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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 1 0 0 1 28.35 503.98 Tm (Care homes for adults \(18-65 years\))Tj ET /F1 6 Tf BT 1 0 0 1 28.35 492.94 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 485.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 471.92 m 160.38 471.92 l S 0.001 w 1 1 1 RG 20.58 w 162.63 471.92 m 563.65 471.92 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.92 w 31.2 413.92 m 160.38 413.92 l S 0.001 w 1 1 1 RG 90.92 w 162.63 413.92 m 563.65 413.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.33 m 565.85 483.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.34 m 565.85 367.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.41 m 30.07 366.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.41 m 161.5 366.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.41 m 564.78 366.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 467.14 Tm (Name:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 467.14 Tm (Primrose Place)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 444.31 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 444.31 Tm (34 Somerset Road )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 426.73 Tm (Handsworth)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 409.15 Tm (Birmingham)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 391.56 Tm (West Midlands)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 373.98 Tm (B20 2JD)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 355.08 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 338.08 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 318.55 m 358.95 318.55 l S 0.001 w 1 1 1 RG 20.58 w 361.2 318.55 m 565.9 318.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 329.96 m 568.1 329.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.13 m 568.1 307.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.04 m 30.07 306.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.04 m 360.07 306.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.04 m 567.02 306.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 313.77 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 313.77 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 313.77 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 383.11 313.77 Tm (three star excellent service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 294.87 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 275.81 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 28.35 258.81 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 258.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 258.81 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 241.81 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 241.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 241.81 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 224.81 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.34 m 315.25 207.34 l S 0.001 w 20.58 w 317.5 207.34 m 565.9 207.34 l S 0.001 w 1 1 1 RG 20.58 w 317.5 184.5 m 346.55 184.5 l S 0.001 w 20.58 w 348.8 184.5 m 377.9 184.5 l S 0.001 w 20.58 w 380.15 184.5 m 409.2 184.5 l S 0.001 w 20.58 w 411.45 184.5 m 440.55 184.5 l S 0.001 w 20.58 w 442.8 184.5 m 471.9 184.5 l S 0.001 w 20.58 w 474.15 184.5 m 503.2 184.5 l S 0.001 w 20.58 w 505.45 184.5 m 534.55 184.5 l S 0.001 w 20.58 w 536.8 184.5 m 565.9 184.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 195.92 m 568.1 195.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.75 m 568.1 218.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.92 m 568.1 195.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.09 m 568.1 173.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 219.83 m 30.07 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 219.83 m 316.37 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197 m 347.67 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197 m 379.02 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197 m 410.32 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197 m 441.67 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197 m 473.02 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197 m 504.32 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197 m 535.67 172.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 219.83 m 567.02 172.01 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 202.56 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 202.56 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 179.73 Tm (Brenda O'Neill)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 179.73 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 179.73 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 179.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 179.73 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 179.73 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 179.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 179.73 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 179.73 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 160.83 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 143.83 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 126.83 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 114.76 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 102.69 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 Adults \(18-65 years\))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 (35)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 Adults \(18-65 years\))Tj ET /F3 12 Tf BT 1 0 0 1 526.58 285.1 Tm ( can )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Crispins, 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 Adults \(18-65 years\))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 (35)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 Adults \(18-65 years\))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 (35)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 90.92 w 31.2 716.22 m 267.95 716.22 l S 0.001 w 1 1 1 RG 90.92 w 270.2 716.22 m 565.65 716.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.22 m 267.95 658.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.22 m 565.65 658.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.39 m 267.95 635.39 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.39 m 565.65 635.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.55 m 267.95 612.55 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.55 m 565.65 612.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.72 m 267.95 589.72 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.72 m 565.65 589.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.63 m 567.85 669.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.8 m 567.85 646.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.97 m 567.85 623.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.14 m 567.85 601.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.63 m 567.85 669.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.8 m 567.85 646.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.97 m 567.85 623.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.14 m 567.85 601.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.3 m 567.85 578.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.22 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 (Primrose Place)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 (34 Somerset Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Handsworth)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (Birmingham)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (West Midlands)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.28 Tm (B20 2JD)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.45 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.45 Tm (01215540440)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.61 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 630.61 Tm (01212412597)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.78 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 607.78 Tm (david@primroseplace.co.uk)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.95 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.51 m 353.25 546.51 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.51 m 565.9 546.51 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.68 m 353.25 523.68 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.68 m 565.9 523.68 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 500.85 m 353.25 500.85 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.85 m 565.9 500.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.09 m 568.1 535.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 568.1 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.93 m 568.1 557.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.09 m 568.1 535.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 568.1 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.43 m 568.1 489.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559 m 30.07 488.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559 m 354.37 488.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559 m 567.02 488.35 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 541.74 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 541.74 Tm (Mrs Nelam Kaur,Mr David Cobley)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 518.91 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 518.91 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 496.07 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 496.07 Tm (5)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 477.13 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.64 m 565.6 457.64 l S 0.001 w 41.17 w 31.2 424.51 m 297.2 424.51 l S 0.001 w 20.58 w 299.45 434.8 m 565.6 434.8 l S 0.001 w 20.58 w 299.45 414.22 m 432.52 414.22 l S 0.001 w 20.58 w 432.52 414.22 m 565.6 414.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.22 m 567.8 446.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.05 m 567.8 469.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.22 m 567.8 446.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.8 m 567.8 402.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.13 m 30.07 401.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.3 m 298.32 401.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.13 m 566.72 401.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 452.86 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 430.03 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 430.03 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 409.45 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 409.45 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.01 m 297.3 388.01 l S 0.001 w 20.58 w 299.55 388.01 m 431.45 388.01 l S 0.001 w 20.58 w 433.7 388.01 m 565.6 388.01 l S 0.001 w 20.58 w 31.2 365.18 m 297.3 365.18 l S 0.001 w 20.58 w 299.55 365.18 m 431.45 365.18 l S 0.001 w 20.58 w 433.7 365.18 m 565.6 365.18 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 342.35 m 565.6 342.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 376.6 m 567.8 376.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.76 m 567.8 353.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.93 m 567.8 330.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 308.1 m 568.1 308.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.43 m 567.8 399.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.6 m 567.8 376.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.76 m 567.8 353.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.93 m 568.1 330.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 308.1 m 568.1 308.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.51 m 568.1 241.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.51 m 30.07 240.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 400.51 m 298.42 352.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 400.51 m 432.57 352.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 400.51 m 566.72 240.44 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 383.24 Tm (learning disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 383.24 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 383.24 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 360.41 Tm (sensory impairment)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 360.41 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 360.41 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 337.57 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 314.74 Tm (The maximum number of service users who can be accommodated is: 5 )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 291.91 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 277.33 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 262.74 Tm (needs on admission to the home are within the following categories: Learning disability )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 248.16 Tm (\(LD\) 5 Sensory impairment \(SI\) 5)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 226.72 m 315.25 226.72 l S 0.001 w 1 1 1 RG 20.58 w 317.5 226.72 m 346.55 226.72 l S 0.001 w 20.58 w 348.8 226.72 m 377.9 226.72 l S 0.001 w 20.58 w 380.15 226.72 m 409.2 226.72 l S 0.001 w 20.58 w 411.45 226.72 m 440.55 226.72 l S 0.001 w 20.58 w 442.8 226.72 m 471.9 226.72 l S 0.001 w 20.58 w 474.15 226.72 m 503.2 226.72 l S 0.001 w 20.58 w 505.45 226.72 m 534.55 226.72 l S 0.001 w 20.58 w 536.8 226.72 m 565.9 226.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 238.14 m 568.1 238.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 215.31 m 568.1 215.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 239.22 m 30.07 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 239.22 m 316.37 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 239.22 m 347.67 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 239.22 m 379.02 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 239.22 m 410.32 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 239.22 m 441.67 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 239.22 m 473.02 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 239.22 m 504.32 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 239.22 m 535.67 214.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 239.22 m 567.02 214.23 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 221.95 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 203.43 m 565.9 203.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 193.81 m 568.1 193.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 194.88 m 30.07 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 194.88 m 567.02 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.06 m 568.1 213.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.81 m 568.1 193.81 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 30.07 214.13 m 30.07 192.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 214.13 m 567.02 192.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 199.87 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 199.87 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 180.62 Tm (Primrose Place is a Victorian style semi-detached house located in Handsworth Wood. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 163.62 Tm (It lies in a quiet residential neighbourhood, close to local amenities including shops, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 146.62 Tm (parks and bus routes. The service offers quality accommodation for up to five adults )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 129.62 Tm (with sensory impairment and/or learning disabilities. There is a comfortable lounge )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 112.62 Tm (with sensory equipment and large separate dining and activities room with a piano. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 95.62 Tm (There is a kitchen, which the people living in the home can access. A separate laundry )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 78.62 Tm (room is at the rear of the kitchen. There are five single bedrooms, two of which have )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 61.62 Tm (en-suite facilities. Those people who don't have these facilities have access to a )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 Adults \(18-65 years\))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 (35)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 30.07 655.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 655.08 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 28.99 656.15 m 568.1 656.15 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 (bathroom and separate toilet. Off road parking is available for one car at the front of )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (the house. To the rear of the house is an easily accessible garden with a lawn, shrubs )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (and trees. There is also an attractive blocked paved area leading to the summer house. )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (The home is decorated in bright colours with touch indicators in the ledges and )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (handrails to enable the people living there who are visually impaired to get around the )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (premises. The specific fees charged at the home were not included in the service user )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (guide but there was a statement stating that fees were agreed with the admitting )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm (authority who would be responsible for paying for them. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 644.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 627.09 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 557/Matrix [1 0 0 1 0 0]>>stream xUMo0WIrT 7ġ*ea|ó,T7Mތ7Eڇ&%h(0VVÏ;/?F`ijYԳ }gD 0P+^:ʛj@htչy4x:\\ۄ_bm&xӽ5hzWAƪ`^`)t~ܻ%qȈ!FtIiM u /ѬZ) ڎQc){aaUȪφ$)1eqʎdNPwٛ͝0a(u+ l h~brtw*ul^PwJ9^67&D"yt$Oָ^|*qAYȩQhUU~l~(wXJG#Ctw7UeXYPƟ DoGAª,ҘZH*i?,DIUQ$Aq|2qZG|h*8@>Bp~6۱*YމgJwWoy~z^ 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 Adults \(18-65 years\))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 (35)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 1 394.31 715.44 Tm (three star excellent 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 1 145.29 572.81 Tm (Individual needs and choices)Tj ET /F3 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F3 10 Tf BT 1 0 0 1 127.55 503.91 Tm (Personal and healthcare support)Tj ET /F3 10 Tf BT 1 0 0 1 106.23 469.46 Tm (Concerns, complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 435.01 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 400.56 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 92.96 366.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 300.31 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 170.96 w 32.32 151.05 m 566.72 151.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.65 m 567.85 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 568.92 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.44 m 568.92 64.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.73 m 31.2 63.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.73 m 567.85 63.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.46 Tm (The last key inspection at the home was carried out on February 2nd 2007. Following )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (this an Annual Service Review was done on January 21st 2008 when we sent )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (satisfaction surveys to one of the people living in the home, the families of the people )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (living in the home and some of the health care professionals involved in their care. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (home also completed and returned to us the Annual Quality Assurance Assessment. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm (From the information we received we decided the home continued to provide an )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (excellent service to the people living there and that we did not need to bring forward )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm (the next inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm (This key inspection was carried out by one inspector over one day in January 2009. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm (During the course of the inspection the care for one of the people living in the home )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 192.58 w 31.2 716.24 m 565.6 716.24 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 28.99 618.83 m 567.8 618.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 617.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 617.75 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (was tracked and was briefly looked at for another. This involved looking at care plans, )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm (risk assessments and daily records for the individuals and observing practice in the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (home. We also looked at medication management, one staff file, training records, staff )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (rotas and some health and safety documentation. A tour of the home was also )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 744.38 Tm (undertaken. During the course of the inspection we spoke with the manager, deputy )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 729.8 Tm (manager, two staff and three of the people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 715.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 700.63 Tm (Prior to the inspection the manager had completed and returned to us the Annual )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 686.05 Tm (Quality Assurance Assessment \(AQAA\) for the home which gave some further )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 671.47 Tm (information and is referred to in this 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 (No complaints or adult protection issues had been raised with us about the home since )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 627.72 Tm (the last key inspection and none had been lodged directly with the home. )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 Adults \(18-65 years\))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 (35)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 699.85 w 32.32 440.9 m 566.72 440.9 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 89.85 m 568.92 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 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 home has consistently demonstrated that it offers the people living there a very )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (good service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (The people living in the home had extensive care plans that detailed their needs and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm (how these were to be met. These were regularly reviewed and updated as necessary.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (There were numerous risk assessments in place for the individuals in the home for )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm (such things as accessing areas of the home and any activities they took part in. There )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (were also detailed behavioural guidelines in place. The guidelines included the early )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (warning signs of any behaviours, what may be the triggers and how staff were to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (respond.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm (The people living in the home had access to a good range of activities both in the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm (and in the community.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 557.01 Tm (There were good systems in place to enable staff to communicate with the people )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 542.43 Tm (living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 527.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 513.26 Tm (The personal and health care needs of the people living in the home were met in ways )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 498.68 Tm (that suited them.)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 (All the people living in the home had contact with other people who could raise any )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 454.93 Tm (concerns on their behalf, for example, families, advocate and day centre workers. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 440.35 Tm (There was information on care files in relation to how the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 425.77 Tm (would indicate if they were unhappy.)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 (Staff were well trained and available in adequate numbers to ensure that the needs of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 382.02 Tm (the people living in the home could be met. Staff were very positive about the training )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 367.43 Tm (they had received comments included:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 352.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 338.27 Tm ('I have completed in house training and gone to outside companies to complete any )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 323.68 Tm (training that is required relevant to my position.')Tj ET /F3 12 Tf BT 1 0 0 1 35.17 309.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 294.52 Tm ('I had induction on how the home is run and each individual resident and their needs. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 279.93 Tm (Training was given in the home through videos. I was sent on courses for first aid, food )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 265.35 Tm (hygiene, infection control, equality and diversity, recording and communication, NVQ 2 )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 250.77 Tm (in social care.')Tj ET /F3 12 Tf BT 1 0 0 1 35.17 236.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.6 Tm ('The training has been excellent.')Tj ET /F3 12 Tf BT 1 0 0 1 35.17 207.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.44 Tm ('I have been offered a large range of training which has really helped me in my job.')Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.27 Tm (The home is a large domestic dwelling and as such provides the people living there )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.69 Tm (with a very homely atmosphere.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 134.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.52 Tm (The quality monitoring system that was in place ensured the service was run in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.94 Tm (best interests of the people living in the home and that it was continuously improved.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 439.35 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 Adults \(18-65 years\))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 (35)Tj ET 1 1 1 RG 46.75 w 31.2 789.16 m 565.6 789.16 l S 0.001 w 20.58 w 31.57 753.24 m 568.22 753.24 l S 0.001 w 224.74 w 32.7 628.33 m 567.1 628.33 l S 0.001 w 20.58 w 32.32 503.41 m 568.97 503.41 l S 0.001 w 297.66 w 33.45 342.04 m 567.85 342.04 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 28.99 764.66 m 567.8 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 763.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 763.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.66 m 568.22 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.57 741.82 m 568.22 741.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.49 741.82 m 569.3 741.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.49 514.83 m 569.3 514.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.32 491.99 m 568.97 491.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.32 514.83 m 568.97 514.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.24 491.99 m 570.05 491.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.24 192.08 m 570.05 192.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.57 742.9 m 31.57 513.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.32 493.07 m 32.32 191.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.22 742.9 m 568.22 513.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.97 493.07 m 568.97 191.01 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm (The health and safety of the people living in the home and the staff were very well )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (managed.)Tj ET /F3 10 Tf BT 1 0 0 1 30.07 751.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.57 748.47 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 568.22 751.69 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 30.07 626.77 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.55 725.63 Tm (All the people living in the home had had their care plans reviewed and person centred )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 711.05 Tm (plans had been drawn up that detailed their needs and where they needed support )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 696.47 Tm (from staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.55 681.88 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.55 667.3 Tm (The staff at the home had worked with a variety of health care professionals in order to )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 652.72 Tm (provide more comprehensive guidelines for staff on behaviour management and )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 638.14 Tm (personal care support for one of the people living in the home whose behaviour had )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 623.55 Tm (been challenging the service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.55 608.97 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.55 594.39 Tm (There had been some new training courses arranged for staff including equality and )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 579.8 Tm (diversity, autism awareness and sensory processing.)Tj ET /F3 12 Tf BT 1 0 0 1 35.55 565.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.55 550.64 Tm (There had been some improvements to the environment including a new kitchen being )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 536.05 Tm (fitted, an artist being commissioned to paint some bright canvasses for some bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 35.55 521.47 Tm (and some general redecoration.)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 626.77 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 30.07 501.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.32 498.64 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 30.07 340.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 475.8 Tm (Only one requirement was made following this inspection in relation to medication. )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 461.22 Tm (Where there were any discrepancies in the amounts of medication remaining in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 446.64 Tm (home when cross referenced to those received and what had been administered this )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 432.06 Tm (needed to be fully investigated. This will ensure the people living in the home are )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 417.47 Tm (receiving their medication as prescribed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.3 402.89 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 388.31 Tm (Some recommendations were made following the inspection and included:)Tj ET /F3 12 Tf BT 1 0 0 1 36.3 373.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 359.14 Tm (That all Person Centred Plans \(PCPs\) included details of the daily routines of the people )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 344.56 Tm (living in the home in caption form to ensure consistency and that they were easy for )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 329.98 Tm (staff to follow.)Tj ET /F3 12 Tf BT 1 0 0 1 36.3 315.39 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 300.81 Tm (That the training staff had undertaken in adult protection issues was included on the )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 286.23 Tm (training matrix so that it was easy to identify when this needed updating.)Tj ET /F3 12 Tf BT 1 0 0 1 36.3 271.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 257.06 Tm (The sink in the laundry should be replaced as it was worn and difficult to keep clean. )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 242.48 Tm (This will ensure good infection control in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.3 227.89 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.3 213.31 Tm (There should be a record kept of the POVA first check undertaken for new staff until )Tj ET /F3 12 Tf BT 1 0 0 1 36.3 198.73 Tm (seen by us so we can be assured they are obtained where necessary.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 177.52 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 157.52 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 157.52 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 157.52 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 140.02 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 28.35 120.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 100.02 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 100.02 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 100.02 Tm (You can get )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 Adults \(18-65 years\))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 (35)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 799.09 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 799.09 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 799.09 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 781.59 Tm (240 7535.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 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 Adults \(18-65 years\))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 1 523.84 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.11 53.47 Tm (35)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 \(standards 1 - 5\))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 (Individual needs and choices \(standards 6-10\))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 (Lifestyle \(standards 11 - 17\))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 (Personal and healthcare support \(standards 18 - 21\))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 (Concerns, complaints and protection \(standards 22 - 23\))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 (Environment \(standards 24 - 30\))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 (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 541.95 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 521.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.08 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 35 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 Adults \(18-65 years\))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 (35)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 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 102 w 31.2 575.72 m 563.65 575.72 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 28.99 523.59 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 (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, what they hope for and want to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (achieve, and the support they need.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (that includes how much they will pay and what the home provides for the money.)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 154.99 w 33.45 384.39 m 563.65 384.39 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 132.49 w 32.32 373.15 m 564.78 373.15 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 31.2 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 304.7 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 30.12 305.77 m 566.98 305.77 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 (There was information available for people wanting to move into the home to help )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (them decide if it was suitable for them. People could visit the home before moving in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (to see if they liked it. The needs of the people living in the home were assessed on an )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (ongoing basis to ensure they could be met by the home.)Tj ET 0.99608 0.9451 0.76078 RG 211.25 w 33.45 174.28 m 563.65 174.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 270.9 m 565.9 270.9 l S 0.001 w 189.87 w 32.32 162.46 m 564.78 162.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 258.53 m 566.98 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 259.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.53 m 565.9 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 267.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (The statement of purpose and service user guide for the home are a combined )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (document. It is updated on an annual basis or earlier if necessary. The document )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (included all the information people would need to help them decide if the home could )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (meet their needs. The specific fees charged were not included but there was a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (statement stating that fees were agreed with the admitting authority who would be )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (responsible for paying for them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (The service user guide/statement of purpose was available in a variety of formats, for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (example, large print, picture format and could be made available in braille if )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (requested. A copy that had been issued to one of the people living in the home was )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 Adults \(18-65 years\))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 (35)Tj ET 0.99608 0.9451 0.76078 RG 251.36 w 33.45 685.72 m 563.65 685.72 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 229.99 w 32.32 673.91 m 564.78 673.91 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 31.2 556.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 556.72 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 30.12 557.79 m 566.98 557.79 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 (seen and this was in large print.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (There had been no new people admitted to the home for a considerable amount of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (time however the home had an extensive admissions policy and procedure. People )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (were able to visit the home before moving in to see if they liked the home. One of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (surveys returned to us by one of the people living in the home stated 'I came to visit a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (few times.')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 (Two files for the people living in the home were sampled. Records showed that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (people living in the home had, wherever possible, been involved in drawing up )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (extensive Person Centred Plans \(PCPs\). These detailed all their needs, likes, dislikes, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (preferences and so on and how staff were to meet these. The PCPs were regularly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (reviewed and updated to ensure they remained current. )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 Adults \(18-65 years\))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 (35)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)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 85 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 28.99 593.84 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 28.99 506.59 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 (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (information on which to base decisions.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (because the home has clear policies and procedures that staff follow.)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 137.49 w 33.45 376.14 m 563.65 376.14 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 114.99 w 32.32 364.89 m 564.78 364.89 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 31.2 305.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 305.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 423.52 m 565.9 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.27 m 566.98 306.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 432.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 407.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 407.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 370.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 350.33 Tm (The people living in the home had comprehensive person centred care plans and risk )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (assessments that detailed how all their needs were to be met and how any identified )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.33 Tm (risks were to be minimised.)Tj ET 0.99608 0.9451 0.76078 RG 211.75 w 33.45 174.53 m 563.65 174.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.4 m 565.9 271.4 l S 0.001 w 190.37 w 32.32 162.71 m 564.78 162.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.02 m 566.98 259.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.02 m 565.9 259.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 268.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 243.34 Tm (The AQAA returned to us prior to the inspection stated 'The care planning process is as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.84 Tm (person centred as possible, and keyworkers play a central role in facilitating this. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (Where there are severe communication difficulties, this process may be based on )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (observations and liaison with those that know the individuals best.' Each of the people )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm (living in the home had Person Centred Plans which had been written from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm (perspective. Two of these were looked at, one in some depth the other briefly. Both )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (included extensive information about the needs of the people living in the home, their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (likes, dislikes and preferences and so on. There were also care files which included )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (additional information about the people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm ()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 Adults \(18-65 years\))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 (35)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 (The PCPs we looked at were written from the point of view of the people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (home. Due to the complex needs of the people living in the home they had not been )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (able to contribute greatly to the PCPs but information had been drawn from the people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (who had worked with them for a considerable amount of time and families. Areas )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (included in the PCPS were an overview of the person, what was essential and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (important to them, their likes and dislikes, what they enjoyed doing and what staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (needed to know to be successful in supporting them.)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 (One of the PCPs included very good information about the importance of textures to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (the individual and how this affected what they wore. The clothes worn on the day of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (the inspection were in line with this. It was also important this person was 'able to find )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (the objects which I find stimulating, brightly coloured tins, wind mills, pocket radio.' )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (These were seen in the home and were accessible to the individual. There was also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (clear guidance about communication, for example, one person used picture folders to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (indicate to staff what they wanted and these were seen in the home. Another person's )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (PCP stated ' speech can be hard to understand if you have not known me for long. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (Concentrate on what I am saying and ask me to repeat myself and you should start to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (pick it up.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (One of the PCPs seen included very detailed information about the person's daily )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (routines. These had been broken down into small captions with pictures which were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (very easy for staff to read and follow. The other PCP did not have these and the daily )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (routines were written in the care file and although well detailed it was recommended )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (that they be added to the PCP to ensure consistency.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (One of the PCPs was clear about the person's cultural background in relation to what )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (they should not eat and the place of worship they could be attend.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (The PCPS also detailed what other documents staff would need to refer to to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (successfully support the people living in the home, for example, behaviour )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (management plans, teaching programmes and health care managment plans.)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 care files included additional information about the people living in the home, for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (example, the signs that would be shown if people were worried, upset or unwell.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (There were management plans in place for any challenging behaviours which detailed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (the types of behaviour, how they were to be discouraged, what the triggers were and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (how staff were to respond the behaviours. All incidents of challenging behaviour were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (recorded by staff including the actions and consequences. The records clearly showed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (staff were following the management plan. There were risk assessments and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (management plans in place for such things as showering, moving around the home, )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 Adults \(18-65 years\))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 (35)Tj ET 0.99608 0.9451 0.76078 RG 163.87 w 33.45 729.47 m 563.65 729.47 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 142.49 w 32.32 717.66 m 564.78 717.66 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 31.2 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.29 m 566.98 645.29 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 (bathing, swimming and receiving visitors. There were also staff supervision risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (assessments which indicated how many staff were needed for activities.)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 people living in the home were enabled to make decisions for themselves )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (wherever possible and staff had different communication methods to use to help with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (this, for example, symbols and pictures. One of the people living in the home who was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (able to complete a survey stated 'I choose my own clothes and what to eat and what )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (to do.')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 Adults \(18-65 years\))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 (35)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Lifestyle)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 223.25 w 32.32 584.22 m 562.53 584.22 l S 0.001 w 1 1 1 RG 51 w 31.2 499.22 m 563.65 499.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 525.84 m 565.85 525.84 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 28.99 525.84 m 565.85 525.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.59 m 565.85 472.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 471.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 471.52 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 can take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 565.9 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 548.9 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 531.9 Tm (place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 478.65 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 432.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 432.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 432.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 432.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 415.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 333.39 m 563.65 333.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 401.89 m 565.9 401.89 l S 0.001 w 132.49 w 32.32 322.15 m 564.78 322.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 389.52 m 566.98 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.59 m 31.2 253.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 390.59 m 565.9 253.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 389.52 m 565.9 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.77 m 566.98 254.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 398.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 373.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 373.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 356.33 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 35.47 336.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 316.33 Tm (The people living in the home were encouraged and enabled to have an independent )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 298.83 Tm (lifestyle as far as was possible. Their rights and responsibilities were recognised in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 281.33 Tm (their every day lives. The catering arrangements at the home met with the needs of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 263.83 Tm (the people there.)Tj ET 0.99608 0.9451 0.76078 RG 160.25 w 33.45 148.78 m 563.65 148.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 219.9 m 565.9 219.9 l S 0.001 w 138.87 w 32.32 136.96 m 564.78 136.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 207.53 m 566.98 207.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 208.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 208.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.53 m 565.9 207.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 216.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.84 Tm (There was detailed information in care plans as to what the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 174.34 Tm (enjoy and don't enjoy being involved in. Individual choices were respected and catered )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.84 Tm (for on a daily basis allowing and enabling activities both within the home and the wider )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 139.34 Tm (community.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 104.34 Tm (On the day of the inspection two of the people living in the home were out at a day )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.84 Tm (centre, two went out shopping during the day, another was in for most of the time but )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 Adults \(18-65 years\))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 (35)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 (did have an appointment at the doctors and was going out to an activity during the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (evening. One of the people living in the home had a great interest in music and this )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (was seen to take up much of their time while in the home listening to the radio and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (CDS, singing and playing musical instruments. Also on the day of the inspection a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (therapist visted the home and some of the people living there enjoyed a massage.)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 (The people living in the home were seen to be encouraged to do things such as make )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (their own breakfast, help with the laundry and help tidy up around the house.)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 (Activity plans were in place for the people living in the home. The one for the person )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (whose care was being tracked included such things as swimming, cooking, outings, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (personal shopping, personal activities, radio, palying the organ, singing, exercise )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (session at a centre, laundry and room tidying. Daily records showed these activities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (did take place and staff included comments as to how people had reacted to activities.)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 (Care files included a section entitled 'bank of experience' which detailed any new )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (experiences people had had. These included last years holiday, garden party, variety )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (of visits to stately home, black country museum, Chinese state circus, art festival, fire )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (work display and so on. The records indicated how the individuals had reacted and if )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (they had enjoyed the experience. There were numerous photographs of the activities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (and trips out that people had been involved in around the home.)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 (The people living in the home also had an individualised teaching programme in plan. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (The programmes were agreed at the six monthly reviews and designed to help people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (achieve a specific aim either to improve their independence or their quality of life in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (general. The aim for the person whose care was being tracked was to be able to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (change their bed linen and remake their bed. There was a detailed plan in place of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (what staff were to try and achieve with the individual and how they were to do this. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (There were monitoring charts in place that showed what had been achieved on an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (ongoing basis.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (Comments recieved from staff about the lifetsyles of the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (were very positive these included:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ('It helps the residents to reach their full potentail and also helps them develop their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (skills by providing them with a large range of activities.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm ('Visitors are made to feel welcome. Most importantly the service users are cared for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (very well, from feeding, to buying their clothes, to outings and activities, every need is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (considered for each individual client.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm ()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 Adults \(18-65 years\))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 (35)Tj ET 0.99608 0.9451 0.76078 RG 391.35 w 33.45 615.73 m 563.65 615.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.98 w 32.32 603.92 m 564.78 603.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 417.8 m 566.98 417.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (Contact with families, friends and advocates were detailed in care files and daily )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (records showed when people had seen their families and so on. Any specific issues that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (needed to be addressed when people were receiving visitors were detailed in their care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (files. The manager also discussed with us that one family had said they would like a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (news letter from the home. He was now doing this to keep people in touch with what )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (was going on at the home.)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 (The menus in the home were planned on a weekly basis. Staff along with the two )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (people living in the home that were able met on a weekly basis and planned the menu )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (for the coming week. Menus were based on the likes, preferences and cultural needs of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (the people living in the home. The manager spoke of trying to encourage healthy )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (eating and how specific plans had been put in place to try and discourage excessive )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (weight gain. The person whose care was being tracked had a tendency to put on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (weight so at the review the issue had been fully discussed and an action plan drawn up )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (with the agreement of the individual. This detailed the types of food that were to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (discouraged and when sweet foods were to be given. This was seen to be followed on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (the day of the inspection.)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 (There were clear records of the foods being served to the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (and these showed people had a varied and nutritious diet and that cultural needs were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (being met. )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 Adults \(18-65 years\))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 (35)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)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 155.25 w 32.32 618.22 m 562.53 618.22 l S 0.001 w 1 1 1 RG 68 w 31.2 575.72 m 563.65 575.72 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 28.99 540.59 m 565.85 540.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 539.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 539.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (way.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 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 35.5 580.65 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 500.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 500.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 500.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 483.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 401.39 m 563.65 401.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 469.89 m 565.9 469.89 l S 0.001 w 132.49 w 32.32 390.15 m 564.78 390.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 457.52 m 566.98 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.59 m 31.2 321.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 458.59 m 565.9 321.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 457.52 m 565.9 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 322.77 m 566.98 322.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 466.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 441.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 441.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.33 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 35.47 404.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 384.33 Tm (The personal and health care needs of the people living in the home were being met in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.83 Tm (a way that suited them. The medication administration system was generally well )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.33 Tm (managed however some improvements were required to ensure the people living in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 331.83 Tm (the home were receiving their medication as prescribed. )Tj ET 0.99608 0.9451 0.76078 RG 228.25 w 33.45 182.78 m 563.65 182.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 287.9 m 565.9 287.9 l S 0.001 w 206.87 w 32.32 170.96 m 564.78 170.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.53 m 566.98 275.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.53 m 565.9 275.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 284.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.84 Tm (The needs of the people living in the home varied in relation to personal care. Their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.34 Tm (needs were detailed in their daily routines and the information included details of what )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.84 Tm (people were able to do for themselves and what staff support they required. Daily )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.34 Tm (records showed that the people living in the home were receiving the support with )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.84 Tm (their personal care as detailed in their care files. People were seen to be dressed in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.34 Tm (way they liked , for example, one person was very fond of broaches and was seen )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.84 Tm (wearing these. For another person the texture and fit of clothing was important and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.34 Tm (they were seen to be dressed appropriately.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.35 Tm (The health care needs of the people living in the home were comprehensively )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.85 Tm (documented. Health action plans documented any health care needs in relation to such )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 Adults \(18-65 years\))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 (35)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 (things as sight, mobility, weight and so on. The person whose care was being tracked )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (had specific action plans in plan for maintaining there weight at an acceptable level )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (and a minor ongoing health concern. This person also had a very comprehensively )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (detailed seizure management plan which detailed for staff the different types of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (seizures the person may have, for example, vacant episode, what staff should be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (watching for and at what point medical intervention must be sought. All seizures were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (being recorded by staff as to what happened and their duration.)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 (Files included general medical notes where staff recorded things such as when PRN \(as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (and when necessary medication\) had been administered and any general comments )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (about health. The outcomes of any visits to or from health care professionals were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (very well detailed and showed that all health concerns were closely monitored and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (followed. There was evidence that people attended appointments at GPs, hospitals, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (dentists, chiropodists and saw more specialised health care professionals such as )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (psychiatrists as necessary.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (Some very positive comments were received from medical professionals about the care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (home these included:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm ('Very responsive to changes in treatment. Pro-active team. Management forthcoming )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (with information.')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 ('Gives residents choices and adapt to what is best for them. General day to day care is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (excellent. Home environment tailored to each residents preferences.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (Medication was being administered via a 28 day monitored dosage system. We were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (told staff were not allowed to administer medication until they had been appropriately )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (trained. Medication was recorded and signed for on the MAR \(medication )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (administration record\) when received into the home. Any balances remaining in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (home at the end of the 28 day cycle were brought forward to the next MAR chart )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (ensuring a complete audit trail. Some of the boxed medicines were audited during the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (inspection. There were discrepancies in two of those audited where the amounts )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (remaining in the home did not tally with what had been received into the home and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (what had been administered. One type of medication had two too many tablets )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (another was two short. The reason for this could not be explained. There were written )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (protocols in place for staff to follow detailing when they should administer PRN )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (medication.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (We were told there was no controlled medication being administered in the home at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (the time. There were some homely remedies in the home which the G.Ps had agreed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (to the people living in the home having when necessary. These were recorded )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 Adults \(18-65 years\))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 (35)Tj ET 0.99608 0.9451 0.76078 RG 76.37 w 33.45 773.22 m 563.65 773.22 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 55 w 32.32 761.41 m 564.78 761.41 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 31.2 731.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 731.71 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 30.12 732.78 m 566.98 732.78 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 (individually when administered but there was no running balance kept of what )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (remained in the home. To enable these to be audited easily it was recommended that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (a running balance was kept.)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 Adults \(18-65 years\))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 (35)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Concerns, 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. Their 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, neglect and self-harm and takes action to follow )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (up any allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (There are no additional outcomes.)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 (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 509.83 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 (There were robust systems in place to ensure the people living in the home were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (safeguarded and any complaints were managed appropriately. )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 (No complaints had been lodged with us or at the home since the last key inspection. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (The complaints procedure was appropriate and available in different formats if )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (required. One of the people living in the home had a copy in large print.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (All the people living in the home had contact with other people who could raise any )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (concerns on their behalf, for example, families, advocate and day centre workers. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (There was information on care files in relation to how the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm (would indicate if they were unhappy. The person living in the home who completed a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (satisfaction survey indicated they knew who to speak to if they were unhappy and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (named the manager, deputy manager and key worker. The surveys returned to us by )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (staff at the home showed they were very clear about the homes complaints procedure )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (including the time scales for responses and that complaints could be referred to us if )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm (necessary.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (There have been no adult protection issues raised in relation to the home since the last )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm (inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 82.85 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 Adults \(18-65 years\))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 (35)Tj ET 0.99608 0.9451 0.76078 RG 583.84 w 33.45 519.48 m 563.65 519.48 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 562.47 w 32.32 507.67 m 564.78 507.67 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 31.2 224.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.24 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 30.12 225.31 m 566.98 225.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (The AQAA for the home stated 'We have clear Adult Protection Procedures \(including )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (whistleblowing\), compatible with the multi-agency guidelines. This is included in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (staff handbook. All staff have attended a two hour training session on Abuse in Care )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (Homes, including training video, written questions and discussion. We also have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (policies & procedures in place regarding behaviour management, physical intervention )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (and safekeeping of residents money & valuables which are designed to minimise the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (risk of abuse.' The training support staff had undertaken in this topic was not included )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (on the training matrix for the home but it was shown for the managers. It is strongly )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (recommended that this be included so that it is easy to identify when this needs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (updating.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (The manager of the home was very aware of how vulnerable the people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (home were. We had lengthy discussions about one of the people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (whose behaviour continued to raise concerns as it posed a risk for others. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (appropriate steps had been taken to safeguard the people living in the home. There )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (was clear guidance on managing the behaviour to reduce the risk to others, numerous )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (other professionals had been involved over a period of time.)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 people living in the home were unable to manage their own finances. The systems )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (in place at the home to help them with this were robust. The manager of the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (was the appointee for three of the people there. This is not an ideal situation but is a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (long standing arrangement and the records showed that this was very carefully )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (managed. There was a financial profile for each person showing what benefits they )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (were entitled to and the manager ensured these were paid into the bank. All )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (withdrawals from the bank were receipted, recorded and cross referenced to bank )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (accounts. Receipts were available for expenditure. Small amounts of money were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (available at all times that staff could access when taking people out or for purchasing )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (items needed. This expenditure was also receipted and recorded. The manager was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (satisfied that all the people living in the home had access to money when required.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (The staff recruitment procedures were robust and safeguarded the people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (home. )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 Adults \(18-65 years\))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 (35)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 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 85 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 28.99 661.84 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 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 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, comfortable, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (pleasant and 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. People have )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 452.89 m 563.65 452.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 97.5 w 32.32 441.64 m 564.78 441.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 390.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 390.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 391.77 m 566.98 391.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 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 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (People lived in a homely and well-maintained environment. Their individuality was )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (promoted in terms of personalised rooms which were equipped to meet their needs. )Tj ET 0.99608 0.9451 0.76078 RG 297.25 w 33.45 217.27 m 563.65 217.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 356.9 m 565.9 356.9 l S 0.001 w 275.87 w 32.32 205.46 m 564.78 205.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.52 m 566.98 344.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.52 m 565.9 344.52 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 31.2 353.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.83 Tm (The home is very much a large domestic dwelling and as such provides the people )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.34 Tm (there with a very homely atmosphere.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (Communal space consists of a lounge, dining area and kitchen. All were well furnished )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm (and decorated. The carpet in the dining area was stained however the manager was )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm (well aware of this and told us the flooring was to be replaced in May when the people )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (living in the home will be on hoilday. In the meantime they were doing their best to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm (keep it clean. The lounge was particularly pleasant, very light, with sensory )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (equipment, for example, a projector that projected images onto the wall giving a very )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (calming atmosphere.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm (Since the last inspection the kitchen had been refitted and was very modern, clean and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (tidy. The people living in the home had access to the kitchen at all times.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm (The home has a well maintained garden with furniture and a swinging seat available )Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (26)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (35)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 (for the use of the people living in the home.)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 (Adaptations have been made around the home particularly in relation to visual )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (impairment, for example, sensory indicators to warn of potential hazards and colour )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (contrasting throughout. The home is assessed on an annual basis by the RNIB to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (ensure it is still an appropriate place for people with visual impairments.)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 (There are five bedrooms in the home which varied in size. One bedroom was on the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (ground floor the others were on the first floor. Two of the bedrooms have en-suite )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (showers. All the bedrooms were very different and had been decorated and furnished )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (to suit the occupants. One of the people who was able to state what she wanted had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (her room decorated in her favourite colour. An artist had been commissioned to paint )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (some bright canvasses with specially chosen designs for some of the bedrooms.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (The home has one bathroom and toilet located on the first floor and an additional toilet )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (on the ground floor. These appeared to meet the needs of the people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (home.)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 (Also on the ground floor of the home is an office, laundry and staff toilet. The laundry )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (was small but adequate for the size of the home. It was noted that the sink in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (laundry was very worn and was not able to be cleaned effectively. This needed to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (replaced at the earliest opportunity.)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 (There is a second floor to the home. This was not toured but we were told this was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (where staff slept in and also had some additional office space. )Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (27)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (35)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 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 34 w 31.2 592.72 m 563.65 592.72 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 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 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, qualified )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (they need from their managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 444.14 m 563.65 444.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 114.99 w 32.32 432.89 m 564.78 432.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.27 m 566.98 374.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 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 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (Good staffing levels were being maintained by a well trained staff team that could )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (meet the needs of the people living in the home. The recruitment procedures were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.33 Tm (robust and ensured the people living in the home were safeguarded.)Tj ET 0.99608 0.9451 0.76078 RG 279.75 w 33.45 208.53 m 563.65 208.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.4 m 565.9 339.4 l S 0.001 w 258.37 w 32.32 196.71 m 564.78 196.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.02 m 566.98 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.02 m 565.9 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 336.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.34 Tm (The rotas for the home showed there were always two staff on throughout the waking )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm (day and more staff are brought in if activities call for this. For example, on the day of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (the inspection one of the people living in the home had an evening activity planned )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm (and a third staff member was on the rota to facilitate this. The manager's hours were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm (supernumery to the care rota. The home also had a deputy manager therefore during )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (the week there were often four staff in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (There were no waking night staff on duty in the home however one staff member )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (stayed up quite late and ensured all the people living in the home were settled and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm (then slept in in the home. The manager told us that the people living in the home were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm (very settled during the night and did not need any assistance but should this change )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (the rota would be changed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm (Some of the staff had worked at the home for a considerable amount of time which )Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 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 Adults \(18-65 years\))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 (28)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 (35)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 (was good for the continuity of care of the people living in the home. We were told that )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (agency staff were never used as it was not appropriate for people who did not know )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (the people living in the home to work with them. The home had numerous bank staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (employed by them that regularly worked at the home.)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 (Observations throughout the day showed that staff had very good relationships with )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (the people living in the home and knew how to communicate with them.)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 (There were training matrixes available for all the staff working at the home including )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (managers and bank staff. These showed that all staff undertook a vast amount of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (training. The manager told us that it was just as important for the bank staff to have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (good training to ensure they could care for the people living in the home appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (The file for a fairly new member of bank staff was sampled and this showed she had )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (undertaken full induction training in line with the specifications laid down by Skills for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (Care.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (The matrixes indicated staff had undertaken training in numerous topics including, fire )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (procedures, food hygiene, medicine management, health and safety, infection control, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (visual impairment, managing challenging behaviour, epilepsy and autism. All the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (permanent staff at the home had NVQ level 2 or above and some of the bank staff also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (had this qualification.)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 (Comments received from the staff about their training were very positive and included,)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 ('I have completed in house training and gone to outside companies to complete any )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (training that is required relevant to my position.')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 ('I had induction on how the home is run and each individual resident and their needs. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (Training was given in the home through videos. I was sent on courses for first aid, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (food hygiene, infection control, equality and diversity, recording and communication, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (NVQ 2 in social care.')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 training has been excellent.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ('I have been offered a large range of training which has really helped me in my job.')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 (The recruitment documentation was sampled for one person who been employed at )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (the home since the last inspection. All the required documentation was on site and this )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (showed that generally all the appropriate checks had been undertaken prior to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (person commencing their employment. We were told by the manager that he disposed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (of the POVA first checks when the CRB checks arrived due to data protection. It was )Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 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 Adults \(18-65 years\))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 (29)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 (35)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 (recommended that some record of the POVA first check was kept until seen by us so )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (we can be assured they are obtained where necessary.)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 staff file sampled showed that staff receive supervision with managers at more )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (than the required level of six times per year. Again staff surveys were very positive )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (about the support they receive from the managers in the home comments included,)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 ('My manager arranges supervisions with each member of staff which takes place every )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (6 weeks to see how well we are coping, any concerns and any questions we may )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (have.')Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ('We discuss everything to do with my work and I get feed back also. It helps me to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (know that I am doing my job properly.')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 ('We are given feed back on how we are doing and how we can improve if we are weak )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (at something.')Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 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 Adults \(18-65 years\))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 (30)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 (35)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Conduct and management of the 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 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 85 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 28.99 610.84 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 28.99 523.59 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 (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (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. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (things should be done. )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 102.5 w 33.45 410.64 m 563.65 410.64 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 80 w 32.32 399.39 m 564.78 399.39 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 31.2 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 357.19 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 30.12 358.27 m 566.98 358.27 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 (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 424.83 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 (The home was very well managed and in the best interests of the people living there. )Tj ET 0.99608 0.9451 0.76078 RG 263.74 w 33.45 200.52 m 563.65 200.52 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.4 m 565.9 323.4 l S 0.001 w 242.37 w 32.32 188.71 m 564.78 188.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 311.02 m 566.98 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 312.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 312.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.02 m 565.9 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 320.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 295.33 Tm (The manager and deputy manager of the home are also the owners. They set up the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.83 Tm (home almost 10 years ago. Both were present throughout the inspection and were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.34 Tm (very receptive to any comments made by us. Both were appropriately qualified for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (their roles and ensured they updated their training as needed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (There were very good relationships between the staff and the managers and staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (commented they found them very supportive and approachable.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (The managers had worked with people with a learning disability and visual )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (impairments for a number of years. They showed a very good knowledge of the needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (of the people they were caring for and their interactions with them were very good.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (The home is annually quality assured by Visibly Better, an external body that runs an )Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 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 Adults \(18-65 years\))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 (31)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 (35)Tj ET 0.99608 0.9451 0.76078 RG 356.36 w 33.45 633.23 m 563.65 633.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 334.98 w 32.32 621.41 m 564.78 621.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 451.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 451.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 452.8 m 566.98 452.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (accreditation scheme operated by the RNIB. They undertake a comprehensive annual )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (assessment against a wide range of standards for visibly impaired people. The home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (also undertakes a yearly internal quality survey to obtain views from staff, relatives, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (advocates, and other visiting professionals. The survey covers the quality of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (environment, staff, care and management. This is used to obtain feedback which is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (then analysed and the outcome is used to produce an action plan for the coming year. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (This ensures the home is continually improving the service for the people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (home.)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 (The health and safety of the people living in the home and the staff were very )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (managed. Staff received training in safe working practices, all the required risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (assessments and management plans were in place and the home was safe well )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (maintained. The AQAA indicated that the servicing of the equipment in the home was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (up to date. The 5 yearly electrical wiring check had been carried in the home since the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (last inspection. The in house records for the fire system were sampled. These were all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (up to date and also showed that fire drills were undertaken regularly and that the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (people living in the home were included in these. The home continue to notify us of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (any incidents or accidents in the home as required so that we can be assured they are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (being managed appropriately.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (32)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (35)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 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 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 Adults \(18-65 years\))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 (33)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 (35)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 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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 568.3 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 326.35 m 568.3 326.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.23 m 30.07 325.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 550.68 m 92.17 325.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.23 m 198.52 325.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 550.68 m 290.57 325.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 550.68 m 474.92 325.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.23 m 567.32 325.28 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 /F3 12 Tf BT 1 0 0 1 35.5 536.41 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 536.41 Tm (20)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 536.41 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 536.41 Tm (Where there are any )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 519.41 Tm (discrepancies in the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 502.42 Tm (amounts of medication )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 485.42 Tm (remaining in the home when )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 468.42 Tm (cross referenced to those )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 451.42 Tm (received and what has been )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 434.42 Tm (administered this must be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 417.42 Tm (fully investigated.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 400.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 383.42 Tm (This will ensure the people )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 366.42 Tm (living in the home are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 349.42 Tm (receiving their medication as )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 332.42 Tm (prescribed.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 536.41 Tm (02/03/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 536.41 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 47.89 w 31.2 265.04 m 566.2 265.04 l S 0.001 w 18.15 w 31.2 229.77 m 91 229.77 l S 0.001 w 18.15 w 93.25 229.77 m 197.4 229.77 l S 0.001 w 18.15 w 199.65 229.77 m 566.2 229.77 l S 0.001 w 1 1 1 RG 64.33 w 31.2 186.27 m 91.05 186.27 l S 0.001 w 64.33 w 93.3 186.27 m 197.4 186.27 l S 0.001 w 64.33 w 199.65 186.27 m 566.1 186.27 l S 0.001 w 49.75 w 31.2 126.98 m 91.05 126.98 l S 0.001 w 49.75 w 93.3 126.98 m 197.4 126.98 l S 0.001 w 49.75 w 199.65 126.98 m 566.1 126.98 l S 0.001 w 38.08 w 31.2 80.82 m 91.05 80.82 l S 0.001 w 38.08 w 93.3 80.82 m 197.4 80.82 l S 0.001 w 38.08 w 199.65 80.82 m 566.1 80.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 239.97 m 568.4 239.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.57 m 568.4 219.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 241.04 m 92.12 151.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.98 m 568.3 152.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.98 m 568.3 100.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.1 m 568.4 290.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.97 m 568.4 239.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.57 m 568.3 219.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.98 m 568.3 152.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.98 m 568.3 100.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 291.18 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 220.64 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 241.04 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 291.18 m 567.32 59.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 273.92 Tm (Recommendations)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 258.34 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 34.05 246.19 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 31.2 228.79 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 225.79 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 225.79 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 203.38 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 203.38 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 203.38 Tm (It is recommended that all PCPs include details of the daily )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 188.79 Tm (routines of the people living in the home in caption form to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 174.21 Tm (ensure consistency and that they are easy for staff to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 159.63 Tm (follow.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 136.79 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 136.79 Tm (20)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 136.79 Tm (It is recommended that a running balance is kept of the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 122.21 Tm (homely remedies medication that is kept in the home. This )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 107.63 Tm (will ensure the medication can be easily audited.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 84.79 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 84.79 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 84.79 Tm (It is recommended that the training staff have undertaken )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 70.21 Tm (in adult protection issues is included on the training matrix )Tj ET endstream endobj 83 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 84 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 Adults \(18-65 years\))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 (34)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 (35)Tj ET 1 1 1 RG 17.58 w 31.2 803.74 m 91.05 803.74 l S 0.001 w 17.58 w 93.3 803.74 m 197.4 803.74 l S 0.001 w 17.58 w 199.65 803.74 m 566.1 803.74 l S 0.001 w 49.75 w 31.2 767.82 m 91.05 767.82 l S 0.001 w 49.75 w 93.3 767.82 m 197.4 767.82 l S 0.001 w 49.75 w 199.65 767.82 m 566.1 767.82 l S 0.001 w 49.75 w 31.2 715.82 m 91.05 715.82 l S 0.001 w 49.75 w 93.3 715.82 m 197.4 715.82 l S 0.001 w 49.75 w 199.65 715.82 m 566.1 715.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 741.82 m 568.3 741.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 741.82 m 568.3 741.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.82 m 568.3 689.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 688.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 688.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 688.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 688.75 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 200.25 802.72 Tm (so that it is easy to identify when this needs updating.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 777.63 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 777.63 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 777.63 Tm (The sink in the laundry should be replaced as it is worn and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 763.05 Tm (difficult to keep clean. This will ensure good infection )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 748.47 Tm (control in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 725.63 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 725.63 Tm (34)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 725.63 Tm (It is recommended that some record of the POVA first )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 711.05 Tm (check is kept until seen by us so we can be assured they )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 696.47 Tm (are obtained where necessary.)Tj ET endstream endobj 85 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 86 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 Adults \(18-65 years\))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 (35)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 (35)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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