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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 (Cale Green Private Nursing Home)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 (Adswood Lane West )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 437.73 Tm (Stockport)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 420.15 Tm (Cheshire)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 402.56 Tm (SK3 8HZ)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 (Fiona Bryan)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 (28)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 (28)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 (28)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 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.89 m 567.85 595.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.44 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.44 Tm (Cale Green Private Nursing Home)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 (Adswood Lane West)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Stockport)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (Cheshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (SK3 8HZ)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 (01614771980)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 (01614800989)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 1 273.05 625.36 Tm (calegreen@smallwoodcarehomes.co.uk)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 1 358.35 559.32 Tm (Smallwood Homes Ltd)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 (Ellen Moorhouse)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 (50)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 35.17 w 31.2 352.64 m 297.3 352.64 l S 0.001 w 35.17 w 299.55 352.64 m 431.45 352.64 l S 0.001 w 35.17 w 433.7 352.64 m 565.6 352.64 l S 0.001 w 20.58 w 31.2 322.51 m 297.3 322.51 l S 0.001 w 20.58 w 299.55 322.51 m 431.45 322.51 l S 0.001 w 20.58 w 433.7 322.51 m 565.6 322.51 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 28.99 333.93 m 567.8 333.93 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 28.99 371.35 m 567.8 371.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.93 m 567.8 333.93 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 28.99 250.85 m 568.1 250.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 372.42 m 30.07 249.77 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 566.72 249.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 355.16 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 340.57 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 355.16 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 355.16 Tm (50)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 317.74 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 317.74 Tm (10)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 317.74 Tm (50)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 (No service user may be received in the establihment who is less than 30 years old, )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 257.49 Tm (male/female. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 236.06 m 315.25 236.06 l S 0.001 w 1 1 1 RG 20.58 w 317.5 236.06 m 346.55 236.06 l S 0.001 w 20.58 w 348.8 236.06 m 377.9 236.06 l S 0.001 w 20.58 w 380.15 236.06 m 409.2 236.06 l S 0.001 w 20.58 w 411.45 236.06 m 440.55 236.06 l S 0.001 w 20.58 w 442.8 236.06 m 471.9 236.06 l S 0.001 w 20.58 w 474.15 236.06 m 503.2 236.06 l S 0.001 w 20.58 w 505.45 236.06 m 534.55 236.06 l S 0.001 w 20.58 w 536.8 236.06 m 565.9 236.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 247.47 m 568.1 247.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.64 m 568.1 224.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.55 m 30.07 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.55 m 316.37 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 248.55 m 347.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 248.55 m 379.02 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 248.55 m 410.32 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 248.55 m 441.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 248.55 m 473.02 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 248.55 m 504.32 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 248.55 m 535.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.55 m 567.02 223.56 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 231.28 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 212.76 m 565.9 212.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 203.14 m 568.1 203.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 204.22 m 30.07 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 204.22 m 567.02 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.39 m 568.1 222.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.14 m 568.1 203.14 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 30.07 223.47 m 30.07 202.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 223.47 m 567.02 202.06 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 209.2 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 209.2 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 189.95 Tm (Cale Green nursing home is a care home that provides 24 hour nursing care and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 172.95 Tm (accommodation to 50 adult service users. Many of the service users accommodated at )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 155.95 Tm (the home have high physical dependency needs. The home is privately owned by )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 138.95 Tm (Smallwood Homes Ltd. Cale Green nursing home is situated in Cale Green on Adswood )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 121.95 Tm (Lane West, about one and a half miles from the centre of Stockport. Local bus services )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 104.95 Tm (are available. A small driveway leads to a car park and the main entrance to the home. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 87.95 Tm (The home is a two storey, purpose built building which has been extended to provide )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 70.95 Tm (43 single bedrooms and three shared rooms. Eleven rooms have en-suite toilet )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 53.95 Tm (facilities. Assisted bathing facilities are available on both floors. There are lounges on )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 (28)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 30.07 706.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 706.08 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 28.99 707.15 m 568.1 707.15 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 (both floors. The ground floor also has a separate dining area. Adaptations and aids are )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (provided, including a passenger lift and hoists. The current weekly fees range from 350 )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (to 535 pounds dependent on the package of care required. Further details regarding )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (fees are available from the manager. Additional charges are also be made for )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (hairdressing and other personal requirements. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 695.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 678.09 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 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 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 (28)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 (This key unannounced inspection, which included a visit to the home, took place on )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (Wednesday 21st January 2009. The staff at the home did not know that this visit was )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (going to take place.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (All the key standards were assessed at the site visit and information was taken from )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm (various sources, which included observing care practices and talking with residents, the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (manager and other members of the staff team. Key standards refers to those )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm (standards we feel are particularly important in ensuring the health, safety, welfare and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm (quality of life of people living at 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 (The care and services provided to three residents were looked at in detail, looking at )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 250.91 w 31.2 687.07 m 565.6 687.07 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 28.99 560.49 m 567.8 560.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 559.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 559.42 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (their experience of the home from their admission to the present day.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (A selection of staff and care records was examined, including medication records, )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (training records and staff duty rotas.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 744.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 729.8 Tm (Before the inspection, we asked for surveys to be sent out to residents and staff asking )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 715.22 Tm (what they thought about care at the home. Seven residents and two staff returned )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 700.63 Tm (their surveys. We also sent surveys to some GP's that visit the home to see patients )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 686.05 Tm (there. Two GPs returned them. Comments from all these questionnaires are included in )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 671.47 Tm (the report.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 656.89 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 642.3 Tm (We also asked the manager of the home to complete a form called an Annual Quality )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 627.72 Tm (Assurance Assessment \(AQAA\) to tell us what they felt they did well, and what they )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 613.14 Tm (needed to do better. This helps us to determine if the management of the home see )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 598.55 Tm (the service they provide the same way that we see the service. The manager )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 583.97 Tm (completed the form quite well and we discussed ways in which she could give us )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 569.39 Tm (further evidence of improvements to the service the next time we request an AQAA.)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 (28)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 458.07 w 32.32 561.78 m 566.72 561.78 l S 0.001 w 20.58 w 32.7 320.21 m 569.35 320.21 l S 0.001 w 216.69 w 33.82 199.32 m 568.22 199.32 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 30.12 331.62 m 568.92 331.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 330.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 331.62 m 569.35 331.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 308.79 m 569.35 308.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 308.79 m 570.42 308.79 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 32.7 309.87 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 330.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 309.87 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 (The manager or one of the senior staff always goes to visit prospective newcomers to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (the home or people are welcome to visit the home before making a decision as to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm (whether they want to live there. In this way people get information about the services )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (that are provided and staff assess if they have the resources to meet their needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm (Medicines are managed well at the home and the manager has started to carry out )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (audits \(checks\) to make sure staff follow the proper procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (An activities organiser is employed who coordinates and arranges social events and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (recreational activities for people living at the home. Staff try to accommodate )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (individual needs and their preferences regarding their daily routines are recorded, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm (which staff try to follow as far as possible.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm (Most people said they liked the food provided and everyone with the exception of one )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm (person on a special diet, said there was a choice of meals served.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 557.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 542.43 Tm (The home was clean, warm and welcoming and individual rooms were personalised to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 527.85 Tm (the occupant's liking with their own photographs, mementos and small items of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 513.26 Tm (furniture. The owners of the home invest in its upkeep with ongoing redecoration, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 498.68 Tm (refurbishment and maintenance.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 484.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 469.51 Tm (In the AQAA the manager reported that 77% of the staff had successfully completed )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 454.93 Tm (National Vocational Qualifications \(NVQ\). This qualification is obtained following )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 440.35 Tm (training in providing personal care. This meant that staff had a good basic knowledge )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 425.77 Tm (of the care they needed to provide and the reasons such care was needed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 411.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 396.6 Tm (People living at the home said staff were kind and courteous and treated them with )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 382.02 Tm (respect. Several people had only been living at the home a short time but felt they )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 367.43 Tm (were settling in well. One person said "the home has a happy atmosphere and all the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 352.85 Tm (staff are nice". Another said "I am being well looked after".)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 338.27 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 568.97 560.23 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 318.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 315.43 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 318.65 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 197.77 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 292.6 Tm (Since the last inspection a new manager has been appointed who is in the process of )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 278.02 Tm (registering with us. Staff said the new manager was very supportive and felt she was )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 263.43 Tm (making changes that were improving the service they offered. People living at the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 248.85 Tm (home felt confident in the new manager and found her approachable.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 234.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 219.69 Tm (A new care planning and assessment system had been implemented, which ensures )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 205.1 Tm (staff have much clearer and more detailed information about the care they need to )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 190.52 Tm (provide and how they must monitor peoples' progress.)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 (A better system was in place to ensure that communication between staff on different )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 146.77 Tm (shifts was effective. This means that peoples' health care issues were being followed up )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 132.19 Tm (more pro actively and staff were ensuring people received prompt medical attention )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 117.61 Tm (when required.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 103.02 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 570.47 197.77 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 (28)Tj ET 1 1 1 RG 207.16 w 33.82 708.95 m 568.22 708.95 l S 0.001 w 20.58 w 33.45 592.83 m 570.1 592.83 l S 0.001 w 166.41 w 34.57 497.08 m 568.97 497.08 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 31.62 604.24 m 570.42 604.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 603.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 581.41 m 570.1 581.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 604.24 m 570.1 604.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 581.41 m 571.17 581.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 412.75 m 571.17 412.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 603.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 582.49 m 33.45 411.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 582.49 m 570.1 411.67 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.42 802.72 Tm (The above changes have been made largely in response to the findings of several safe )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 788.13 Tm (guarding investigations that have been concluded since the last inspection. At the time )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 773.55 Tm (of these investigations it was found that there had been failures in some instances in )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 758.97 Tm (monitoring peoples' health properly and this had been made worse by poor record )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 744.38 Tm (keeping and inadequate communication between staff. It is to the manager's and )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 729.8 Tm (staff's credit that they have worked hard to make changes to try to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 715.22 Tm (shortfalls in care do not occur again.)Tj ET /F3 12 Tf BT 1 0 0 1 34.42 700.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.42 686.05 Tm (Observation of the morning routine showed that whilst the workload remained high for )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 671.47 Tm (staff, better organisation and prioritising of work was ensuring that people got )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 656.89 Tm (attention in a more timely way, although it was recognised that they did still )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 642.3 Tm (sometimes have to wait for staff to be available.)Tj ET /F3 12 Tf BT 1 0 0 1 34.42 627.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.42 613.14 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 591.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 588.05 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 495.52 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 565.22 Tm (The manager should review the dining arrangements for people living on the first floor, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 550.64 Tm (as the present arrangements do not provide much opportunity for people to enjoy their )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 536.05 Tm (meal as a social occasion.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 521.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 506.89 Tm (When a new staff member is appointed the manager should ensure that both )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 492.3 Tm (references are received back in writing before the person starts working at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 477.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 463.14 Tm (The manager has not yet held any residents' meetings or conducted any satisfaction )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 448.56 Tm (surveys, although she did say this was her intention. Seeking the views of people living )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 433.97 Tm (at the home and their relatives is useful as it can highlight areas that need further )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 419.39 Tm (development and can provide information about the type of service people want. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 398.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 378.18 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 378.18 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 378.18 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 360.68 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 28.35 340.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 320.69 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 320.69 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 320.69 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 303.19 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 303.19 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 303.19 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 285.69 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 (28)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 (28)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 119.99 w 33.45 367.89 m 563.65 367.89 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 97.5 w 32.32 356.64 m 564.78 356.64 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 31.2 305.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 407.59 m 565.9 305.7 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 30.12 306.77 m 566.98 306.77 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 moving into the home received enough information to help them make a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.83 Tm (decision and staff received enough information to understand the person's care needs.)Tj ET 0.99608 0.9451 0.76078 RG 212.25 w 33.45 174.77 m 563.65 174.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.9 m 565.9 271.9 l S 0.001 w 190.87 w 32.32 162.96 m 564.78 162.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.52 m 566.98 259.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.52 m 565.9 259.52 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 31.2 268.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 243.84 Tm (We looked in detail at the care provided to three people living at the home. )Tj ET /F3 12 Tf BT 1 0 0 1 496 243.84 Tm (Pre-)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 226.34 Tm (admission)Tj ET /F3 12 Tf BT 1 0 0 1 95.79 226.34 Tm ( assessments had been carried out for all of them and the information used )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.84 Tm (to create informative care plans.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.84 Tm (Since the last inspection a new assessment and care planning system has been )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.34 Tm (introduced, which allowed staff to record much more information about peoples' needs. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.84 Tm (Staff felt that the new system helped them be better prepared and have a good )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.34 Tm (understanding of the needs of someone new to the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.34 Tm (We spoke to one person that had been admitted to the home as an emergency. This )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 (28)Tj ET 0.99608 0.9451 0.76078 RG 216.36 w 33.45 703.22 m 563.65 703.22 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 194.99 w 32.32 691.41 m 564.78 691.41 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 31.2 591.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.71 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 30.12 592.79 m 566.98 592.79 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 (person had not been well enough, when admitted to have much involvement in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (planning their care, but they said when they were feeling better staff had given them )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (more information about the home and had checked to make sure that all their care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (needs were being met in the way they wanted.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (Another person told us a family member had been to look round the home on their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (behalf before they were admitted. This person was satisfied with the information she )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (had been given about the home and felt she was settling in well.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (of 7 people living at the home that returned surveys, 6 said they had received enough )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (information about the home before they made a decision to move in.)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 (28)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 119.99 w 33.45 401.89 m 563.65 401.89 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 97.5 w 32.32 390.64 m 564.78 390.64 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 31.2 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 339.7 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 30.12 340.77 m 566.98 340.77 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 (Peoples' health and personal care needs were being met by staff that respected their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (privacy and dignity.)Tj ET 0.99608 0.9451 0.76078 RG 246.25 w 33.45 191.77 m 563.65 191.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 305.9 m 565.9 305.9 l S 0.001 w 224.87 w 32.32 179.96 m 564.78 179.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 293.52 m 566.98 293.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 294.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 293.52 m 565.9 293.52 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 31.2 302.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.83 Tm (In the AQAA the manager told us that since the last inspection a new care planning )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.34 Tm (system had been implemented, which she felt allowed staff to plan care that was more )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (suited to each individual and made it clearer for all staff how the care they were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (providing should be monitored and reviewed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (We looked at the care provided to three people in detail. All three had care plans that )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (specified the individual abilities and care needs for that person. Peoples' preferred )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (daily routines had been included, with very good detail, for example about peoples' )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (preferred bedtime routines, including what time they liked to go to bed, if they )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (preferred a lamp on in their room, how many pillows they wanted and what type of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (supper drink they liked.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm ()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 (28)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 (Risk assessments had been carried out in relation to peoples' skin \(risk of pressure )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (ulcers\), nutrition, risk of falling and moving and handling. Other risk assessments had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (also been undertaken in relation to specific issues concerning each person, for example )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (regarding medication they were taking and potential side effects that staff needed to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (be aware of.)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 (At the last inspection we had concerns that poor communication systems between staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (meant that people's health care needs were not being followed up as promptly as they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (should have been. New communication and recording systems have now been put in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (place and we could see that samples such as blood, for testing, had been obtained at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (the correct times and staff had been proactive in checking that results were obtained )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (and acted on.)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 (The home does accommodate a lot of people who have a high degree of dependency )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (and a number of people stayed in bed until quite late in the morning. During previous )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (inspections we have had concerns about this , as we could not always be certain that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (staff were checking on them regularly and they were being given drinks etc. However, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (at this inspection the morning routine appeared more organised and we could see from )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (the records kept in peoples' rooms what care had been given. We did however note )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (that one person was not helped to move whilst in bed for a period of six hours, which )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (was too long. We spoke to the manager about this, who agreed to follow it up and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (speak to staff about it.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (The format for writing a daily report on each person had improved, as it was a )Tj ET /F3 12 Tf BT 1 0 0 1 512.63 376.61 Tm (pre-)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (printed)Tj ET /F3 12 Tf BT 1 0 0 1 76.06 359.11 Tm ( form that had prompts so staff remembered to record all relevant information )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (about the care given to that person each day.)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 (Of 7 people that returned surveys, 6 said they always or usually got the care and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (support they needed and that staff listened to them and acted on what they said. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (said they always or usually got medical support and treatment when they needed it. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (One commented "All the staff are very helpful at all times".)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (We received two surveys from doctors that visit the home. Both said that staff at the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (home always or usually sought advice from them and acted on it to manage )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (individual's health care needs and that peoples' needs were always or usually met.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (We spoke to people living at the home and they were positive about the care they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (were receiving. One person said the home had a happy atmosphere and that all the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (staff were nice. We observed staff behaving in a respectful and friendly manner. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (care plan for one person was very good in highlighting their wishes around personal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (care and gave information to staff about how their dignity could be maintained.)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 (28)Tj ET 0.99608 0.9451 0.76078 RG 321.36 w 33.45 650.73 m 563.65 650.73 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 299.98 w 32.32 638.91 m 564.78 638.91 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 31.2 486.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 486.72 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 30.12 487.8 m 566.98 487.8 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 ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (Staff were mostly well informed about individual peoples' care needs and said that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (they were encouraged to read peoples' care plans and familiarise themselves with the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (contents so they understood the care they needed to provide. Since the last inspection )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (they had received training on the new care planning system and had more )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (involvement in keeping the records up to date.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (We looked at how medicines were managed in the home. The senior sister said she )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (was responsible for the ordering of new medicines each month and because of this she )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (had been able to reduce the amount of stock kept at the home by using existing stock )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (and not ordering more until it was really needed.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (People living at the home had been asked if they wanted to manage their own )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (medicines and their wishes were recorded on their care plan.)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 (Medicine records were up to date and showed that staff had followed the correct )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (procedures when storing, administering and disposing of them.)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 (28)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 119.99 w 33.45 435.89 m 563.65 435.89 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 97.5 w 32.32 424.64 m 564.78 424.64 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 31.2 373.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 475.59 m 565.9 373.7 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 30.12 374.77 m 566.98 374.77 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 (Social activities and meals are both well managed and provide daily variation and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.83 Tm (interest for people living in the home.)Tj ET 0.99608 0.9451 0.76078 RG 280.25 w 33.45 208.77 m 563.65 208.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.9 m 565.9 339.9 l S 0.001 w 258.87 w 32.32 196.96 m 564.78 196.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.52 m 566.98 327.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.52 m 565.9 327.52 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 31.2 336.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.83 Tm (Of 7 people living at the home, that returned surveys, 6 said there were always or )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 294.34 Tm (usually activities going on that they could join in with.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.34 Tm (Photographs were displayed around the home of people enjoying various activities. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.84 Tm (The home has adopted a donkey, which was brought to visit everyone living there and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.34 Tm (on another occasion there was a "pet day" and people were able to hold and pet small )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.84 Tm (insects and animals.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.84 Tm (We met one person who lived at the home, who was doing craftwork in the dining )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.34 Tm (room. He said he enjoyed helping the activity organiser with different events and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.85 Tm (regularly played the piano and the organ for the entertainment of other people living )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.35 Tm (at the home. This person also said the owner of the home had been very helpful in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.85 Tm (getting materials for his craft work and a small table had been set up for him at one )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.35 Tm (end of the dining room to keep everything in one place.)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 (28)Tj ET 0.99608 0.9451 0.76078 RG 653.84 w 33.45 484.48 m 563.65 484.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 632.46 w 32.32 472.67 m 564.78 472.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 154.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 154.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 155.32 m 566.98 155.32 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 ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (On the day of our inspection one person was celebrating their birthday and the quiet )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (lounge was being used for a party for their friends and family. Staff and the manager )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (at the home had gone to a lot of trouble to mark the occasion.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (The people we spoke to said routines were fairly flexible, although some said they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (could not always get up immediately they wanted to, as they needed help and they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (had to wait for staff to be available. People seemed to understand this and did not see )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (it as a big problem. We have previously had concerns that where people were in bed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (until late morning, they were left unattended for long periods. During this inspection, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (we saw that staff were checking on people in their rooms more, seemed to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (prioritising their work better and were more aware of which people still needed their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (attention.)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 (Of the 7 people that returned surveys, 4 said they usually liked the meals provided at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (the home, whilst 2 said they sometimes did \(one person did not answer the question\). )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (One person commented that the meals were "too stodgy".)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (One person who required a special diet did not like the food very much. She had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (discussed this with the manager and the manager was trying to ensure that meals )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (provided were more to her taste.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (Menus were displayed in the reception area and each of the dining areas. A choice of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (dishes was provided at each mealtime and staff were heard during the morning, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (discussing the following day's menu with people and asking them what they would like.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (There was a calm, relaxed atmosphere during the mealtime on the ground floor. Since )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (the last inspection, following consultation with people living at the home, the large )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (dining room on the ground floor had been made into a quiet lounge and a dining area )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (had been provided in one half of the large lounge. This area was nicely arranged, with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (the tables attractively set with table cloths, cutlery, crockery and condiments.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (The first floor mealtime was less of a social occasion, as people were served on small )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (side tables and stayed sitting in their own armchairs in the lounge. This meant people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (were less inclined to socialise and consideration could be given as to how mealtimes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (could be enhanced for people living on the first floor.)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 (28)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 119.99 w 33.45 486.89 m 563.65 486.89 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 97.5 w 32.32 475.64 m 564.78 475.64 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 31.2 424.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 424.7 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 30.12 425.77 m 566.98 425.77 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 living at the home and their relatives are able to complain and action is taken )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (to respond to their concerns.)Tj ET 0.99608 0.9451 0.76078 RG 331.25 w 33.45 234.27 m 563.65 234.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 390.9 m 565.9 390.9 l S 0.001 w 309.87 w 32.32 222.46 m 564.78 222.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 378.52 m 566.98 378.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 379.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 378.52 m 565.9 378.52 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 31.2 387.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 362.83 Tm (A copy of the complaints procedure was available in the reception area of the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (and a copy was provided in each bedroom.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm (Of 7 people returning surveys 6 said they always or usually knew who to speak to if )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (they were unhappy about anything. One person we spoke to during our inspection said )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (she had complained about the quality of the food and the manager had spent time )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (discussing this with her and had been "very nice" and was "trying her best".)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (The manager had kept a record of complaints received and this provided information )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (about how the issues raised had been investigated and responded to. We were told by )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (one person that had made a complaint that they had been invited to a meeting, which )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (had been very thorough in looking at the concerns they raised.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm (At the last inspection 2 safe guarding investigations were being carried out, which )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (have since been concluded. The findings of the first case were inconclusive but there )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm (was some evidence of poor care and failure on the part of staff to access appropriate )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 82.85 Tm (health care services in a timely way. The investigation into the second case found that )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 (28)Tj ET 0.99608 0.9451 0.76078 RG 373.85 w 33.45 624.48 m 563.65 624.48 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 352.48 w 32.32 612.66 m 564.78 612.66 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 31.2 434.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.22 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 30.12 435.3 m 566.98 435.3 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 (staff had been neglectful in the care and monitoring of someone's catheter.)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 (A third safe guarding investigation has also taken place since the last inspection. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (findings of this investigation were also inconclusive due to poor record keeping and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (inconsistent reports of events that had happened. Concerns were noted about the lack )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (of communication and exchange of information between staff and about the level of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (support for staff.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (Following the findings of these investigations, the manager and staff have worked very )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (hard to implement new systems that could minimise the risk of failures in care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (happening again. We saw at this inspection that the systems for communication )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (between all grades of staff had improved considerably and the manager and staff have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (demonstrated their ability to take note of the areas that were highlighted as being of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (concern and work to effect improvements.)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 (In the AQAA the manager said that it was her intention to continue with the training )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (programme in safe guarding adults for all staff and we recommend this. Two staff we )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (spoke to had not yet undertaken this training although they were aware of the steps )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (they would take if they suspected abuse and knew where the home's policies were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (kept, which they could use for reference.)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 (28)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 119.99 w 33.45 469.89 m 563.65 469.89 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 97.5 w 32.32 458.64 m 564.78 458.64 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 31.2 407.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 407.7 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 30.12 408.77 m 566.98 408.77 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 (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 492.83 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 (A clean, pleasant and comfortable environment is provided for people living at the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (home.)Tj ET 0.99608 0.9451 0.76078 RG 314.25 w 33.45 225.77 m 563.65 225.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 373.9 m 565.9 373.9 l S 0.001 w 292.87 w 32.32 213.96 m 564.78 213.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.52 m 566.98 361.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.52 m 565.9 361.52 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 31.2 370.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.83 Tm (A partial tour of the home was conducted. The home was fresh and clean and there )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.34 Tm (were no bad smells.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (The bedrooms were of a good size, nicely decorated and personalised with peoples' )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (own ornaments, photographs and belongings.)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 (Since the last inspection a new front door and some new windows have been fitted and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (the balcony on the first floor had been refurbished with a new bay window area so )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (people will be able to enjoy sitting out in the summer. The manager said various parts )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (of the home had been redecorated and new equipment bought.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (During this inspection major work was being carried out on the passenger lift. This had )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (become necessary as the lift had broken down several times over the past year, which )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (was an inconvenience to people living at the home 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 owner of the home had written to everyone at the home before the work was )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 (28)Tj ET 0.99608 0.9451 0.76078 RG 146.37 w 33.45 738.22 m 563.65 738.22 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 124.99 w 32.32 726.41 m 564.78 726.41 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 31.2 661.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 661.71 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 30.12 662.79 m 566.98 662.79 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 (started to explain about the disruption and two stair lifts had been installed to enable )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (people living on the first floor to get downstairs.)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 (In the AQAA the manager recognised that reducing potential isolation for some people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (and encouraging socialisation was an area that could be improved. As stated in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (section about daily life and social activities, looking at the arrangements for dining for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (people living on the first floor could be useful in achieving this.)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 (28)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 119.99 w 33.45 469.89 m 563.65 469.89 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 97.5 w 32.32 458.64 m 564.78 458.64 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 31.2 407.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 407.7 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 30.12 408.77 m 566.98 408.77 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 (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 492.83 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 receive care and support from staff who have the skills to support them )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (correctly.)Tj ET 0.99608 0.9451 0.76078 RG 314.25 w 33.45 225.77 m 563.65 225.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 373.9 m 565.9 373.9 l S 0.001 w 292.87 w 32.32 213.96 m 564.78 213.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.52 m 566.98 361.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.52 m 565.9 361.52 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 31.2 370.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.83 Tm (On the day of our inspection there were 19 people being cared for on the ground floor )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.34 Tm (by 1 nurse and 3 carers. On the first floor 25 people were being cared for by 1 nurse )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm (and 4 carers. Staff said this was the norm and they found staffing levels appropriate in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (the main. We were told that 1 nurse and 4 carers worked at night. Examination of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (duty rota for the week commencing 19/1/09 confirmed these figures.)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 (Of the 7 people who returned surveys 6 said there were always or usually staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (available when they needed them. One person commented "If the staff are very busy - )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (and they always are, they will come as soon as they can". Another person said they )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (had "had problems at night" but they did not specify what these problems were.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (Two staff returned surveys and both said there was usually enough staff on duty to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (meet the needs of people living at the home. One commented, "occasionally we can be )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (short staffed. When this happens the staff who are on duty put in the extra effort to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm (ensure the service users are looked after to the expected standard".)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm ()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 (28)Tj ET 0.99608 0.9451 0.76078 RG 461.35 w 33.45 580.73 m 563.65 580.73 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 439.98 w 32.32 568.92 m 564.78 568.92 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 31.2 346.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.8 m 566.98 347.8 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 (One person we spoke to during our inspection said she didn't usually have to wait too )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (long if she rang for help.)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 (We looked at 3 staff personnel files. Criminal record bureau \(CRB\) disclosures or a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (check against the POVA register had been made for all of them prior to them starting )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (to work at the home. References were available for two of the staff, including )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (references from their most recent employers. Only one reference was available for one )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (person but it was recorded on their file that the manager was trying to obtain the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (second reference.)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 (Staff told us they had received training in a range of topics such as the new care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (planning system, nutritional screening, care of people with diabetes, moving and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (handling and fire safety. Training records confirmed this. The manager was planning to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (arrange training for some staff to become fire marshalls and some staff were due to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (attend training about catheter care. Some staff, including the manager were also due )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (to start a distance learning course in the safe management of medicines the following )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (week.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (The 2 staff that returned surveys said they were given training that was relevant to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (the care they needed to provide to people.)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 (In the AQAA the manager said that 77% of carers had achieved NVQ level 2 and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (22.4% of carers had also achieved NVQ level 3.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm ()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 (28)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 119.99 w 33.45 384.89 m 563.65 384.89 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 97.5 w 32.32 373.64 m 564.78 373.64 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 31.2 322.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 322.7 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 30.12 323.77 m 566.98 323.77 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 (Cale Green is managed with systems, policies and procedures in place to ensure the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (health and safety of staff and people living there are promoted and protected.)Tj ET 0.99608 0.9451 0.76078 RG 229.25 w 33.45 183.27 m 563.65 183.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 288.9 m 565.9 288.9 l S 0.001 w 207.87 w 32.32 171.46 m 564.78 171.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.52 m 566.98 276.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.52 m 565.9 276.52 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 31.2 285.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.83 Tm (Since the last inspection a new manager has been appointed who is in the process of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 243.34 Tm (registering with us. Staff said the new manager was very supportive and had )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.84 Tm (introduced some changes that they felt were beneficial to the running of the home. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (Two staff who returned surveys said they saw the manager regularly and one )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (commented "There is a more positive feeling in the home".)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm (The manager had held several staff meetings and was planning to hold a residents' )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (meeting in the near future. This had been delayed due to staff sickness. The manager )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (was also planning to distribute some satisfaction surveys to get feedback from people )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (living at the home about the services being provided.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm ()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 (28)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 (A new "team leader" role has been created to ensure carers are appropriately )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (supervised and directed.)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 said she had received a lot of support from the owners of the home. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (owner has visited the home in accordance with Regulation 26 of the Care Homes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (Regulations 2001 and reports were available of their findings.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (A new audit \(checking\) system has been implemented so the manager can assess how )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (staff are carrying out the home's policies and procedures.)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 (Procedures for the management and safekeeping of residents' money were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (satisfactory.)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 (Records were available to show that health and safety checks had been carried out in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (the building and equipment had been regularly serviced.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 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 (26)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 (28)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 ()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 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.19 w 31.2 683.93 m 566.2 683.93 l S 0.001 w 30.3 w 31.2 631.93 m 91 631.93 l S 0.001 w 30.3 w 93.25 631.93 m 197.4 631.93 l S 0.001 w 30.3 w 199.65 631.93 m 289.5 631.93 l S 0.001 w 30.3 w 291.75 631.93 m 473.9 631.93 l S 0.001 w 30.3 w 476.15 631.93 m 566.2 631.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.66 m 568.4 615.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.29 m 92.12 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.29 m 198.52 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.29 m 290.62 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.29 m 475.02 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.58 l S 0.001 w [] 0 d /F2 16 Tf BT 1 0 0 1 31.2 702.44 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 684.02 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 34.05 669.44 Tm (been met. )Tj ET /F3 12 Tf BT 1 0 0 1 99.76 669.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 103.98 669.44 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 34.05 654.85 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.03 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.03 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.03 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.03 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.03 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.88 Tm (action)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 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 (27)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 (28)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 31.2 487.16 m 566.2 487.16 l S 0.001 w 18.15 w 31.2 451.89 m 91 451.89 l S 0.001 w 18.15 w 93.25 451.89 m 197.4 451.89 l S 0.001 w 18.15 w 199.65 451.89 m 566.2 451.89 l S 0.001 w 1 1 1 RG 49.75 w 31.2 415.69 m 91.05 415.69 l S 0.001 w 49.75 w 93.3 415.69 m 197.4 415.69 l S 0.001 w 49.75 w 199.65 415.69 m 566.1 415.69 l S 0.001 w 49.75 w 31.2 363.69 m 91.05 363.69 l S 0.001 w 49.75 w 93.3 363.69 m 197.4 363.69 l S 0.001 w 49.75 w 199.65 363.69 m 566.1 363.69 l S 0.001 w 64.33 w 31.2 304.4 m 91.05 304.4 l S 0.001 w 64.33 w 93.3 304.4 m 197.4 304.4 l S 0.001 w 64.33 w 199.65 304.4 m 566.1 304.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 462.09 m 568.4 462.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.69 m 568.4 441.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 463.17 m 92.12 388.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 389.69 m 568.3 389.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 337.69 m 568.3 337.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.23 m 568.4 512.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.09 m 568.4 462.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.69 m 568.3 441.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 389.69 m 568.3 389.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 337.69 m 568.3 337.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 271.11 m 568.3 271.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 513.31 m 30.07 270.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 442.77 m 92.17 270.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 463.17 m 198.52 270.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 513.31 m 567.32 270.03 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 496.04 Tm (Recommendations)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 480.47 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 34.05 468.32 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 31.2 450.91 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 447.91 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 447.91 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 425.5 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 425.5 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 425.5 Tm (Consideration should be given as to how mealtimes for )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 410.92 Tm (people living on the first floor can be enhanced to make )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 396.33 Tm (them more social occasions.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 373.5 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 373.5 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 373.5 Tm (The manager should make sure that two written references )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 358.92 Tm (are recieved before a member of staff starts working at the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 344.34 Tm (home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 321.5 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 321.5 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 321.5 Tm (The manager should seek the views of people living at the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 306.92 Tm (home and their relatives so she can continue to improve )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 292.34 Tm (the service and develop it in a way that meets people's )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 277.75 Tm (expactations.)Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 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 (28)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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