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.51 m 568.1 575.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.68 m 567.8 552.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.84 m 567.8 529.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.01 m 568.1 507.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.18 m 568.1 484.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.35 m 568.1 461.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.59 m 30.07 460.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 508.09 m 354.37 460.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.59 m 567.02 460.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.32 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 559.32 Tm (Mr )Tj ET /F3 12 Tf BT 1 0 0 1 374.95 559.32 Tm (Jeremy William )Tj ET /F3 12 Tf BT 1 0 0 1 470.95 559.32 Tm (Southgate)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 536.49 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 513.66 Tm (Mrs Rita McDonagh)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 490.82 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 490.82 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 467.99 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 467.99 Tm (23)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 449.04 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 429.55 m 565.6 429.55 l S 0.001 w 41.17 w 31.2 396.43 m 297.2 396.43 l S 0.001 w 20.58 w 299.45 406.72 m 565.6 406.72 l S 0.001 w 20.58 w 299.45 386.14 m 432.52 386.14 l S 0.001 w 20.58 w 432.52 386.14 m 565.6 386.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 418.14 m 567.8 418.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.97 m 567.8 440.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.14 m 567.8 418.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 374.72 m 567.8 374.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 442.05 m 30.07 373.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 419.21 m 298.32 373.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 442.05 m 566.72 373.64 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 424.78 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 401.95 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 401.95 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 381.36 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 381.36 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 359.93 m 297.3 359.93 l S 0.001 w 20.58 w 299.55 359.93 m 431.45 359.93 l S 0.001 w 20.58 w 433.7 359.93 m 565.6 359.93 l S 0.001 w 35.17 w 31.2 329.8 m 297.3 329.8 l S 0.001 w 35.17 w 299.55 329.8 m 431.45 329.8 l S 0.001 w 35.17 w 433.7 329.8 m 565.6 329.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 299.68 m 565.6 299.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.51 m 567.8 348.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.1 m 567.8 311.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.26 m 567.8 288.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.43 m 568.1 265.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.35 m 567.8 371.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.51 m 567.8 348.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.1 m 567.8 311.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.26 m 568.1 288.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.43 m 568.1 265.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.27 m 568.1 184.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 372.42 m 30.07 183.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 372.42 m 298.42 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 372.42 m 432.57 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 372.42 m 566.72 183.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 355.16 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 355.16 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 355.16 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 332.32 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 317.74 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 332.32 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 332.32 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 294.91 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 272.08 Tm (The maximum number of service users who can be accommodated is: 23)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 249.24 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 234.66 Tm (only - Code PC. To service users of the following gender: Either. Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 220.08 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 205.49 Tm (falling within any other category, Code OP, maximum number of places 23 Dementia, )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 190.91 Tm (Code DE, maximum number of places 23)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 169.48 m 315.25 169.48 l S 0.001 w 1 1 1 RG 20.58 w 317.5 169.48 m 346.55 169.48 l S 0.001 w 20.58 w 348.8 169.48 m 377.9 169.48 l S 0.001 w 20.58 w 380.15 169.48 m 409.2 169.48 l S 0.001 w 20.58 w 411.45 169.48 m 440.55 169.48 l S 0.001 w 20.58 w 442.8 169.48 m 471.9 169.48 l S 0.001 w 20.58 w 474.15 169.48 m 503.2 169.48 l S 0.001 w 20.58 w 505.45 169.48 m 534.55 169.48 l S 0.001 w 20.58 w 536.8 169.48 m 565.9 169.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 180.89 m 568.1 180.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 158.06 m 568.1 158.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 181.97 m 30.07 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 181.97 m 316.37 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 181.97 m 347.67 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 181.97 m 379.02 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 181.97 m 410.32 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 181.97 m 441.67 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 181.97 m 473.02 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 181.97 m 504.32 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 181.97 m 535.67 156.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 181.97 m 567.02 156.98 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 164.7 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 146.18 m 565.9 146.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 136.56 m 568.1 136.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 137.63 m 30.07 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 137.63 m 567.02 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 155.81 m 568.1 155.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 136.56 m 568.1 136.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.65 m 568.1 40.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 156.88 m 30.07 135.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 156.88 m 567.02 135.48 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 142.62 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 142.62 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 123.37 Tm (Fern Villa is a care home registered for 23 people over 65 years of age, of whom some )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 106.37 Tm (may have dementia. The home is situated in the quiet village of Ellerker which is close )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 89.37 Tm (to the M62 motorway. It is a converted house with a modern extension, which )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 72.37 Tm (overlooks fields at the back and the village green to the front. The first floor is served )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 55.37 Tm (by a stair lift for less ambulant people. There are two lounges available and one dining )Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (5)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 672.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 672.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 673.15 m 568.1 673.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (room and bathroom facilites meet the requirements of the standards in respect of )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (numbers. There is a small sheltered garden to the rear of the house with patio )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (furniture, though in the summer months people like to sit on the village green. There is )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (car parking for approximately five cars. The home is privately owned. Weekly fees )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (range from 360.00 to 450.00 per person per week. Extra may be charged if a double )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (room is occupied as a single. Information about the service is made available to people )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (via the statement of purpose, service user guide and inspection report, upon request. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 661.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 644.09 Tm ()Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xn1 9eA*8!PujjQy|Y.io|N]FyVo:z8y߇o<[-ȎBaz\J QFrQȔVW@u=8&I5x:l]^O$+lŭ&fWҥF`ih"ѮFYVP!1qM()j+Kp@"ٴ(:2O&6aM~,4hh ]"MuFс FLQмy;DZ Zeuv@jGLSQ6?dL]v3upR1Hd1+Tg&z^|W:'uhӹH6t9~mrix^\4Ƚ09zaSϾ.t̷qa͝P?)j(3M_ v8/gLj"L#foZg6ڛKP-:L՟yv( endstream endobj 22 0 obj<> endobj 23 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.69 m 568.35 55.69 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 33.75 52.38 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 483.75 53.38 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 514.26 53.38 Tm (6)Tj ET /F3 11 Tf BT 1 0 0 1 522.08 53.38 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 540.36 53.38 Tm (32)Tj ET /F6 10 Tf BT 1 0 0 1 28.35 38.03 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 740.69 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.63 m 568.4 731.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.8 m 568.4 708.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.72 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 715.44 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.88 715.44 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.53 715.44 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 411.35 715.44 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.3 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.31 607.26 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.44 567.01 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.19 526.76 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.96 486.51 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 446.26 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 406.01 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.51 365.76 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.31 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 170.96 w 32.32 151.05 m 566.72 151.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.65 m 567.85 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 568.92 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.44 m 568.92 64.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.73 m 31.2 63.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.73 m 567.85 63.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.46 Tm (The key inspection of Fern Villa took place over a period of time. It should have )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (involved the sending of an Annual Quality Assurance Assessment \(AQAA\) document to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (the home several weeks before the site visit, but none was sent on this occasion. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (Surveys were issued to people living in the home and to the staff though at the end of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (December 2008.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (Information supplied in the surveys, taken from the random inspection carried out in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm (July 2008, and taken from notifications and other information sent to the Commission )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm (was used to determine what it must be like living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm (Then on 21st January 2009 Janet Lamb carried out a key inspection site visit to the )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 1 1 1 RG 61.33 w 31.2 781.86 m 565.6 781.86 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 567.8 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 750.07 m 567.8 750.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 748.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 748.99 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (home to interview people, the manager and staff, to observe interactions between )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm (people and between people and the staff and to view documentation and files relating )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (to the service of care provided, in order to make a judgement on what the service of )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (care is really like. Some of the premises was also inspected.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (8)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (32)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 472.66 w 32.32 554.49 m 566.72 554.49 l S 0.001 w 20.58 w 32.7 305.62 m 569.35 305.62 l S 0.001 w 202.11 w 33.82 192.03 m 568.22 192.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 317.04 m 568.92 317.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 315.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 317.04 m 569.35 317.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 294.21 m 569.35 294.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 294.21 m 570.42 294.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 295.28 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 315.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 295.28 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 798.59 Tm (What the )Tj ET /F2 12 Tf BT 1 0 0 1 96.96 798.59 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 167.52 798.59 Tm ( does well:)Tj ET /F3 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 775.76 Tm (People are provided with appropriate information and contracts on the service of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (offered in the home, they now have their needs satisfactorily assessed and recorded in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm (a plan of care, and those needs are now being met more appropriately.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm (Care plans now include details of health needs and how those needs are met. People )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm (are receiving their medication in a way that suits them, using safe systems and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (practices, based on sound procedures. People are experiencing an improvement in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm (their privacy and the promotion of their dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (People are also experiencing an improvement in their daily life and social interaction, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (as regular activities and pastimes are available, contact with the local community is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm (better, and personal decision-making is encouraged more. People also enjoy a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm (satisfactory level of food provision that is nutritious and appetising.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm (People are able to make representations when they are dissatisfied and their )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 557.01 Tm (complaints are sensitively dealt with and resolved. They have their allegations listened )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 542.43 Tm (to and dealt with properly under the local authority safeguarding adults procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 527.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 513.26 Tm (The general environment is also improving steadily and people enjoy comfortable and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 498.68 Tm (clean bedrooms and communal areas. Staff knowledge of such as infection control and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 484.1 Tm (reporting environmental requirements is also increasing.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 469.51 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 454.93 Tm (People are benefiting from satisfactory staffing levels so their basic care and health )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 440.35 Tm (care needs and some social needs etc. are being met. The staffing complement is well )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 425.77 Tm (recruited now, is improving skills through qualification and training and is generally )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 411.18 Tm (providing a better service of care.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 396.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 382.02 Tm (People are also benefiting from an experienced manager, who will soon be qualified )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 367.43 Tm (and registered, that is maintaining a satisfactory system of quality monitoring, is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 352.85 Tm (safeguarding people's finances and is promoting and protecting the health, safety and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 338.27 Tm (welfare of people and staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 323.68 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 568.97 552.94 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 303.51 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 300.85 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 304.07 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 190.48 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 278.02 Tm (Copies of people's placing authority assessment, care plan and service level agreement )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 263.43 Tm (are now available. Copies of the home's assessment of needs, care plans and contract )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 248.85 Tm (of residency are also available. People's assessed needs are now being met more )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 234.27 Tm (thoroughly.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 219.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 205.1 Tm (Daily life and social activities for most people are now improved and they appear to )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 190.52 Tm (show more interest in life.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 175.94 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 161.35 Tm (The record of complaints now shows more information on how issues are resolved. )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 146.77 Tm (Staff have undertaken safeguarding adults training. This should be updated annually.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 132.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 117.61 Tm (Some bedrooms and communal areas have been redecorated, extra furniture has been )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 103.02 Tm (supplied in bedrooms, and fittings and linen such as curtains and bedding is being )Tj ET /F3 10 Tf BT 1 0 0 1 570.47 190.48 Tm ()Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (9)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (32)Tj ET 1 1 1 RG 163.41 w 33.82 730.82 m 568.22 730.82 l S 0.001 w 20.58 w 33.45 636.58 m 570.1 636.58 l S 0.001 w 297.66 w 34.57 475.2 m 568.97 475.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 647.99 m 570.42 647.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 646.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 625.16 m 570.1 625.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 647.99 m 570.1 647.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 625.16 m 571.17 625.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 325.25 m 571.17 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 646.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 626.23 m 33.45 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 626.23 m 570.1 324.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.42 802.72 Tm (replaced.)Tj ET /F3 12 Tf BT 1 0 0 1 34.42 788.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.42 773.55 Tm (Staff are undertaking more mandatory training and have enrolled for NVQ )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 758.97 Tm (qualifications. They are carrying out some cleaning responsibilities between them and a )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 744.38 Tm (second cook is on trial with the view to permanent employment. The service has also )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 729.8 Tm (slightly improved the kitchen facilities and introduced a much improved cleaning )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 715.22 Tm (regime. Recruitment and selection policies and procedures are being followed more )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 700.63 Tm (closely to ensure safe staff are employed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.42 686.05 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.42 671.47 Tm (There has been some improvement in the promotion and protection of people and staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 656.89 Tm (health, safety and welfare.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 635.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 631.8 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 473.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 608.97 Tm (The service could offer more meaningful and fulfilling pastimes and activities to those )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 594.39 Tm (people with cognitive impairment, so that everyone in the home is able to enjoy their )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 579.8 Tm (lives and feel fulfilled. It could, and it is acknowledged that there are plans in place to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 565.22 Tm (do so, provide staff with the extra advanced medication administration training they )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 550.64 Tm (need. It could also store the medication trolleys in a safer place throughout the day. )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 536.05 Tm (Again it is acknowledged that a cupboard has been identified and will be used once it is )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 521.47 Tm (made ready.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 506.89 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 492.3 Tm (The service could make sure it fulfils its objective to fit security locks on all bedroom )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 477.72 Tm (doors so people have confidence their possessions etc. are safe and secure. The )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 463.14 Tm (service could also make sure all bathrooms and toilets have new floor coverings fitted )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 448.56 Tm (that make them safer and more pleasant to use. It could also fit new carpets to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 433.97 Tm (bedroom 7 and the upper floor landings. Where malodour is prevalent in bedrooms it )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 419.39 Tm (could also fit new carpets there.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 404.81 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 390.22 Tm (The service could make sure staff receive the mandatory training courses each year to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 375.64 Tm (enable them to do their jobs skillfully. The service could also make sure staff sign the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 361.06 Tm (fire safety drill record as evidence of their attendance. And the service could make sure )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 346.48 Tm (a legionella water test is carried out on the hot water storage tanks every three years, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 331.89 Tm (so people are confident they are protected from the risk of disease.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 310.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 290.68 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 290.68 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 290.68 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 273.19 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 253.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 233.19 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 233.19 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 233.19 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 215.69 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 215.69 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 215.69 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 198.19 Tm (240 7535.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (10)Tj ET /F3 11 Tf BT 1 0 0 1 523.84 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.11 53.47 Tm (32)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.59 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.59 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 695.95 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 673.95 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 651.95 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 629.95 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 607.95 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 585.95 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 563.95 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 543.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.08 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 34 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (11)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 592.72 m 562.53 592.72 l S 0.001 w 1 1 1 RG 119 w 31.2 550.22 m 563.65 550.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.59 m 565.85 489.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 488.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 488.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 449.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 449.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 449.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 432.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 350.39 m 563.65 350.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 418.89 m 565.9 418.89 l S 0.001 w 132.49 w 32.32 339.15 m 564.78 339.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 406.52 m 566.98 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.59 m 31.2 270.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 407.59 m 565.9 270.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 406.52 m 565.9 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.77 m 566.98 271.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 415.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 390.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 390.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 353.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 333.33 Tm (People receive appropriate contracts of care from the home and have the protection of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.83 Tm (a placing authority one. People also have their personal and health care needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 298.33 Tm (appropriately assessed and recorded within the home, and staff skills are improving all )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 280.83 Tm (the time so people are confident their needs are met.)Tj ET 0.99608 0.9451 0.76078 RG 177.25 w 33.45 157.28 m 563.65 157.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 236.9 m 565.9 236.9 l S 0.001 w 155.87 w 32.32 145.46 m 564.78 145.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 224.53 m 566.98 224.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 225.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 224.53 m 565.9 224.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 233.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.84 Tm (Discussion with people in the home, the manager and staff and viewing of case files )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.34 Tm (with permission from three people reveals there has been improvement in the way this )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.84 Tm (set of standards is being met.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.84 Tm (People now have contracts of residence in place between the home and the placing )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.34 Tm (local authorities in the area, titled 'Residential Service Notification.' Of the three case )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.84 Tm (files tracked two have such contracts, both signed and dated properly and in 2008. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.34 Tm (There are also contracts or terms and conditions of residence in place for people in the )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (12)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 391.35 w 33.45 615.73 m 563.65 615.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.98 w 32.32 603.92 m 564.78 603.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 417.8 m 566.98 417.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (home, between them and Quality Care UK Ltd, again signed and dated in 2008.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (Case files also contain copies of the placing authorities' community care assessment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (documents. Two seen were dated February and November 2008. The home also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (carries out a 'short assessment' of needs, which involves the taking of the person's )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (picture, finding out their personal details, asking for a life history and carrying out a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (skills assessment and completing risk assessment documents. The skills assessment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (document covers such as mobility, dressing, eating and drinking, toilet use and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (continence, bathing, personal care, interest and motivation, awareness, memory )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (recall, communication and orientation etc. There are twenty areas covered in the risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (assessment some of which include falls, skin condition, vulnerability, smoking, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (catheter use, etc. to name a few. The assessment of needs then involves producing a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (list of areas that actually require an action plan to enable staff to meet people's needs.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (Staff employed within the home are improving their skills as carers by undertaking )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (training courses and NVQ qualifications and are better able to meet the identified )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (needs of people in the home. Staff are learning about diversity and equality and about )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (differences in people's needs. There is still some way to go with staff skills.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (Trial visits and stays were not discussed and so this standard was not assessed, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (intermediate care is not provided in the home so this standard is not applicable.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (13)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 68 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.59 m 565.85 523.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 522.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 522.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 483.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 483.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 483.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 466.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.99 w 33.45 366.9 m 563.65 366.9 l S 0.001 w 1 1 1 RG 22.5 w 31.2 452.89 m 565.9 452.89 l S 0.001 w 167.49 w 32.32 355.65 m 564.78 355.65 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 440.52 m 566.98 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.59 m 31.2 269.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 269.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 440.52 m 565.9 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 270.78 m 566.98 270.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 449.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 424.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 424.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 387.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 367.33 Tm (People have their personal and health care needs well recorded, monitored and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (satisfactorily met using the home's systems for recording and reviewing care plans. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (People are protected from the risk of harm from having the wrong medication because )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (the staff are trained in medication administration and there are robust systems in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.33 Tm (place for the safe handling of medicines, based on a sound policy and procedure. They )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 279.84 Tm (have their privacy and dignity upheld.)Tj ET 0.99608 0.9451 0.76078 RG 176.25 w 33.45 156.78 m 563.65 156.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 235.9 m 565.9 235.9 l S 0.001 w 154.88 w 32.32 144.96 m 564.78 144.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 223.53 m 566.98 223.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 224.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 224.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 223.53 m 565.9 223.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 232.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (Discussion with people in the home, the manager and staff and viewing of documents )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (with permission shows there are improvements in the home in the way the standards )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (in this section are met)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (People have fairly detailed care plans and accompanying risk assessment documents. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (These show staff how people's needs are to be met and what support they need to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (maintain independence and good health. Care plans cover the twenty areas assessed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (under the home's risk assessment tool as well as those in the skills assessment )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (14)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 741.33 w 33.45 440.74 m 563.65 440.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 719.96 w 32.32 428.93 m 564.78 428.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.82 m 566.98 67.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (document. There is evidence to show people or their relative are included in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (compiling of the care plan as people sign a document that says they have been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (include, understand the content of the care plan and acknowledge they can view it at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (any time. There are also copies of people's placing authority 'community care' care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (plan held in their file.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (Within the care plan there are pressure care and nutritional risk assessments )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (completed as well as records of GP and district nurse visits, people's weights, 'end of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (life' requests, hospital discharge letters etc. and some people even have wheelchair )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (contracts and toileting records, so health care needs are also included. Everyone has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (completed daily diary notes that show what care and support has been provided, as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (well as weekly key working notes and monthly evaluations. Care plan 'action plans' are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (reviewed every three months and this is recorded next to each action area, while a full )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (review of the care service is carried out every six months, every other one of which is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (attended by an officer of the placing authority and all other stakeholders.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (There is a medication administration policy and procedure in place that includes )Tj ET /F3 12 Tf BT 1 0 0 1 520.72 499.11 Tm (self-)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (medication,)Tj ET /F3 12 Tf BT 1 0 0 1 103.53 481.61 Tm ( although no one self-medicates at the moment. Systems for handling )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (medication are considered to be satisfactory now that two requirements made at the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (last key inspection have been met; to ensure there is a written protocol on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (administering 'as and when required' medication, and to make sure staff administering )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (drugs are properly trained and competence tested. Four staff responsible for giving out )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (medicines are now trained according to the NCFE level 2 Handling of Medicines course )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (and others have had in-house instruction with Boots Chemist in 2008. All of these staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (have requested a more detailed medication administration training and are to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (undertake a Boots Chemist Advanced Medication Administration course in March 2009, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (along with the manager.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (Storage of medication is not as good as it could be but the manager has plans to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (relocate the storage of medication trolleys in another cupboard, once it has been made )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (ready, and this will then be much improved. There are printed medication )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (administration record \(MAR\) sheets in use that show when medicines were receipted )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (into the home, who administered tablets, when and whether or not any were refused )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (and returned. Boots Chemist carried out a full audit of the systems in June 2008 soon )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (after a new contract was set up with them. People in the home are quite satisfied with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (the arrangements for handling medicines as none of them wish to have the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (responsibility for self-medicating for fear of forgetting or taking too many etc.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (Generally privacy and dignity is upheld - staff are discreet, care is given and health )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (care professional visits etc. are carried out in private, people receive their mail )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (unopened and they are addressed how they choose to be addressed.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (15)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (16)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 626.72 m 562.53 626.72 l S 0.001 w 1 1 1 RG 17 w 31.2 567.22 m 563.65 567.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.59 m 565.85 557.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 556.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 556.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 517.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 517.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 517.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 517.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 500.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.49 w 33.45 409.65 m 563.65 409.65 l S 0.001 w 1 1 1 RG 22.5 w 31.2 486.89 m 565.9 486.89 l S 0.001 w 149.99 w 32.32 398.4 m 564.78 398.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 474.52 m 566.98 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.59 m 31.2 321.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 475.59 m 565.9 321.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 474.52 m 565.9 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 322.27 m 566.98 322.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 483.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 458.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 458.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 421.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 401.33 Tm (People that are more able experience a good lifestyle of their choosing where possible. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.83 Tm (They enjoy a small variety of pastimes, receive visitors at their convenience, have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.33 Tm (some very good connections with the local community and enjoy satisfactory and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 348.83 Tm (nutritious food provision. Those less able could do to have a little more time invested )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 331.33 Tm (in them to make sure they too lead satisfying and busy lives.)Tj ET 0.99608 0.9451 0.76078 RG 227.75 w 33.45 182.53 m 563.65 182.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 287.4 m 565.9 287.4 l S 0.001 w 206.38 w 32.32 170.71 m 564.78 170.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.03 m 566.98 275.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.03 m 565.9 275.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 284.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.34 Tm (Discussion with people, the manager and staff and viewing of some documentation in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.84 Tm (case files with permission, reveals there has been more improvement in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.34 Tm (opportunities for people to choose the way they lead their lives and make decisions.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.34 Tm (People have the opportunity to join in with pastimes held in-house, with planned )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.84 Tm (outings to such as the pub or a restaurant, or to just keep their own company in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.34 Tm (rooms. Some stay in their rooms and only ever come out for meals, others come and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.85 Tm (go as they please. Some, less able to make choices receive more assistance from staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.35 Tm (and spend all of their waking time in the lounge or dining room. Pastimes enjoyed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.85 Tm (include dominoes, group crossword and sudoku, bingo, 'days gone by' reminiscence, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.35 Tm (receiving visitors and conversing, watching DVDs, westerns mostly, listening and )Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (17)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (singing along to music and especially visiting entertainers, and joining in with theme )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (nights and birthday parties. People like to have a celebratory drink or a 'tipple' just to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (cheer them up and all requests are carefully considered, but usually accommodated )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (somehow, even if only with non or low alcohol drinks. Seasonal occasions are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (celebrated as well, and people recently enjoyed a Christmas party at a local work's )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (social club, a Christmas party for family and friends and one for people in the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (only. There is a weekly activities plan on display in the entrance hall, though this is not )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (always followed, and diary notes show what people have been involved in and where )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (they have been etc. Outings are advertised in advance and people are encouraged to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (join in where possible. A little more could be done for those people less able and with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (cognitive impairment or sight and hearing loss, to encourage them to enjoy more )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (satisfying pastimes. This is an area that tends to be more difficult in which to meet )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (people's needs.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (The local community is accessed through the churches in the area, and the schools )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (that call to perform concerts or sing on the village green. The home usually hosts )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (village green carol singers each year and provides refreshment after the event. A )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (church service is held in the home each month and a visiting priest will provide holy )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (communion on request. Visitors are frequent to the home and one spoken to says )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (people are always made welcome.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (Generally those that are able make their own decisions on what to do, when, where )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (etc. and do lead fairly busy lives within the home. There is only one person that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (completely handles their own finances, many others have family members or )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (representatives that do so, and only one person has money held by the home. This is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (held at a sister home along with funds for two people living there. The general policy is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (that the company does not want the responsibility to handle money for anyone, but for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (three people it has no alternative. For these three people a company administrator )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (holds computerised records of all transactions, issues regular statements and audits )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (systems. Records were not viewed as part of this inspection as they are held at the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (sister home. If and when the person concerned needs money the manager arranges )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (for it to be brought to the home. This person also has an officer of the East Riding of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (Yorkshire Council acting as appointee for them. Systems are considered satisfactory.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (Meal times were also discussed and people in the home say they get plenty to eat, it is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (good food and they can choose to have something different if they do not like it. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (Menus are roted every four weeks, include seasonal choices, though there is no written )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (choice alternative to any of the three meals that are provided each day. People say )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (they make requests in house meetings and can have something different if the food on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (offer is not what they like and there are several different foods provided each tea time. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (Lunch seen on the day of the site visit was minced beef, mashed potatoes, cauliflower, )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (18)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 93.87 w 33.45 764.47 m 563.65 764.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 72.5 w 32.32 752.66 m 564.78 752.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 714.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 714.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 715.28 m 566.98 715.28 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (carrots, green beans and gravy. Dessert was not seen. Where possible fresh meat and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (vegetables are purchased weekly when the manager takes a specific trip to the shops. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (This way she has control over the quality of food provided. There are no concerns )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (regarding food provision.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (19)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.22 m 562.53 652.22 l S 0.001 w 1 1 1 RG 17 w 31.2 618.22 m 563.65 618.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.59 m 565.85 608.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 607.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 607.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 568.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 568.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 568.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 551.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 478.14 m 563.65 478.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 537.89 m 565.9 537.89 l S 0.001 w 114.99 w 32.32 466.89 m 564.78 466.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 525.52 m 566.98 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.59 m 31.2 407.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 407.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 525.52 m 565.9 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 408.27 m 566.98 408.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 534.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 509.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 509.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 509.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 472.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 452.33 Tm (People have good systems in place to enable them to be represented in any matter of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (concern or complaint and are satisfactorily protected from harm from abuse or neglect )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.33 Tm (etc., so they know they will be listened to.)Tj ET 0.99608 0.9451 0.76078 RG 313.75 w 33.45 225.53 m 563.65 225.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 373.4 m 565.9 373.4 l S 0.001 w 292.37 w 32.32 213.71 m 564.78 213.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.02 m 566.98 361.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.02 m 565.9 361.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 370.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (Discussion with people in the home, the manager and staff and viewing of records and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (documents reveals there are satisfactory systems in place to enable people to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm (representation and to protect them from harm.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (There is a complaint policy and a procedure in place for everyone to follow in the event )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (someone wants to make a complaint. The procedure has time scales and clear )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm (information on who to speak with. There is also a complaint record available for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (logging complaints, how they were handled and their outcomes. People have mostly )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (only made grumbles known, but these are also recorded. Information in the complaint )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (record is more detailed and so the requirement made at the last inspection to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (sure the record shows how complaints are handled, their outcomes and satisfaction of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm (the complainant, has been met. Systems for handling complaints have improved )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm (slightly, but more importantly the service of care has improved so people grumble and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (complain less. The manager is approachable and understands that if things are not )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm (right she can only make them better if she is told, and so she welcomes complaints. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 82.85 Tm (There is one on-going complaint that has been investigated by East Riding of Yorkshire )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (20)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 303.86 w 33.45 659.47 m 563.65 659.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.48 w 32.32 647.66 m 564.78 647.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.3 m 566.98 505.3 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (Council Social Services department and has been considered 'not upheld,' but the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (complainant is still dissatisfied, so it will take some time to resolve properly.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (There is a safeguarding adults' policy and procedure in place, and records of any )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (referrals made to the local safeguarding adults' team would be kept, though this has )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (not been necessary over the last twelve months. The home also has a Hull & East )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (Riding of Yorkshire Council safeguarding adults procedure file available and staff have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (done some awareness training on a half day course with the consortium in October )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (2008. The manager has completed a full manager's safeguarding training course some )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (years ago and recently updated this on a refresher course, also in 2008. There have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (been no referrals to the safeguarding team in last twelve months. Staff show in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (interview they are aware of their safeguarding responsibilities. People in the home say )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (they would speak up and talk to the manager if they were unhappy or felt they had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (been harmed in any way. There was a requirement at the last inspection to make sure )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (everyone is trained in safeguarding awareness and knows how to report situations, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (and this has now been met.)Tj ET endstream endobj 54 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 55 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (21)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 68 w 31.2 626.72 m 563.65 626.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 648.65 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 631.65 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 452.39 m 563.65 452.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 132.49 w 32.32 441.15 m 564.78 441.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 372.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 372.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 373.77 m 566.98 373.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (People are enjoying a house that meets their individual and collective needs for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (comfort and cleanliness. The general standards within the home have improved since )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.33 Tm (the last inspection and staff are improving their skills and knowledge to maintain an )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 382.83 Tm (infection free working and living environment. )Tj ET 0.99608 0.9451 0.76078 RG 279.25 w 33.45 208.28 m 563.65 208.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 338.9 m 565.9 338.9 l S 0.001 w 257.87 w 32.32 196.46 m 564.78 196.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 326.53 m 566.98 326.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 327.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 326.53 m 565.9 326.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 335.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm (Discussion with people in the home, the manager and staff and observation of some )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (parts of the home reveals there has been considerable improvement in the decoration )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (of rooms, the cleanliness of the premises and in the supplying of equipment.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm (Many rooms have been repainted and emulsioned and some have extra items of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (furniture such as a second easy or dining chair. The bathrooms and toilets have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (fitted with new toilet seats and one with a new fixed bath hoist. The main stairs has a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (new chair lift. An area still to be attended to is the rear garden paving stones that are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (still loose and therefore still unsafe for people to use. A second area still requiring )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (attention is the upstairs bathroom, which still needs redecorating, some re-tiling and a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (new floor covering. New floor covering is still required in all bathrooms and toilets.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm (The cook also works some hours as cleaner and handyman and has a planned )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (maintenance and redecoration programme, which is gradually being worked through. )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (22)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 478.85 w 33.45 571.98 m 563.65 571.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 457.47 w 32.32 560.17 m 564.78 560.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 329.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 329.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 330.31 m 566.98 330.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (The location and layout of the home meets the individual and collective needs of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (people in the home to provide care and accommodation for older people.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (The manager informs us that the requirements made at the last environmental health )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (inspection have now been met, with the exception of the kitchen floor covering. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (Requirements of the fire safety officer are now met after the provider arranged for an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (electrical safety maintenance check on the fire safety detection systems, before the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (expiry of a fourteen day immediate requirement notice, verbally given on the day of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (the site visit and followed up in writing shortly after. This had lapsed.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (A requirement made at the last inspection to fit security locks to bedroom doors to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (give people more privacy has not been completely met, though some people now have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (Yale locks fitted with the 'dead bolt' removed, which is satisfactory and others have a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (small slide bolt fitted to the outside as a temporary measure.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (The home is now looking cleaner and smelling fresher, with the exception of one very )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (bad malodorous bedroom and two malodorous bedrooms, which the manager and staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (are well aware of. Use of a carpet cleaner is frequest. Eradication of malodours )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (remains a recommendation of the report. Staff are soon to sign up to do an infection )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (control course at Leeds College.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (Generally the laundry meets the Water Supply \(Water Fittings\) Regulations 1999, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (though a new floor covering could be fitted and some general tidying up and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (redecoration could be done. Old equipment needs to be disposed of quickly and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (properly. A new tumble dryer is urgently needed for staff to be able to do their jobs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (effectively.)Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (23)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 17 w 31.2 601.22 m 563.65 601.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 461.14 m 563.65 461.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 114.99 w 32.32 449.89 m 564.78 449.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 390.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 390.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 391.27 m 566.98 391.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (adequate)Tj ET /F3 12 Tf BT 1 0 0 1 324.96 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (People have staff in sufficient numbers working in the home to meet their needs and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (there are also sufficient hours allocated to keeping the property clean. People have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.33 Tm (safe and satisfactorily trained, but not necessarily qualified staff caring for them.)Tj ET 0.99608 0.9451 0.76078 RG 296.75 w 33.45 217.03 m 563.65 217.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 356.4 m 565.9 356.4 l S 0.001 w 275.37 w 32.32 205.21 m 564.78 205.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.02 m 566.98 344.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.02 m 565.9 344.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 353.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.34 Tm (Discussion with the manager and staff and viewing of staff files with permission )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm (reveals there has been some improvement in the systems for recruiting and selecting )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (staff, in making sure they are trained and qualified and in making sure there are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (enough people on duty to meet people's needs and to keep the home clean.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm (Care staffing hours are still appropriate for meeting the needs of people in the home, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (as people say they are very well looked after, spend quality time with their key worker )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (and usually get assistance when they ask for it. Rosters also show hours used on )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (caring and generally there is sufficient to meet people's needs. Some care hours and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (some hours allocated to a handyman each day have been used to ensure the home is )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (cleaned and kept in a satisfactory condition and free from malodour. This shows in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (home when visiting. There is one bedroom with very bad malodour and two with some )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (malodour and these were discussed with the manager and staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (The number of staff with the required qualification does not yet meet the )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (24)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 356.36 w 33.45 633.23 m 563.65 633.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 334.98 w 32.32 621.41 m 564.78 621.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 451.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 451.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 452.8 m 566.98 452.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (recommended percentage of total care staff. Currently one staff has done NVQ in Care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (at level 3, and four have begun to do level 2. Efforts must continue to increase the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (number of staff with a recognised qualification in care.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (Recruitment and selection of staff has improved since the last inspection and three )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (files seen show an application is completed, evidence of a person's identity is there in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (the form of copy documents for passport, driving licence, birth and marriage cert. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (There are also two written references for staff, except for one who came into the post )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (straight from school, details of initial and full security checks with the Criminal Records )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (Bureau, and supervision and training and development information. Recruitment and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (selection systems and practice has improved sufficiently to record a new rating of good )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (for the standard.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (There is evidence in staff files of the training they have completed, but no information )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (relating to having done an induction was seen. Training completed includes lifting and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (assisting people to move, basic medication administration, fire safety and safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (adults, and the cook has completed the basic food hygiene certificate. Courses still to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (be done are health and safety, infection control, planned for May 2009, and a more )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (advanced medication administration course, planned for March 2009.)Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (25)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.22 m 562.53 601.22 l S 0.001 w 1 1 1 RG 102 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 506.59 m 565.85 506.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 505.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 505.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 466.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 466.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 466.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 449.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.49 w 33.45 358.65 m 563.65 358.65 l S 0.001 w 1 1 1 RG 22.5 w 31.2 435.89 m 565.9 435.89 l S 0.001 w 149.99 w 32.32 347.4 m 564.78 347.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 423.52 m 566.98 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.59 m 31.2 270.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 270.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 423.52 m 565.9 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.27 m 566.98 271.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 432.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 407.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 407.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 370.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 350.33 Tm (People have the benefit of an experienced and soon to be qualified and registered )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (manager running the home. A satisfactory quality assurance system underpins the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.33 Tm (measuring of the service's performance and people's financial interests are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.83 Tm (safeguarded. People and staff have their health, safety and welfare satisfactorily )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 280.33 Tm (promoted and protected.)Tj ET 0.99608 0.9451 0.76078 RG 176.75 w 33.45 157.03 m 563.65 157.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 236.4 m 565.9 236.4 l S 0.001 w 155.38 w 32.32 145.21 m 564.78 145.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 224.03 m 566.98 224.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 225.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 224.03 m 565.9 224.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 233.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (Discussion with people in the home, the manager and the staff, and viewing of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (documents and records pertaining to quality assuring the service, handling people's )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm (finances and safe working practices reveals there has also been improvement in this )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm (section.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (The manager has now been in post some sixteen months and though she has )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (embarked on the NVQ level 4 Leadership and Management course and has completed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm (the A1 Assessor's course, the company has only recently submitted an application for )Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (26)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (her to become the registered manager. This application is in progress.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (There is a quality assurance system in operation in the home and although it is still )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (used tentatively it does involve some useful tools to check the effectiveness of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (service. It involves audits of the service of care, meetings for people and staff that are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (minuted, staff training lists that are worked through, people's care plan reviews, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (questionnaires sent to people and their relatives and health care professionals, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (monitoring of activities, menus, complaints and compliments, and monthly audits of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (the kitchen, food provided and the laundry service. The system has also been checked )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (by the East Riding of Yorkshire Council in its assessment of the home for awarding part )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (one of the 'quality development scheme.' People spoken to say they are consulted )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (about things that relate to them personally and that the manager and staff checks on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (them daily.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (There is a policy on handling finances, which states there will be no handling of money )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (for people in the home. This is the case, but one new person to the home since the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (last inspection is in the situation where an officer of the placing local authority acts as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (an appointee and so their personal allowance entitlement has to be handled. This is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (done at Fern Villa's sister home in the next village and requires the company )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (administrator to hold funds for three people only in a non-profit bearing account for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (which three monthly statements are issued to their representative or family. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (manager of Fern Villa requests money for the person concerned as they require it, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (though their cognitive ability is impaired and the manager is entrusted to make such )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (decisions for them. All allowance credits and any expenditure is accounted for on a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (running computer balance, receipts are maintained and statements are issued. None of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (the systems were seen on this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (There are policies and procedures held for ensuring safe working practices within the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (home in respect of health, safety and maintenance. There are records of safety checks )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (and maintenance certificates held for the areas included in standard 38. Some of these )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (were sampled and included the fire safety, portable appliance testing, lifting equipment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (and stair lift, water storage, the oil fuelled boiler and the use of hazardous cleaning )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (products.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (Weekly fire safety equipment checks are carried out and recorded on the emergency )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (alarms, lights and detectors, and two monthly drills are held though people are only )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (evacuated to an area. Staff attending a drill need to sign the record of the fire drill )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (individually and not just have their name listed, as evidence of attendance. There is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (evidence that the fire extinguishers were last checked and a fire prevention officer )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (visited to provide a fire safety instruction in October 2008. A fire safety officer also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (visited the home to check the electrical fire panel in February 2008. There was no )Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (27)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 408.85 w 33.45 606.98 m 563.65 606.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 387.48 w 32.32 595.17 m 564.78 595.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 399.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.3 m 566.98 400.3 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (evidence of an annual fire safety check and certificate or of a portable appliance test )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (though from an electrician and this was requested within 14 days of the inspection )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (visit and was met before the compiling of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (The fire risk assessment has been updated and the staff toilet in which the oil burning )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (boiler is sited has been ventilated as requested at the last inspection. There has been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (no testing of the hot water storage tanks for legionella as requested, so this remains a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (recommendation of the standard and evidence of it being undertaken should be sent to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (the Commission within the next three months.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (There are no records of the stair lift and fixed bath hoist being serviced, but they are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (both new since September 2008 and so remain within their initial warranties, so )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (maintenance certificates are not needed until the warranties expire. The company )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (must make sure it meets the requirements of the Provision of Use of Work Equipment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (Regulations 1992 in this matter.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (The home has a Control of Substances Hazardous to Health file in which instructions )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (for safe use of cleaning products are held for staff to consult so they use them safely.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (Generally the health, safety and welfare promotion and protection of people in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (home and staff has improved, though there is still some tightening up to be done to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (make sure annual maintenance checks are done before they expire.)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (28)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (32)Tj ET 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F8 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F8 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.19 w 31.2 685.06 m 566.2 685.06 l S 0.001 w 30.3 w 31.2 633.06 m 91 633.06 l S 0.001 w 30.3 w 93.25 633.06 m 197.4 633.06 l S 0.001 w 30.3 w 199.65 633.06 m 289.5 633.06 l S 0.001 w 30.3 w 291.75 633.06 m 473.9 633.06 l S 0.001 w 30.3 w 476.15 633.06 m 566.2 633.06 l S 0.001 w 1 1 1 RG 169.41 w 31.2 530.95 m 91.05 530.95 l S 0.001 w 169.41 w 93.3 530.95 m 197.4 530.95 l S 0.001 w 169.41 w 199.65 530.95 m 289.45 530.95 l S 0.001 w 169.41 w 291.7 530.95 m 473.8 530.95 l S 0.001 w 169.41 w 476.05 530.95 m 566.1 530.95 l S 0.001 w 140.25 w 31.2 373.87 m 91.05 373.87 l S 0.001 w 140.25 w 93.3 373.87 m 197.4 373.87 l S 0.001 w 140.25 w 199.65 373.87 m 289.45 373.87 l S 0.001 w 140.25 w 291.7 373.87 m 473.8 373.87 l S 0.001 w 140.25 w 476.05 373.87 m 566.1 373.87 l S 0.001 w 154.83 w 31.2 224.08 m 91.05 224.08 l S 0.001 w 154.83 w 93.3 224.08 m 197.4 224.08 l S 0.001 w 154.83 w 199.65 224.08 m 289.45 224.08 l S 0.001 w 154.83 w 291.7 224.08 m 473.8 224.08 l S 0.001 w 154.83 w 476.05 224.08 m 566.1 224.08 l S 0.001 w 81.52 w 31.2 103.66 m 91.05 103.66 l S 0.001 w 81.52 w 93.3 103.66 m 197.4 103.66 l S 0.001 w 81.52 w 199.65 103.66 m 289.45 103.66 l S 0.001 w 81.52 w 291.7 103.66 m 473.8 103.66 l S 0.001 w 81.52 w 476.05 103.66 m 566.1 103.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 649.34 m 568.4 649.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.78 m 568.4 616.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 650.41 m 92.12 444.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 650.41 m 290.62 444.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 650.41 m 475.02 444.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.12 m 568.3 445.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 302.62 m 568.3 302.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 145.54 m 568.3 145.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 720.78 m 568.4 720.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.34 m 568.4 649.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.78 m 568.3 616.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.12 m 568.3 445.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 302.62 m 568.3 302.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 145.54 m 568.3 145.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 721.86 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 617.86 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 650.41 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 617.86 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 617.86 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 721.86 m 567.32 60.7 l S 0.001 w [] 0 d /F2 16 Tf BT 1 0 0 1 31.2 703.57 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 685.15 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 670.56 Tm (been met. )Tj ET /F3 12 Tf BT 1 0 0 1 99.76 670.56 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 103.98 670.56 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 655.98 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 638.16 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 635.16 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 635.16 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 635.16 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 635.16 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 623.01 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 603.59 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 600.59 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 600.59 Tm (13\(2\))Tj ET /F3 12 Tf BT 1 0 0 1 294.55 600.59 Tm (The registered provider must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 586.01 Tm (make sure there is a suitable )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 571.43 Tm (and secure place to store the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 556.84 Tm (new medication trolleys so )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 542.26 Tm (that people are confident )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 527.68 Tm (their medicines are stored )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 513.09 Tm (securely and are not )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 498.51 Tm (available to unauthorised )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 483.93 Tm (persons.)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 469.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 451.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 600.59 Tm (30/09/2008)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 431.93 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 428.93 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 428.93 Tm (23\(2\)\(b\) and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 414.35 Tm (\(c\))Tj ET /F3 12 Tf BT 1 0 0 1 294.55 428.93 Tm (The registered provider must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 414.35 Tm (replace the carpets on the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 399.76 Tm (landing and in room 7. This )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 385.18 Tm (is so people are confident )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 370.6 Tm (they live in a safe, )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 356.02 Tm (comfortable and homely )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 341.43 Tm (environment.)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 326.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 309.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 428.93 Tm (30/10/2008)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 289.43 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 286.43 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 286.43 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 286.43 Tm (The registered provider must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 271.85 Tm (refit and secure the paving )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 257.27 Tm (slabs in the garden to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 242.68 Tm (they do not pose a health )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 228.1 Tm (and safety trip/fall hazard to )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 213.52 Tm (people using the garden and )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 198.93 Tm (grounds, so people know )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 184.35 Tm (they will be safe when )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 169.77 Tm (accessing the garden.)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 152.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 286.43 Tm (31/12/2008)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 132.35 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 129.35 Tm (21)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 129.35 Tm (23\(2\) and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 114.77 Tm (16\(2\)\(c\))Tj ET /F3 12 Tf BT 1 0 0 1 294.55 129.35 Tm (The registered provider must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 114.77 Tm (make sure the toilets and )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 100.19 Tm (bathrooms are kept in a )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 85.6 Tm (good state of repair and )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 71.02 Tm (decoration, and contain the )Tj ET /F3 12 Tf BT 1 0 0 1 478.9 129.35 Tm (30/12/2008)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (29)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (32)Tj ET 1 1 1 RG 154.83 w 31.2 735.11 m 91.05 735.11 l S 0.001 w 154.83 w 93.3 735.11 m 197.4 735.11 l S 0.001 w 154.83 w 199.65 735.11 m 289.45 735.11 l S 0.001 w 154.83 w 291.7 735.11 m 473.8 735.11 l S 0.001 w 154.83 w 476.05 735.11 m 566.1 735.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 656.57 m 568.3 656.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 655.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 655.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 655.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 655.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 655.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 655.5 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 292.3 802.72 Tm (equipment required - the )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 788.13 Tm (upper floor bathroom )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 773.55 Tm (requires redecoration and a )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 758.97 Tm (new floor covering, many )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 744.38 Tm (toilets in the home require )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 729.8 Tm (new floor coverings. This is )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 715.22 Tm (so people are confident their )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 700.63 Tm (environment is safe, clean )Tj ET /F3 12 Tf BT 1 0 0 1 292.3 686.05 Tm (and comfortable.)Tj ET /F3 12 Tf BT 1 0 0 1 292.3 665.47 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (30)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (32)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 52.75 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.81 m 91 704.81 l S 0.001 w 30.3 w 93.25 704.81 m 197.4 704.81 l S 0.001 w 30.3 w 199.65 704.81 m 289.5 704.81 l S 0.001 w 30.3 w 291.75 704.81 m 473.9 704.81 l S 0.001 w 30.3 w 476.15 704.81 m 566.2 704.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.53 m 568.4 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.16 m 30.07 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.16 m 92.12 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.16 m 198.52 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.16 m 290.62 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.16 m 475.02 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.16 m 567.32 687.46 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 742.31 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.73 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.91 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.91 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.91 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.91 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.91 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.76 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.75 w 31.2 616.66 m 566.2 616.66 l S 0.001 w 30.3 w 31.2 565.88 m 91 565.88 l S 0.001 w 30.3 w 93.25 565.88 m 197.4 565.88 l S 0.001 w 30.3 w 199.65 565.88 m 289.5 565.88 l S 0.001 w 30.3 w 291.75 565.88 m 473.9 565.88 l S 0.001 w 30.3 w 476.15 565.88 m 566.2 565.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.16 m 568.4 651.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.6 m 568.4 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.23 m 30.07 548.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.23 m 92.12 548.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.23 m 198.52 548.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.23 m 290.62 548.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.23 m 475.02 548.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.23 m 567.32 548.53 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 637.97 Tm (Statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 617.97 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 603.39 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.7 603.39 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 588.8 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 570.98 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 567.98 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 567.98 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 567.98 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 567.98 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 555.83 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 47.89 w 31.2 488.29 m 566.2 488.29 l S 0.001 w 18.15 w 31.2 453.02 m 91 453.02 l S 0.001 w 18.15 w 93.25 453.02 m 197.4 453.02 l S 0.001 w 18.15 w 199.65 453.02 m 566.2 453.02 l S 0.001 w 1 1 1 RG 64.33 w 31.2 409.52 m 91.05 409.52 l S 0.001 w 64.33 w 93.3 409.52 m 197.4 409.52 l S 0.001 w 64.33 w 199.65 409.52 m 566.1 409.52 l S 0.001 w 64.33 w 31.2 342.94 m 91.05 342.94 l S 0.001 w 64.33 w 93.3 342.94 m 197.4 342.94 l S 0.001 w 64.33 w 199.65 342.94 m 566.1 342.94 l S 0.001 w 64.33 w 31.2 276.36 m 91.05 276.36 l S 0.001 w 64.33 w 93.3 276.36 m 197.4 276.36 l S 0.001 w 64.33 w 199.65 276.36 m 566.1 276.36 l S 0.001 w 49.75 w 31.2 217.07 m 91.05 217.07 l S 0.001 w 49.75 w 93.3 217.07 m 197.4 217.07 l S 0.001 w 49.75 w 199.65 217.07 m 566.1 217.07 l S 0.001 w 49.75 w 31.2 165.07 m 91.05 165.07 l S 0.001 w 49.75 w 93.3 165.07 m 197.4 165.07 l S 0.001 w 49.75 w 199.65 165.07 m 566.1 165.07 l S 0.001 w 64.33 w 31.2 105.78 m 91.05 105.78 l S 0.001 w 64.33 w 93.3 105.78 m 197.4 105.78 l S 0.001 w 64.33 w 199.65 105.78 m 566.1 105.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.22 m 568.4 463.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.82 m 568.4 442.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 464.29 m 92.12 375.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.23 m 568.3 376.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.65 m 568.3 309.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 243.07 m 568.3 243.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.07 m 568.3 191.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.07 m 568.3 139.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.35 m 568.4 513.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.22 m 568.4 463.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.82 m 568.3 442.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.23 m 568.3 376.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.65 m 568.3 309.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 243.07 m 568.3 243.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.07 m 568.3 191.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.07 m 568.3 139.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 72.49 m 568.3 72.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.43 m 30.07 71.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 443.89 m 92.17 71.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 464.29 m 198.52 71.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 514.43 m 567.32 71.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 497.17 Tm (Recommendations)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 481.59 Tm (These recommendations are taken from the best practice described in the National Minimum Standards )Tj ET /F3 10 Tf BT 1 0 0 1 34.05 469.44 Tm (and the registered person\(s\) should consider them as a way of improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 452.04 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 449.04 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 449.04 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 426.63 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 426.63 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 426.63 Tm (The registered provider should continue to encourage staff )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 412.04 Tm (to undertake qualifications and training, and to facilitate )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 397.46 Tm (their completing it, so they improve their skills and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 382.88 Tm (competences to ensure people's need are always met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 360.04 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 360.04 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 360.04 Tm (The registered provider should offer more variety and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 345.46 Tm (appropriate pastimes to those people less cognitively able, )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 330.88 Tm (so everyone in the home leads a fulfilling lifestyle and has )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 316.3 Tm (their social and emotional needs met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 293.46 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 293.46 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 293.46 Tm (The registered provider should replace the kitchen floor )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 278.88 Tm (covering to meet the requirements of the environmental )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 264.3 Tm (health officer, and so that the hygiene standards in the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 249.71 Tm (kitchen can be properly maintained.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 226.88 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 226.88 Tm (24)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 226.88 Tm (The registered provider should continue to fit suitable locks )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 212.3 Tm (to bedroom doors for those able to use them, so that )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 197.71 Tm (people have security for their possessions and belongings.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 174.88 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 174.88 Tm (26)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 174.88 Tm (The registered provider should make sure all bedrooms are )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 160.3 Tm (free from malodour, so people have pleasant )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 145.71 Tm (accommodation in which to live.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 122.88 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 122.88 Tm (28)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 122.88 Tm (The registered provider should encourage staff to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 108.3 Tm (undertake NVQs and seek to achieve at least 50% of care )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 93.72 Tm (staff with the award, so people are confident qualified staff )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 79.13 Tm (are caring for them.)Tj ET endstream endobj 76 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 77 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (31)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (32)Tj ET 1 1 1 RG 93.5 w 31.2 765.78 m 91.05 765.78 l S 0.001 w 93.5 w 93.3 765.78 m 197.4 765.78 l S 0.001 w 93.5 w 199.65 765.78 m 566.1 765.78 l S 0.001 w 78.92 w 31.2 677.32 m 91.05 677.32 l S 0.001 w 78.92 w 93.3 677.32 m 197.4 677.32 l S 0.001 w 78.92 w 199.65 677.32 m 566.1 677.32 l S 0.001 w 64.33 w 31.2 603.45 m 91.05 603.45 l S 0.001 w 64.33 w 93.3 603.45 m 197.4 603.45 l S 0.001 w 64.33 w 199.65 603.45 m 566.1 603.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 717.91 m 568.3 717.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.74 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Staff )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 768.3 Tm (should also keep up to date with all annual mandatory )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 753.72 Tm (training, especially in fire safety, assisting people to move, )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 739.13 Tm (medication administration, infection control and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 724.55 Tm (safeguarding adults.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 701.72 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 701.72 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 701.72 Tm (The registered provider should make sure the hot water )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 687.13 Tm (storage tank is tested for legionella bacteria and evidence )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.55 Tm (should be sent to the Commission within three months of )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 657.97 Tm (receiving this report, so people are confident they are )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 643.39 Tm (protected frorm harm from disease.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 620.55 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 620.55 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 620.55 Tm (The registered provider should make sure staff sign the fire )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 605.97 Tm (drill record to evidence they have attended the drill, so )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 591.39 Tm (people are confident they are being protected from the risk )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 576.8 Tm (of harm from fire.)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (32)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (32)Tj ET 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 781.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.59 Tm (Telephone:)Tj ET /F3 12 Tf BT 1 0 0 1 107.31 759.59 Tm (0845 015 0120 or )Tj ET /F3 12 Tf BT 1 0 0 1 220.51 759.59 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 739.59 Tm (Textphone:)Tj ET /F3 12 Tf BT 1 0 0 1 108.73 739.59 Tm (0845 015 2255 )Tj ET /F3 12 Tf BT 1 0 0 1 205.31 739.59 Tm (or )Tj ET /F3 12 Tf BT 1 0 0 1 221.93 739.59 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 719.59 Tm (Email:)Tj ET /F3 12 Tf BT 1 0 0 1 74.51 719.59 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.59 Tm (Web:)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 699.59 Tm (www.csci.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 659.6 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 642.1 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 602.6 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 112.69 602.6 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 143.2 602.6 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 585.1 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 567.6 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 550.1 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 532.6 Tm (misleading context. 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