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registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 544.48 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 526.66 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 523.66 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 523.66 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.25 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 501.25 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 501.25 Tm (Fluid intake needs more oversight, especially in hot )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 486.67 Tm (weather and for people at risk of pressure sores so that )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 472.09 Tm (dehydration is avoided.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.26 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 449.26 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 449.26 Tm (It should be clear on the MAR when medication is received )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 434.68 Tm (into the home and used. 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Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 745.48 Tm (25)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 745.48 Tm (The home's risk assessment should be reviewed after )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 730.9 Tm (consulting environmental health guidance so that the risk )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 716.32 Tm (of legionella and bacteria entering the water supply is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 701.74 Tm (minimised.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 678.91 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 678.91 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 678.91 Tm (Policies and procedures need regular review so that they )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 664.33 Tm (reflect changes in law, regulator and national best practice )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 649.75 Tm (guidance and safety alerts so that people have the benefit )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 635.17 Tm (of lessons learned and research.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 612.34 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 612.34 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 612.34 Tm (The training matrix should be kept up to date so that the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 597.76 Tm (staff development plan can be prioritised and progress )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 583.18 Tm (checked.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 560.35 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 560.35 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 560.35 Tm (The home needs a policy about refreshing mandatory )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 545.77 Tm (training, and staff records need to evidence how and when )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 531.19 Tm (this takes place for each staff member. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 508.36 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 508.36 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 508.36 Tm (Staff must have formal supervision a minimum of 6 times )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 493.78 Tm (per year. Supervision records should be dated and signed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 470.95 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 470.95 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 470.95 Tm (Registered persons should ensure that audits include all the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 456.37 Tm (home's systems and action is progressed for health, safety )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 441.79 Tm (and welfare. Records about the running of the home must )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 427.21 Tm (be readily available to those in charge in the manager's )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 412.63 Tm (absence.)Tj ET endstream endobj 82 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 83 0 obj<>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 84 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 85 0 obj[6 0 R/XYZ 0 254.419998 0] endobj 86 0 obj<>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 87 0 obj<> endobj 88 0 obj<>/FontDescriptor 87 0 R/DW 1000>> endobj 89 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 90 0 obj<>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 97 0 obj<> endobj 98 0 obj<>/FontDescriptor 97 0 R/DW 1000>> endobj 99 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 100 0 obj<>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a report of an inspection where we looked at how well this )Tj 1 0 0 1 428.31998 787.02997 Tm (care home is meeting )Tj 1 0 0 1 28.35001 769.52997 Tm (the needs of people who use it.)Tj 1 0 0 1 226.65999 769.52997 Tm (There is a summary of what we think this service does )Tj 1 0 0 1 28.35001 752.02997 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35001 734.53998 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35001 717.03998 Tm (experience.)Tj 1 0 0 1 106.61 717.03998 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35001 699.53998 Tm (each type of care service.)Tj 1 0 0 1 28.35001 679.54999 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 662.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.14996 653.87 l S 22.69 320.22998 m 572.14996 320.22998 l S 22.7 653.87 m 22.7 320.22998 l S 572.14996 653.87 m 572.14996 320.22998 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57001 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57001 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.26996 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.26996 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 610.26996 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 533.38 m 562.45001 533.38 l S 1 1 1 RG 39.99001 w 29.47 513.38 m 563.57001 513.38 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 534.5 m 565.76996 534.5 l S 27.27 576.73999 m 565.76996 576.73999 l S 27.27 534.5 m 565.76996 534.5 l S 27.27 492.25998 m 565.76996 492.25998 l S 28.35001 577.82001 m 28.35001 491.17999 l S 564.70001 577.82001 m 564.70001 491.17999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82001 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.31998 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.31999 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 424.64999 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 393.35001 m 562.45001 393.35001 l S 1 1 1 RG 29.47 394.47 m 563.57001 394.47 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 415.59 m 565.76996 415.59 l S 27.27 373.35001 m 565.76996 373.35001 l S 28.35001 416.66998 m 28.35001 372.26999 l S 564.70001 416.66998 m 564.70001 372.26999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 356.53998 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 333.97998 m 562.45001 333.97998 l S 1 1 1 RG 29.47 335.10999 m 563.57001 335.10999 l S 0.99216 0.89804 0.5451 RG 2.25 w 27.27 347.47998 m 565.76996 347.47998 l S 27.27 322.72998 m 565.76996 322.72998 l S 28.35001 348.54999 m 28.35001 321.64999 l S 564.70001 348.54999 m 564.70001 321.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.78998 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35001 285.17999 Tm (Copies of the)Tj 1 0 0 1 111.71001 285.17999 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 285.17999 Tm (\226 )Tj 1 0 0 1 302.34 285.17999 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 285.17999 Tm ( can be found )Tj 1 0 0 1 28.35001 267.67999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 250.17999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 232.68999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.68999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35001 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35001 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35001 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35001 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35001 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35001 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 126 0 obj 3357 endobj 127 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 774.21997 m 224.04999 774.21997 l S 1 1 1 RG 226.3 774.21997 m 567 774.21997 l S 0.99608 0.9451 0.76077 RG 28.35001 751.38995 m 224.04999 751.38995 l S 1 1 1 RG 226.3 751.38995 m 567 751.38995 l S 0.99608 0.9451 0.76077 RG 28.35001 728.56 m 224.04999 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.99608 0.9451 0.76077 RG 28.35001 705.72998 m 224.04999 705.72998 l S 1 1 1 RG 226.3 705.72998 m 567 705.72998 l S 0.99608 0.9451 0.76077 RG 151.8 w 28.35001 617.28998 m 224.04999 617.28998 l S 1 1 1 RG 226.3 617.28998 m 567 617.28998 l S 0.99608 0.9451 0.76077 RG 20.58 w 28.35001 528.84998 m 224.04999 528.84998 l S 1 1 1 RG 226.3 528.84998 m 567 528.84998 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 785.63 m 569.20001 785.63 l S 26.14 762.79999 m 569.20001 762.79999 l S 26.14 739.96997 m 569.20001 739.96997 l S 26.14 717.13995 m 569.20001 717.13995 l S 26.14 694.31 m 569.20001 694.31 l S 26.14 540.26001 m 569.20001 540.26001 l S 26.14 517.42999 m 569.20001 517.42999 l S 27.22 786.70996 m 27.22 516.34998 l S 225.17 786.70996 m 225.17 516.34998 l S 568.12 786.70996 m 568.12 516.34998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45001 Tm (Document Purpose)Tj 1 0 0 1 229.14999 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14999 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14999 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14999 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14999 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.48999 678.13 Tm (2009)Tj 1 0 0 1 344.01999 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.14999 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14999 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14999 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14999 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14999 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14999 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14999 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14999 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14999 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14999 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 128 0 obj 9152 endobj 129 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 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28.99001 279 m 568.10004 279 l S 28.99001 384.89999 m 567.79999 384.89999 l S 28.99001 362.06998 m 567.79999 362.06998 l S 28.99001 324.66 m 567.79999 324.66 l S 28.99001 301.82999 m 568.10004 301.82999 l S 28.99001 279 m 568.10004 279 l S 28.99001 212.42999 m 568.10004 212.42999 l S 30.07001 385.97 m 30.07001 211.34999 l S 298.41998 385.97 m 298.41998 323.57999 l S 432.56998 385.97 m 432.56998 323.57999 l S 566.71997 385.97 m 566.71997 211.34999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 368.70999 Tm (dementia)Tj 1 0 0 1 302.39999 368.70999 Tm (4)Tj 1 0 0 1 436.54999 368.70999 Tm (0)Tj 1 0 0 1 34.05 345.88 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 331.30002 Tm (category)Tj 1 0 0 1 302.39999 345.88 Tm (0)Tj 1 0 0 1 436.54999 345.88 Tm (23)Tj 1 0 0 1 34.05 308.47 Tm (Additional conditions: )Tj 1 0 0 1 34.05 285.63998 Tm (The maximum number of service users who can be accommodated is: 23 )Tj 1 0 0 1 34.05 262.81 Tm (The registered person may provide the following category of service only\ : Care Home )Tj 1 0 0 1 34.05 248.23 Tm (Only \(Code PC\) To service users of the following gender: Either Whose \ primary care )Tj 1 0 0 1 34.05 233.64999 Tm (needs on admission to the home are within the following categories: Old \ age, not )Tj 1 0 0 1 34.05 219.06999 Tm (falling within any other category \(OP\) 23 Dementia \(DE\) 4)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 197.64 m 315.25 197.64 l S 1 1 1 RG 317.5 197.64 m 346.54999 197.64 l S 348.80002 197.64 m 377.89999 197.64 l S 380.14999 197.64 m 409.20001 197.64 l S 411.44998 197.64 m 440.54999 197.64 l S 442.80002 197.64 m 471.89999 197.64 l S 474.14999 197.64 m 503.20001 197.64 l S 505.44998 197.64 m 534.54999 197.64 l S 536.79999 197.64 m 565.90002 197.64 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 209.04999 m 568.10004 209.04999 l S 28.99001 186.22 m 568.10004 186.22 l S 30.07001 210.12999 m 30.07001 185.14999 l S 316.37 210.12999 m 316.37 185.14999 l S 347.66998 210.12999 m 347.66998 185.14999 l S 379.01999 210.12999 m 379.01999 185.14999 l S 410.31998 210.12999 m 410.31998 185.14999 l S 441.66998 210.12999 m 441.66998 185.14999 l S 473.01999 210.12999 m 473.01999 185.14999 l S 504.31998 210.12999 m 504.31998 185.14999 l S 535.66998 210.12999 m 535.66998 185.14999 l S 567.01996 210.12999 m 567.01996 185.14999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 192.87 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 174.34999 m 565.90002 174.34999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 164.72 m 568.10004 164.72 l S 30.07001 165.8 m 30.07001 39.14999 l S 567.01996 165.8 m 567.01996 39.14999 l S 28.99001 183.97 m 568.10004 183.97 l S 28.99001 164.72 m 568.10004 164.72 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 185.05 m 30.07001 163.64999 l S 567.01996 185.05 m 567.01996 163.64999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 170.78999 Tm (Brief description of the )Tj 1 0 0 1 177.31 170.78999 Tm (care home)Tj 1 0 0 1 35.5 151.53999 Tm (Homecroft provides care and accommodation for 23 older people, some with\ dementia. )Tj 1 0 0 1 35.5 134.53999 Tm (It is located in Sutton Coldfield with public transport nearby to Birmin\ gham, Lichfield )Tj 1 0 0 1 35.5 117.54001 Tm (and Burton. There is off road car parking and ramped access for wheelcha\ irs at the )Tj 1 0 0 1 35.5 100.54001 Tm (front of the home. There are modern facilities of a high standard. All b\ edrooms have )Tj 1 0 0 1 35.5 83.54001 Tm (ensuite toilets and wash hand basins, and some bedrooms also have shower\ s. There is )Tj 1 0 0 1 35.5 66.54001 Tm (a lift to the first floor bedrooms and an assisted bathroom with a hoist\ . An assisted )Tj 1 0 0 1 35.5 49.53999 Tm (shower room is on the ground floor. Communal rooms are on the ground flo\ or - a )Tj ET endstream endobj 130 0 obj 1982 endobj 131 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (lounge, library, dining room and conservatory. Also on the ground floor \ are the )Tj 1 0 0 1 33.25 766.46997 Tm (kitchen, laundry and office. There is an enclosed landscaped garden.)Tj 1 0 0 1 33.25 749.46997 Tm (\240)Tj 1 0 0 1 33.25 732.46997 Tm (The home's service user guide provides terms and conditions about servic\ es included )Tj 1 0 0 1 33.25 715.46997 Tm (in the fee. A fee range is not published but is individually provided be\ fore admission. )Tj 1 0 0 1 33.25 698.46997 Tm (Some people funded by councils may also need an arrangement to pay a top\ up fee. )Tj 1 0 0 1 33.25 681.46997 Tm (People can make their own arrangements or extra charges apply for toilet\ ries, )Tj 1 0 0 1 33.25 664.46997 Tm (hairdressing, newspapers, magazines, and private health care such as chi\ ropody, )Tj 1 0 0 1 33.25 647.46997 Tm (eyeglasses. )Tj 1 0 0 1 28.35001 627.08997 Tm (\240)Tj 1 0 0 1 28.35001 610.08997 Tm (\240)Tj ET endstream endobj 132 0 obj 3555 endobj 133 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35001 55.27 m 568.34998 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96001 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.26996 52.97 Tm (6)Tj 0 Tr 1 0 0 1 521.26996 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35001 786.60004 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35001 761.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 740.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 720.21997 m 381.04999 720.21997 l S 1 1 1 RG 383.30002 720.21997 m 566.20001 720.21997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 731.63995 m 568.40002 731.63995 l S 28.99001 708.81 m 568.40002 708.81 l S 30.07001 732.70996 m 30.07001 707.72998 l S 382.16998 732.70996 m 382.16998 707.72998 l S 567.32001 732.70996 m 567.32001 707.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45001 Tm (care home)Tj 1 0 0 1 255.59 715.45001 Tm ( is:)Tj 1 0 0 1 411.34 715.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28999 607.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 567.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 526.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 486.51999 Tm (Complaints and protection)Tj 1 0 0 1 226.36 446.26999 Tm (Environment)Tj 1 0 0 1 251.17 406.01999 Tm (Staffing)Tj 1 0 0 1 127.47 365.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 300.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.06999 m 567.84998 249.06999 l S 171.39 w 32.32001 150.84 m 566.71997 150.84 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 237.65999 m 567.84998 237.65999 l S 30.12 237.65999 m 568.91998 237.65999 l S 30.12 64.02 m 568.91998 64.02 l S 31.2 238.73999 m 31.2 62.94 l S 567.84998 238.73999 m 567.84998 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (The last key inspection was carried out on 09/06/07 when no requirements\ were made. )Tj 1 0 0 1 35.17 206.90001 Tm (Prior to our visit the home supplied information to us each year from th\ eir Annual )Tj 1 0 0 1 35.17 192.31999 Tm (Quality Assurance Assessment \(AQAA\). The AQAA provides information abo\ ut what has )Tj 1 0 0 1 35.17 177.73999 Tm (improved and is planned for the future, and current information about ru\ nning the )Tj 1 0 0 1 35.17 163.14999 Tm (home. The AQAA arrived on time, had all the information we asked for, an\ d the self )Tj 1 0 0 1 35.17 148.56999 Tm (assessment quality was generally good. Information from this and from ot\ her sources )Tj 1 0 0 1 35.17 133.98999 Tm (was also used when forming judgments on the quality of the service. The \ home sends )Tj 1 0 0 1 35.17 119.42 Tm (us legally required notifications about events, and we receive reports f\ rom other )Tj 1 0 0 1 35.17 104.83 Tm (sources. We received 21 out of 34 surveys sent to people, relatives and \ staff.)Tj 1 0 0 1 35.17 90.25 Tm (\240)Tj 1 0 0 1 35.17 75.68001 Tm (One inspector visited the home over one day, 10:15 am to 20:25 pm. The i\ nspection )Tj ET endstream endobj 134 0 obj 2315 endobj 135 0 obj<>stream 1 1 1 RG 1 i 265.44 w 10 M 0 j 0 J []0 d 32.32001 679.81 m 566.71997 679.81 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 545.95996 m 568.91998 545.95996 l S 31.2 814.72998 m 31.2 544.89001 l S 567.84998 814.72998 m 567.84998 544.89001 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.71997 Tm (took longer than expected because the registered manager was on leave an\ d )Tj 1 0 0 1 32.92 788.13995 Tm (information was not readily available. They were not informed that we wo\ uld be )Tj 1 0 0 1 32.92 773.56 Tm (visiting. We looked around the home with a Director, spoke privately wit\ h two people, )Tj 1 0 0 1 32.92 758.97998 Tm (a visiting relative and health professional and shared dinner with three\ people and )Tj 1 0 0 1 32.92 744.40002 Tm (observed others. The medication system was inspected with two Directors,\ and we )Tj 1 0 0 1 32.92 729.82001 Tm (spoke with various staff. Records about people were seen along with reco\ rds about the )Tj 1 0 0 1 32.92 715.23999 Tm (running of the home: three staff files; medication and communication rec\ ords and )Tj 1 0 0 1 32.92 700.65997 Tm (incident logs; staff training records; contractor certificates and manag\ ement audits; )Tj 1 0 0 1 32.92 686.07996 Tm (policies and procedures about complaints, adult protection, medication; \ staff meeting )Tj 1 0 0 1 32.92 671.5 Tm (minutes and the home's surveys. We also saw the master service user guid\ e, )Tj 1 0 0 1 32.92 656.91998 Tm (statement of purpose and the home's certificates about registration and \ insurance.)Tj 1 0 0 1 32.92 642.33997 Tm (\240)Tj 1 0 0 1 32.92 627.76001 Tm (A Director was present all day. The deputy manager and another Director \ were present )Tj 1 0 0 1 32.92 613.17999 Tm (for part of the day and we discussed our findings with them and a third \ Director )Tj 1 0 0 1 32.92 598.60004 Tm (responsible for the service. As a result of our visit, one immediate req\ uirement was )Tj 1 0 0 1 32.92 584.01996 Tm (made to ensure people were safe. We agreed additional information to be \ sent and )Tj 1 0 0 1 32.92 569.44 Tm (action that was confirmed as taken to our satisfaction within 48 hours. \ A list of )Tj 1 0 0 1 32.92 554.85999 Tm (requirements and recommendations are at the end of this report.)Tj ET endstream endobj 136 0 obj 6169 endobj 137 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 355.91998 w 32.32001 612.85999 m 566.71997 612.85999 l S 20.58 w 32.7 422.35999 m 569.34998 422.35999 l S 318.85001 w 33.82001 250.40001 m 568.21997 250.40001 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.2 791.95001 m 567.84998 791.95001 l S 30.12 791.95001 m 568.91998 791.95001 l S 30.12 433.78 m 568.91998 433.78 l S 31.2 793.02997 m 31.2 432.70001 l S 31.2 433.78 m 569.34998 433.78 l S 32.7 410.94998 m 569.34998 410.94998 l S 31.62 410.94998 m 570.41998 410.94998 l S 31.62 89.85001 m 570.41998 89.85001 l S 32.7 412.03 m 32.7 88.77 l S 567.84998 793.02997 m 567.84998 432.70001 l S 569.34998 412.03 m 569.34998 88.77 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.58997 Tm (What the )Tj 1 0 0 1 90.52 798.58997 Tm (care home)Tj 1 0 0 1 154.2 798.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76001 Tm (People are very happy in the home - they were smiling all day on our vis\ it. Their needs )Tj 1 0 0 1 35.17 761.17999 Tm (are met, they decide what they do each day and said that they have nothi\ ng to )Tj 1 0 0 1 35.17 746.60004 Tm (complain about - staff and the manager respond to any requests. Relative\ s and )Tj 1 0 0 1 35.17 732.01996 Tm (professionals also speak highly of the home and that they are kept close\ ly informed of )Tj 1 0 0 1 35.17 717.44 Tm (any changes: "...x...is always happy ..."; "people have very good care, \ and health )Tj 1 0 0 1 35.17 702.85999 Tm (advice is followed"; "medical support is good and I'm kept informed"; "o\ verall the )Tj 1 0 0 1 35.17 688.27997 Tm (home provides a safe and pleasant environment..."; "Homecroft is...secon\ d to none...".)Tj 1 0 0 1 35.17 673.70001 Tm (\240)Tj 1 0 0 1 35.17 659.12 Tm (People have good relationships with staff and managers. Staff know a lot\ about each )Tj 1 0 0 1 35.17 644.53998 Tm (person and their detailed care plans. Respectful and dignified care is p\ rovided with )Tj 1 0 0 1 35.17 629.95996 Tm (daily consent, the way people want. Support is flexible, maximises indep\ endence and )Tj 1 0 0 1 35.17 615.38 Tm (there is good access to healthcare. People at Homecroft have diverse nee\ ds and some )Tj 1 0 0 1 35.17 600.79999 Tm (decisions are made in their best interests with relatives and multi-prof\ essional teams.)Tj 1 0 0 1 35.17 586.21997 Tm (\240)Tj 1 0 0 1 35.17 571.64001 Tm (The home encourages suggestions in a number of ways so that the service \ can act, )Tj 1 0 0 1 35.17 557.06 Tm (continue to learn and develop. There have been no complaints, adult prot\ ection )Tj 1 0 0 1 35.17 542.47998 Tm (concerns or outbreaks of contagious infection since the last inspection.\ Staff have good )Tj 1 0 0 1 35.17 527.90002 Tm (inductions, qualifications and additional training so that they understa\ nd health )Tj 1 0 0 1 35.17 513.32001 Tm (conditions and associated risks. People experience good outcomes in most\ regards.)Tj 1 0 0 1 35.17 498.73999 Tm (\240)Tj 1 0 0 1 35.17 484.16 Tm (Facilities are spacious and promote privacy. The home is welcoming, well\ maintained )Tj 1 0 0 1 35.17 469.57999 Tm (and clean and best practice is used for infection control and food safet\ y. There are )Tj 1 0 0 1 35.17 455 Tm (management audits and clear development plans for the service and staff.\ We )Tj 1 0 0 1 35.17 440.41998 Tm (complimented staff practice and management, and excellent food on our vi\ sit.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 611.31 Tm (\240)Tj 1 0 0 1 31.2 420.25 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 417.59 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 420.81 Tm (\240)Tj 1 0 0 1 31.2 248.84999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 394.75998 Tm (There is now a website about the home. Since the last inspection care pl\ anning is more )Tj 1 0 0 1 36.67 380.17999 Tm (person-centred and there are more craft activities. Staff had equality a\ nd diversity )Tj 1 0 0 1 36.67 365.60001 Tm (training so that they treat each person as unique. Facilities for sensor\ y needs )Tj 1 0 0 1 36.67 351.01999 Tm (improved.)Tj 1 0 0 1 36.67 336.44 Tm (\240)Tj 1 0 0 1 36.67 321.85999 Tm (People at risk of falls are now referred to a clinic for specialist advi\ ce. Staff are trained )Tj 1 0 0 1 36.67 307.28 Tm (to use the Walsall Pressure Sore Tool for prevention. Handovers share ch\ anges about )Tj 1 0 0 1 36.67 292.70001 Tm (people's needs, and the updating of care plans has improved. The homely \ remedies )Tj 1 0 0 1 36.67 278.12 Tm (medication policy was changed.)Tj 1 0 0 1 36.67 263.54001 Tm (\240)Tj 1 0 0 1 36.67 248.95999 Tm (Some staff had training about end of life care and malnutrition screenin\ g. Catering )Tj 1 0 0 1 36.67 234.37999 Tm (staff undertook NVQ 2 qualifications for more knowledge about dietary ne\ eds, cultural )Tj 1 0 0 1 36.67 219.8 Tm (choice, and healthy eating. The manager had training in new mental capac\ ity laws )Tj 1 0 0 1 36.67 205.22 Tm (about people's rights and the home's duties. Directors and managers atte\ nded a )Tj 1 0 0 1 36.67 190.64 Tm (leadership and management course. A deputy manager was appointed three m\ onths )Tj 1 0 0 1 36.67 176.06 Tm (ago who has care qualifications, experience and skills in health promoti\ on and )Tj 1 0 0 1 36.67 161.48 Tm (activities.)Tj 1 0 0 1 36.67 146.90001 Tm (\240)Tj 1 0 0 1 36.67 132.31999 Tm (The home's Investors in People Award has been renewed. This means that a\ n external )Tj 1 0 0 1 36.67 117.74001 Tm (body has determined that management train and support their staff well. \ A new quality )Tj 1 0 0 1 36.67 103.16 Tm (assurance system is based upon the AQAA, and the home are using it more \ frequently )Tj /T1_0 10 Tf 1 0 0 1 570.46997 248.84999 Tm (\240)Tj ET endstream endobj 138 0 obj 4281 endobj 139 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (34)Tj ET 1 1 1 RG 61.32001 w 33.82001 781.87 m 568.21997 781.87 l S 20.58 w 33.45 738.66998 m 570.10004 738.66998 l S 297.60001 w 34.57001 577.33002 m 568.96997 577.33002 l S 0.99216 0.89804 0.5451 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 750.07996 m 570.41998 750.07996 l S 569.34998 814.72998 m 569.34998 749.01001 l S 33.45 727.25 m 570.10004 727.25 l S 33.45 750.07996 m 570.10004 750.07996 l S 32.37 727.25 m 571.16998 727.25 l S 32.37 427.39999 m 571.16998 427.39999 l S 32.7 814.72998 m 32.7 749.01001 l S 33.45 728.32996 m 33.45 426.32999 l S 570.10004 728.32996 m 570.10004 426.32999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (to get the views and suggestions of people living in the home and visito\ rs for )Tj 1 0 0 1 34.42 788.13995 Tm (development.)Tj 1 0 0 1 34.42 773.56 Tm (\240)Tj 1 0 0 1 34.42 758.97998 Tm (The home was redecorated. New garden furniture and shrubs were purchased\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 737.12 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 733.90002 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 575.77997 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 711.07001 Tm (During and after our visit appropriate action was taken to concerns we r\ aised about )Tj 1 0 0 1 37.42 696.48999 Tm (medication and hot water temperatures in showers. Risk assessments about\ existing )Tj 1 0 0 1 37.42 681.90997 Tm (staff were undertaken satisfactorily pending more rigorous vetting check\ s so that )Tj 1 0 0 1 37.42 667.32996 Tm (people are safe. Further improvements are needed to staff selection, sup\ ervision, )Tj 1 0 0 1 37.42 652.75 Tm (appraisal of staff performance and training so that staff and managers a\ re clear on all )Tj 1 0 0 1 37.42 638.16998 Tm (their responsibilities, people benefit from best practice and their righ\ ts are fully )Tj 1 0 0 1 37.42 623.58997 Tm (promoted.)Tj 1 0 0 1 37.42 609.01001 Tm (\240)Tj 1 0 0 1 37.42 594.42999 Tm (Records must be available in the home for those responsible in the manag\ er's absence )Tj 1 0 0 1 37.42 579.84998 Tm (and for inspection, in accordance with the Commission's guidance. Timely\ risk )Tj 1 0 0 1 37.42 565.26996 Tm (management, a health and safety culture and training in safe working pra\ ctices must )Tj 1 0 0 1 37.42 550.69 Tm (ensure that avoidable errors are prevented. The medication system must p\ rotect )Tj 1 0 0 1 37.42 536.10999 Tm (people's health.)Tj 1 0 0 1 37.42 521.52997 Tm (\240)Tj 1 0 0 1 37.42 506.94998 Tm (Policies and procedures have not been reviewed for sometime so people ar\ e not fully )Tj 1 0 0 1 37.42 492.37 Tm (benefitting from national learning, research, and new laws. The home nee\ ds to work )Tj 1 0 0 1 37.42 477.78998 Tm (with statutory agencies and have policies that interlink to take safegua\ rding seriously )Tj 1 0 0 1 37.42 463.20999 Tm (for people in the home and wider community. People need to be able to re\ port a )Tj 1 0 0 1 37.42 448.63 Tm (concern outside of the home if they want to, and not everyone currently \ knows how to )Tj 1 0 0 1 37.42 434.04999 Tm (do so.)Tj 1 0 0 1 28.35001 412.84 Tm (\240)Tj 1 0 0 1 28.35001 392.85001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 392.85001 Tm (care home)Tj 1 0 0 1 480.03998 392.85001 Tm ( is taking )Tj 1 0 0 1 28.35001 375.35001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 355.35999 Tm (\240)Tj 1 0 0 1 28.35001 335.35999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 335.35999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 335.35999 Tm (You can get )Tj 1 0 0 1 28.35001 317.85999 Tm (printed copies from )Tj 1 0 0 1 149.87 317.85999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39999 317.85999 Tm (0870 240 )Tj 1 0 0 1 28.35001 300.37 Tm (7535.)Tj ET endstream endobj 140 0 obj 2094 endobj 141 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.03999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 801.58997 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 782.57996 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 26 w 32.32001 746.26996 m 562.52997 746.26996 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 761.51996 m 565.84998 761.51996 l S 28.99001 733.26996 m 565.84998 733.26996 l S 30.07001 762.60004 m 30.07001 732.19 l S 564.77997 762.60004 m 564.77997 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.38995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.01996 m 566.92999 700.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 695.95996 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.01996 m 566.92999 678.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 673.95996 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.01996 m 566.92999 656.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 651.95996 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.01996 m 566.92999 634.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 629.95996 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.01996 m 566.92999 612.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 607.95996 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.01996 m 566.92999 590.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 585.95996 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.01996 m 566.92999 568.01996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 563.95996 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 543.95996 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.08997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 142 0 obj 5607 endobj 143 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 593.28998 m 562.52997 593.28998 l S 1 1 1 RG 119 w 31.2 550.78998 m 563.64996 550.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 490.16998 m 565.84998 490.16998 l S 30.07001 699.73999 m 30.07001 489.09 l S 564.77997 699.73999 m 564.77997 489.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.47998 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 651.47998 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 634.47998 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 617.47998 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 598.22998 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 581.22998 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 564.22998 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 547.22998 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 530.22998 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 513.22998 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 496.22998 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 471.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 449.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 449.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 449.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 449.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 432.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 360 m 563.64996 360 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 114.98 w 32.32001 348.75 m 564.77997 348.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 407.35999 m 566.97998 407.35999 l S 31.2 408.44 m 31.2 289.06 l S 565.90002 408.44 m 565.90002 289.06 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 290.13998 m 566.97998 290.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 416.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 391.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 391.67999 Tm (excellent)Tj 0 Tr 1 0 0 1 315.95999 391.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 374.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 354.17999 Tm (\240)Tj 1 0 0 1 35.47 334.19 Tm (There is an accurate assessment by trained staff and people can be confi\ dent that their )Tj 1 0 0 1 35.47 316.69 Tm (needs are met. There are ways to visit and try the home, and there is he\ lpful )Tj 1 0 0 1 35.47 299.20001 Tm (information about the service in the home and on their website.)Tj ET 0.99608 0.9451 0.76077 RG 196.03999 w 33.45 166.23999 m 563.64996 166.23999 l S 1 1 1 RG 22.5 w 31.2 255.26999 m 565.90002 255.26999 l S 174.67 w 32.32001 154.42999 m 564.77997 154.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 242.89 m 566.97998 242.89 l S 31.2 243.97 m 31.2 64.90001 l S 565.90002 243.97 m 565.90002 64.90001 l S 31.2 242.89 m 565.90002 242.89 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj 1 0 0 1 35.47 227.20999 Tm (On our visit there were 22 people at Homecroft, and another person is ex\ pected )Tj 1 0 0 1 35.47 209.70999 Tm (shortly. The home does not offer intermediate care services. Everyone ha\ s a thorough )Tj 1 0 0 1 35.47 192.22 Tm (pre-admission assessment by trained staff so they can be sure that their\ needs and )Tj 1 0 0 1 35.47 174.72 Tm (preferences can be met. The AQAA said that assessment takes place for up\ to six )Tj 1 0 0 1 35.47 157.22 Tm (hours without family present so that the home can be sure people are mak\ ing an )Tj 1 0 0 1 35.47 139.73 Tm (informed choice. This is followed by a month's trial period and a formal\ review. Two )Tj 1 0 0 1 35.47 122.23 Tm (people told us that their relatives chose the home after visiting as the\ y were in )Tj 1 0 0 1 35.47 104.74001 Tm (hospital, and they were assessed during their first week in the home. A \ relative told us )Tj 1 0 0 1 35.47 87.24001 Tm (about someone who came every day for breakfast while waiting to be admit\ ted.)Tj ET endstream endobj 144 0 obj 4222 endobj 145 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 583.73999 w 33.45 519.52997 m 563.64996 519.52997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 562.37 w 32.32001 507.72 m 564.77997 507.72 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 224.33 l S 565.90002 791.10999 m 565.90002 224.33 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 225.40999 m 566.97998 225.40999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (One relative said: "Homecroft provides the homeliness, support and care \ to...x...which )Tj 1 0 0 1 33.22 744.10999 Tm (we as a family feel is second to none...the caring understanding of all \ staff has helped )Tj 1 0 0 1 33.22 726.60999 Tm (her settle in and she now feels that 'Homecroft' is her home...We are ab\ solutely )Tj 1 0 0 1 33.22 709.10999 Tm (delighted at every aspect of care provided...and facilities...". The peo\ ple still settling in )Tj 1 0 0 1 33.22 691.62 Tm (were very happy with their relatives choice, as was someone in the home \ for several )Tj 1 0 0 1 33.22 674.12 Tm (years. They felt very welcome and said that their needs are well met. Tw\ o people told )Tj 1 0 0 1 33.22 656.63 Tm (us how their health has improved since coming to stay. There are specifi\ c surveys for )Tj 1 0 0 1 33.22 639.13 Tm (new people every six months so that managers can follow their experience\ and how it )Tj 1 0 0 1 33.22 621.63 Tm (affects them. They want to make use of any suggestions about improvement\ s.)Tj 1 0 0 1 33.22 604.14001 Tm (\240)Tj 1 0 0 1 33.22 586.64001 Tm (There are innovative ways to learn more about the home, including a webs\ ite. When )Tj 1 0 0 1 33.22 569.14996 Tm (families first visit they are provided with the master copy of the servi\ ce user guide and )Tj 1 0 0 1 33.22 551.64996 Tm (statement of purpose, in a large font so that they can be easily read. T\ his provides )Tj 1 0 0 1 33.22 534.14996 Tm (mainly up to date information about the service people can expect, staff\ and )Tj 1 0 0 1 33.22 516.65997 Tm (management, terms and conditions, inspection reports and services availa\ ble from the )Tj 1 0 0 1 33.22 499.16 Tm (local council. The service user guide has compliment letters and comment\ s people )Tj 1 0 0 1 33.22 481.66998 Tm (have made, such as "I've been looking for a cobweb every since I came he\ re." )Tj 1 0 0 1 33.22 464.16998 Tm (Everyone has the same terms and conditions, but fees are individually de\ termined. )Tj 1 0 0 1 33.22 446.66998 Tm (Eleven surveys told us that people and families had enough information t\ o make a )Tj 1 0 0 1 33.22 429.17999 Tm (decision about the home.)Tj 1 0 0 1 33.22 411.67999 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (Services included in the fee are clear, as well as those available local\ ly families can )Tj 1 0 0 1 33.22 376.69 Tm (arrange themselves or through the home, such as newspapers, hairdressing\ and )Tj 1 0 0 1 33.22 359.19 Tm (private chiropody. We were told that any revisions to these costs are po\ sted on the )Tj 1 0 0 1 33.22 341.70001 Tm (noticeboard in reception. There are interesting savings passed onto peop\ le through, for )Tj 1 0 0 1 33.22 324.20001 Tm (instance bulk purchases. People also run their own 'tuck shop' where the\ y can for )Tj 1 0 0 1 33.22 306.70999 Tm (example buy toiletries, and they decide as a group how any profits are t\ o be used.)Tj 1 0 0 1 33.22 289.20999 Tm (\240)Tj 1 0 0 1 33.22 271.70999 Tm (Two people did not recall having a contract when they moved in. The cont\ ract could be )Tj 1 0 0 1 33.22 254.22 Tm (written using Plain English so that it is user friendly. We advised that\ people in the )Tj 1 0 0 1 33.22 236.72 Tm (home may want to contribute to any changes, which would also remind peop\ le.)Tj ET endstream endobj 146 0 obj 5461 endobj 147 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Health and personal care)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 610.28998 m 562.52997 610.28998 l S 1 1 1 RG 68 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 594.41998 m 565.84998 594.41998 l S 28.99001 524.16998 m 565.84998 524.16998 l S 30.07001 699.73999 m 30.07001 523.08997 l S 564.77997 699.73999 m 564.77997 523.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 668.47998 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 651.47998 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 634.47998 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 617.47998 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 600.47998 Tm (dignity.)Tj 1 0 0 1 35.5 581.22998 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 564.22998 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 547.22998 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 530.22998 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 483.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 483.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 483.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 466.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 385.25 m 563.64996 385.25 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 132.47 w 32.32001 374 m 564.77997 374 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 441.35999 m 566.97998 441.35999 l S 31.2 442.44 m 31.2 305.56 l S 565.90002 442.44 m 565.90002 305.56 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 306.63998 m 566.97998 306.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 425.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 425.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 425.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.17999 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (People participate in reviews, are treated with respect, and can be sure\ that their )Tj 1 0 0 1 35.47 350.69 Tm (needs will be met in the way they prefer and with dignity. People cannot\ be fully )Tj 1 0 0 1 35.47 333.20001 Tm (confident in the home's medication administration system to ensure their\ health needs )Tj 1 0 0 1 35.47 315.70001 Tm (are fully met.)Tj ET 0.99608 0.9451 0.76077 RG 212.53999 w 33.45 174.5 m 563.64996 174.5 l S 1 1 1 RG 22.5 w 31.2 271.76999 m 565.90002 271.76999 l S 191.17 w 32.32001 162.69 m 564.77997 162.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 259.39999 m 566.97998 259.39999 l S 31.2 260.47 m 31.2 64.90001 l S 565.90002 260.47 m 565.90002 64.90001 l S 31.2 259.39999 m 565.90002 259.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 243.70999 Tm (Thorough assessments have a person-centred approach so that needs are me\ t the way )Tj 1 0 0 1 35.47 226.22 Tm (individuals want to be supported, maximising their independence. Abiliti\ es to )Tj 1 0 0 1 35.47 208.72 Tm (participate in self care are assessed and choices are offered, such as h\ ow often to )Tj 1 0 0 1 35.47 191.22 Tm (bathe or shower. We saw three records to confirm this, spoke to five peo\ ple and one )Tj 1 0 0 1 35.47 173.73 Tm (relative and observed other people. There are currently two men in resid\ ence but no )Tj 1 0 0 1 35.47 156.23 Tm (male staff available should they prefer male carers. On our visit everyo\ ne was )Tj 1 0 0 1 35.47 138.73999 Tm (appropriately dressed for the warm weather, and personal hygiene was goo\ d.)Tj 1 0 0 1 35.47 121.24001 Tm (\240)Tj 1 0 0 1 35.47 103.74001 Tm (The home liaises with health professionals including hospital discharges\ . People )Tj 1 0 0 1 35.47 86.25 Tm (admitted from hospital said that their health has improved and wounds he\ aled. Staff )Tj ET endstream endobj 148 0 obj 5217 endobj 149 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (know people well and individuals told us they have good relationships wi\ th staff, who )Tj 1 0 0 1 33.22 761.60004 Tm (are available when needed. We saw discreet personal care and prompting o\ f )Tj 1 0 0 1 33.22 744.10999 Tm (continence that maintains dignity and self-confidence. Staff knocked and\ waited before )Tj 1 0 0 1 33.22 726.60999 Tm (entering people's rooms and asked permission to clean or whether midmorn\ ing drinks )Tj 1 0 0 1 33.22 709.10999 Tm (and snacks were wanted. People who have been longer in the home have the\ ir needs )Tj 1 0 0 1 33.22 691.62 Tm (met when there are changes, and health specialists are sought when neces\ sary. A )Tj 1 0 0 1 33.22 674.12 Tm (district nurse had high praise for staff and managers, and said their pr\ ofessional )Tj 1 0 0 1 33.22 656.63 Tm (advice is always followed. There have been no outbreaks of contagious in\ fection or )Tj 1 0 0 1 33.22 639.13 Tm (illness, and we saw good infection control measures.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Care records, risk assessments and monthly reviews are up to date and se\ curely )Tj 1 0 0 1 33.22 586.64001 Tm (stored for confidentiality. Staff handovers discuss changes in health, w\ ellbeing or )Tj 1 0 0 1 33.22 569.14996 Tm (preferences so there is speedy action or monitoring. People and represen\ tatives take )Tj 1 0 0 1 33.22 551.64996 Tm (part in care planning and reviews where the plan is evaluated. Care plan\ s are signed )Tj 1 0 0 1 33.22 534.14996 Tm (or record best interest decisions, signed by managers. This shows us tha\ t rights are )Tj 1 0 0 1 33.22 516.65997 Tm (respected and there are good outcomes for people able to make their own \ decisions, )Tj 1 0 0 1 33.22 499.16 Tm (and people who have incapacity.)Tj 1 0 0 1 33.22 481.66998 Tm (\240)Tj 1 0 0 1 33.22 464.16998 Tm (There are daily records, regular weight and body mass index measurements\ so that )Tj 1 0 0 1 33.22 446.66998 Tm (risk of malnutrition can be spotted early, minimized or involve speciali\ sts. Staff are )Tj 1 0 0 1 33.22 429.17999 Tm (knowledgeable about people's food intake and nutrition. The cook said th\ at food is )Tj 1 0 0 1 33.22 411.67999 Tm (routinely fortified with butter and cream; she is told about people's li\ kes, dislikes, food )Tj 1 0 0 1 33.22 394.19 Tm (allergies and dietary needs. There are people on prescribed nutritional \ supplements )Tj 1 0 0 1 33.22 376.69 Tm (and who have diabetes. One person recovering from illness has temporary \ swallowing )Tj 1 0 0 1 33.22 359.19 Tm (difficulty so food liquidized and is now progressing back to health with\ finger food.)Tj 1 0 0 1 33.22 341.70001 Tm (\240)Tj 1 0 0 1 33.22 324.20001 Tm (On our visit it was very warm and we queried why extra drinks were not p\ rovided. We )Tj 1 0 0 1 33.22 306.70999 Tm (were told that people often have tea and coffee, but these have dehydrat\ ing effects. )Tj 1 0 0 1 33.22 289.20999 Tm (Heat wave advice displayed in the office was not being used. The AQAA to\ ld us that a )Tj 1 0 0 1 33.22 271.70999 Tm (new nutritional system puchased has not yet been introduced but some sta\ ff have had )Tj 1 0 0 1 33.22 254.22 Tm (training. Care plans and monitoring measures recognise the importance of\ helping )Tj 1 0 0 1 33.22 236.72 Tm (people to remain mobile as long as possible and to have good nutrition a\ nd hydration )Tj 1 0 0 1 33.22 219.23 Tm (to avoid pressure sores. There is screening of skin integrity and the di\ strict nurse was )Tj 1 0 0 1 33.22 201.73 Tm (treating pressure sores that are healing. Overall we found confident nut\ ritional best )Tj 1 0 0 1 33.22 184.23 Tm (practice and dietary needs met, but fluid intake may need more oversight\ especially )Tj 1 0 0 1 33.22 166.73999 Tm (for people at risk of pressure sores developing.)Tj 1 0 0 1 33.22 149.23999 Tm (\240)Tj 1 0 0 1 33.22 131.75 Tm (People have annual health checks and regularly see the optician, dentist\ chiropodist )Tj 1 0 0 1 33.22 114.25 Tm (and have care plans about eye, oral and foot care. Either family or staf\ f take people to )Tj 1 0 0 1 33.22 96.75 Tm (health appointments and there is ready access to GPs. Mobility and perso\ nal safety is )Tj 1 0 0 1 33.22 79.25999 Tm (assessed and planned for. There is screening about risk of falls that en\ sures people )Tj ET endstream endobj 150 0 obj 5106 endobj 151 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (have appropriate foot wear, aids and staff assistance for prevention. We\ saw staff )Tj 1 0 0 1 33.22 761.60004 Tm (assisting people to mobilize safely with a variety of aids. Some people \ needed two )Tj 1 0 0 1 33.22 744.10999 Tm (staff who were patient and worked together, for instance using a handlin\ g belt or )Tj 1 0 0 1 33.22 726.60999 Tm (alongside a walking frame. Four people had falls resulting in fractures \ since the last )Tj 1 0 0 1 33.22 709.10999 Tm (inspection.)Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (We saw that people at risk are referred to a falls clinic. The clinic ha\ ve not always been )Tj 1 0 0 1 33.22 656.63 Tm (able to help if cognitive impairment prevents specialist advice being fo\ llowed. )Tj 1 0 0 1 33.22 639.13 Tm (Regarding rehabilitation, one person recovering from a stroke should hav\ e access to )Tj 1 0 0 1 33.22 621.63 Tm (stroke recovery services, such as a speech and language therapy as they \ are starting )Tj 1 0 0 1 33.22 604.14001 Tm (to regain skills and abilities. We discussed this with management, as it\ has not been )Tj 1 0 0 1 33.22 586.64001 Tm (proactively sought.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Emotional wellbeing is also maintained or improved. We spoke to one pers\ on recently )Tj 1 0 0 1 33.22 534.14996 Tm (bereaved, a relative, staff and checked medication records and care plan\ reviews to )Tj 1 0 0 1 33.22 516.65997 Tm (confirm this. People are being treated for depression and dementia, and \ health )Tj 1 0 0 1 33.22 499.16 Tm (specialists review their medication. The homely remedies policy was chan\ ged and now )Tj 1 0 0 1 33.22 481.66998 Tm (only prescribed medication is stored by the home. People managing their \ own, such as )Tj 1 0 0 1 33.22 464.16998 Tm (paracetemol need to check with their doctor that it is suitable with any\ prescribed )Tj 1 0 0 1 33.22 446.66998 Tm (medication. Risk is appropriately assessed for their own and other's wel\ lbeing and )Tj 1 0 0 1 33.22 429.17999 Tm (safety. Some people administer their own inhalers, which the home stores\ .)Tj 1 0 0 1 33.22 411.67999 Tm (\240)Tj 1 0 0 1 33.22 394.19 Tm (Controlled drugs are well managed, using an appropriate register and cab\ inet. The )Tj 1 0 0 1 33.22 376.69 Tm (communication book shows that timely action was taken when the lock was \ sticking, )Tj 1 0 0 1 33.22 359.19 Tm (and there is a temporary lock in place while a part is on order. We saw \ strict key )Tj 1 0 0 1 33.22 341.70001 Tm (security. Regular medication audits in the home have found some recurren\ t errors in )Tj 1 0 0 1 33.22 324.20001 Tm (dose administered, tablets not accounted for and administration recordin\ g gaps. On )Tj 1 0 0 1 33.22 306.70999 Tm (our visit medication we checked was accounted for except one prescribed \ medication )Tj 1 0 0 1 33.22 289.20999 Tm (from hospital that was administered but did not appear in records. There\ were no gaps )Tj 1 0 0 1 33.22 271.70999 Tm (in records. We discussed a number of concerns with management based on o\ ur )Tj 1 0 0 1 33.22 254.22 Tm (findings about the system of ordering, receipt and disposal of medicatio\ n, safekeeping )Tj 1 0 0 1 33.22 236.72 Tm (and storage.)Tj 1 0 0 1 33.22 219.23 Tm (\240)Tj 1 0 0 1 33.22 201.73 Tm (Discontinued medication was in the trolley and was not noted on the medi\ cation )Tj 1 0 0 1 33.22 184.23 Tm (administration record \(MAR\). Hospital discharge letters kept elsewhere\ needed to be )Tj 1 0 0 1 33.22 166.73999 Tm (checked to identify this. Medication stocks were not used in date order,\ and some )Tj 1 0 0 1 33.22 149.23999 Tm (supplies are due to run out before the end of the month. A lot of medica\ tion is being )Tj 1 0 0 1 33.22 131.75 Tm (ordered and stored in advance to prevent this. We queried out of date me\ dication in )Tj 1 0 0 1 33.22 114.25 Tm (the fridge and left on an office cabinet. Daily temperatures are taken f\ or some but not )Tj 1 0 0 1 33.22 96.75 Tm (all storage facilities, and we had concerns that one room was too warm f\ or medication )Tj 1 0 0 1 33.22 79.25999 Tm (to remain stable for people's health. The home monitored this after the \ inspection at )Tj ET endstream endobj 152 0 obj 3523 endobj 153 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 461.26999 w 33.45 580.76996 m 563.64996 580.76996 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 439.89999 w 32.32001 568.95996 m 564.77997 568.95996 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 346.81 l S 565.90002 791.10999 m 565.90002 346.81 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 347.88 m 566.97998 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (our request and confirmed new storage was identified. From discussion we\ learned )Tj 1 0 0 1 33.22 761.60004 Tm (that the monthly audit of medication does not address the entire medicat\ ion system )Tj 1 0 0 1 33.22 744.10999 Tm (and stock control, and all of the home's medication policies and procedu\ res so these )Tj 1 0 0 1 33.22 726.60999 Tm (concerns were not picked up by management.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (Audits and records about people and staff had no mention of errors or re\ corded actions )Tj 1 0 0 1 33.22 674.12 Tm (taken about audit findings. Management could not confirm that timely act\ ion ensured )Tj 1 0 0 1 33.22 656.63 Tm (people had essential medication or medical advice if an error was made, \ or to account )Tj 1 0 0 1 33.22 639.13 Tm (for missing medication. The home's policy is clear about this, but confu\ sing on other )Tj 1 0 0 1 33.22 621.63 Tm (matters as older versions are alongside undated newer sections. Manageme\ nt )Tj 1 0 0 1 33.22 604.14001 Tm (confirmed after the inspection that there are no observations or apprais\ als of staff )Tj 1 0 0 1 33.22 586.64001 Tm (medication competence after accredited training. Audits should have a li\ nk to the )Tj 1 0 0 1 33.22 569.14996 Tm (home's human resource processes so that people are fully protected and s\ taff )Tj 1 0 0 1 33.22 551.64996 Tm (performance is sustained. We did not have concerns about anyone's health\ on our )Tj 1 0 0 1 33.22 534.14996 Tm (visit, so improvement is needed for effective risk management and staff \ development.)Tj 1 0 0 1 33.22 516.65997 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (Action was taken and planned by directors who include a qualified nurse,\ to concerns )Tj 1 0 0 1 33.22 481.66998 Tm (we raised during and after our visit. We have confidence that this will \ be addressed in )Tj 1 0 0 1 33.22 464.16998 Tm (a timely way. There are external audits by the home's pharmacist, and ac\ tion was )Tj 1 0 0 1 33.22 446.66998 Tm (taken during our visit to improve pharmaceutical labeling so that the sh\ elf life of )Tj 1 0 0 1 33.22 429.17999 Tm (medication is clear. Action is planned with doctors to re-synchronize or\ dering a full )Tj 1 0 0 1 33.22 411.67999 Tm (month's supply of medications through the home's monitored dose system. \ This will )Tj 1 0 0 1 33.22 394.19 Tm (improve the availability of medication, make ordering easier and make it\ more likely )Tj 1 0 0 1 33.22 376.69 Tm (that receipt of medication into the home is clearly recorded so that all\ medication can )Tj 1 0 0 1 33.22 359.19 Tm (be accounted for. )Tj ET endstream endobj 154 0 obj 5613 endobj 155 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 627.28998 m 562.52997 627.28998 l S 1 1 1 RG 17 w 31.2 567.78998 m 563.64996 567.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 577.41998 m 565.84998 577.41998 l S 28.99001 558.16998 m 565.84998 558.16998 l S 30.07001 699.73999 m 30.07001 557.08997 l S 564.77997 699.73999 m 564.77997 557.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 668.47998 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 651.47998 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 634.47998 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 617.47998 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 600.47998 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 583.47998 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 564.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 539.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 517.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 517.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 517.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 517.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 500.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 428 m 563.64996 428 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 114.98 w 32.32001 416.75 m 564.77997 416.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 475.35999 m 566.97998 475.35999 l S 31.2 476.44 m 31.2 357.06 l S 565.90002 476.44 m 565.90002 357.06 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 358.13998 m 566.97998 358.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 484.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 459.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 459.67999 Tm (excellent)Tj 0 Tr 1 0 0 1 315.95999 459.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 442.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 422.17999 Tm (\240)Tj 1 0 0 1 35.47 402.19 Tm (There are flexible routines and people can follow their lifestyle and wo\ rship as they )Tj 1 0 0 1 35.47 384.69 Tm (choose. There are activities and outings and good relationships are main\ tained with )Tj 1 0 0 1 35.47 367.20001 Tm (families and friends. Food is excellent and dietary needs are catered fo\ r and met.)Tj ET 0.99608 0.9451 0.76077 RG 264.04001 w 33.45 200.23999 m 563.64996 200.23999 l S 1 1 1 RG 22.5 w 31.2 323.26999 m 565.90002 323.26999 l S 242.67 w 32.32001 188.42999 m 564.77997 188.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 310.88998 m 566.97998 310.88998 l S 31.2 311.97 m 31.2 64.90001 l S 565.90002 311.97 m 565.90002 64.90001 l S 31.2 310.88998 m 565.90002 310.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 295.20999 Tm (Everyone was smiling when they had staff assistance on our visit. There \ are flexible )Tj 1 0 0 1 35.47 277.70999 Tm (routines so people live the lifestyle they choose. One family told us: "\ As I get confused )Tj 1 0 0 1 35.47 260.22 Tm (I rely on family for help with all aspects"; "As she is confused, she is\ better with a )Tj 1 0 0 1 35.47 242.72 Tm (routine." Daily life is in accordance with individual needs. Interests a\ nd hobbies are )Tj 1 0 0 1 35.47 225.22 Tm (maintained. One person really enjoyed an outing to a plant nursery as th\ ey love )Tj 1 0 0 1 35.47 207.73 Tm (flowers. Another person still attends a social club after coming to the \ home. One )Tj 1 0 0 1 35.47 190.23 Tm (person brought their own embroideries to display on the wall of their ro\ om. Staff )Tj 1 0 0 1 35.47 172.73999 Tm (helped someone learn to use the remote control for a new TV their family\ provided.)Tj 1 0 0 1 35.47 155.23999 Tm (\240)Tj 1 0 0 1 35.47 137.73999 Tm (There is meaningful activity that keeps people in touch with the communi\ ty and )Tj 1 0 0 1 35.47 120.25 Tm (making decisions. We were told for example about the tuck shop. People u\ sed profits )Tj 1 0 0 1 35.47 102.75 Tm (for arts and craft materials, making and selling items at Easter to rais\ e money for )Tj 1 0 0 1 35.47 85.25999 Tm (charity. The range of activities and outings increased in response to su\ rveys. We were )Tj ET endstream endobj 156 0 obj 4568 endobj 157 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 636.22998 w 33.45 493.28998 m 563.64996 493.28998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 614.85999 w 32.32001 481.47998 m 564.77997 481.47998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 171.84999 l S 565.90002 791.10999 m 565.90002 171.84999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 172.92 m 566.97998 172.92 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (told that on the day of an outing people often do not want to go out, bu\ t clearly people )Tj 1 0 0 1 33.22 761.60004 Tm (who go benefit from the home's continued efforts.)Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Some people occupy themselves, reading or listening to music and TV and \ told us they )Tj 1 0 0 1 33.22 709.10999 Tm (do not want to join in activities. Others particularly like the fortnigh\ tly exercise )Tj 1 0 0 1 33.22 691.62 Tm (sessions. On our visit there was bingo in the afternoon. An activity cha\ rt in reception is )Tj 1 0 0 1 33.22 674.12 Tm (somewhat hidden, but it shows that there is regular hairdressing, handic\ rafts, singing, )Tj 1 0 0 1 33.22 656.63 Tm (games and physiotherapy. A relative said, "The staff try to provide good\ care under )Tj 1 0 0 1 33.22 639.13 Tm (difficult circumstances due to the diverse nature of the residents needs\ ...". There are )Tj 1 0 0 1 33.22 621.63 Tm (people with cognitive impairment from strokes and dementia, some with po\ or short )Tj 1 0 0 1 33.22 604.14001 Tm (term memory and others in recovery. A few suggestions were made to us ab\ out )Tj 1 0 0 1 33.22 586.64001 Tm (expanding the range of activities and support, including one to one supp\ ort for daily )Tj 1 0 0 1 33.22 569.14996 Tm (orientation and reminiscence activities for people with dementia, and mo\ re intellectual )Tj 1 0 0 1 33.22 551.64996 Tm (pursuits requested by others, such as poetry to maintain mental agility \ and interests. )Tj 1 0 0 1 33.22 534.14996 Tm (We saw similar home survey results which have not yet been acted upon an\ d )Tj 1 0 0 1 33.22 516.65997 Tm (discussed this with management.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.66998 Tm (Arrangements are made for religious worship in accordance with preferenc\ es and there )Tj 1 0 0 1 33.22 464.16998 Tm (is monthly communion in the home. Families are actively involved, take p\ eople out )Tj 1 0 0 1 33.22 446.66998 Tm (and told us they feel welcome when they visit. One person is looking for\ ward to a )Tj 1 0 0 1 33.22 429.17999 Tm (family wedding. A relative said "good with medical help and keeping us u\ p to date." )Tj 1 0 0 1 33.22 411.67999 Tm (Visiting arrangements are flexible outside of mealtimes, because the hom\ e wants to )Tj 1 0 0 1 33.22 394.19 Tm (provide an environment conducive to people eating well, without distract\ ion but also )Tj 1 0 0 1 33.22 376.69 Tm (socializing together. This is best practice, but notices in reception an\ d the service user )Tj 1 0 0 1 33.22 359.19 Tm (guide could explain why.)Tj 1 0 0 1 33.22 341.70001 Tm (\240)Tj 1 0 0 1 33.22 324.20001 Tm (People eat when they want to, choosing to eat some meals together and we\ saw that )Tj 1 0 0 1 33.22 306.70999 Tm (meals are a social event. During breakfast choices are made for dinner a\ nd tea. )Tj 1 0 0 1 33.22 289.20999 Tm (Everyone finds the food excellent and we complimented the cook on our vi\ sit. The cook )Tj 1 0 0 1 33.22 271.70999 Tm (and manager plan a healthy balanced diet. There is a rotational menu dis\ cussed at )Tj 1 0 0 1 33.22 254.22 Tm (resident meetings and new things are tried. Tablecloths and napkins are \ in use, with )Tj 1 0 0 1 33.22 236.72 Tm (condiments at each table. On our visit everyone's dietary needs were cat\ ered for and )Tj 1 0 0 1 33.22 219.23 Tm (there were sufficient staff at dinner time. Some people needed prompting\ or food cut )Tj 1 0 0 1 33.22 201.73 Tm (up, provided sensitively, but then ate independently. No one needed feed\ ing. One )Tj 1 0 0 1 33.22 184.23 Tm (person was assisted to change clothing after an accidental spill. )Tj ET endstream endobj 158 0 obj 5513 endobj 159 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 652.78998 m 562.52997 652.78998 l S 1 1 1 RG 17 w 31.2 618.78998 m 563.64996 618.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 628.41998 m 565.84998 628.41998 l S 28.99001 609.16998 m 565.84998 609.16998 l S 30.07001 699.73999 m 30.07001 608.08997 l S 564.77997 699.73999 m 564.77997 608.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 668.47998 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 651.47998 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 634.47998 Tm (allegations.)Tj 1 0 0 1 35.5 615.22998 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 590.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 568.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 568.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 568.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 551.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 470.25 m 563.64996 470.25 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 132.47 w 32.32001 459 m 564.77997 459 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 526.35999 m 566.97998 526.35999 l S 31.2 527.44 m 31.2 390.56 l S 565.90002 527.44 m 565.90002 390.56 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 391.63998 m 566.97998 391.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.17999 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (Complaints will be taken seriously and acted upon. Rights are promoted a\ nd protected. )Tj 1 0 0 1 35.47 435.69 Tm (Adult protection procedures need updating with links to the local counci\ l protocol so )Tj 1 0 0 1 35.47 418.20001 Tm (that people can also report concerns outside of the home, and so that th\ e home works )Tj 1 0 0 1 35.47 400.70001 Tm (with statutory agencies to safeguard when necessary. )Tj ET 0.99608 0.9451 0.76077 RG 297.54001 w 33.45 217 m 563.64996 217 l S 1 1 1 RG 22.5 w 31.2 356.76999 m 565.90002 356.76999 l S 276.16998 w 32.32001 205.19 m 564.77997 205.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.39999 m 566.97998 344.39999 l S 31.2 345.47 m 31.2 64.90001 l S 565.90002 345.47 m 565.90002 64.90001 l S 31.2 344.39999 m 565.90002 344.39999 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 328.70999 Tm (Homecroft actively encourages comments and complaints and there are form\ s by the )Tj 1 0 0 1 35.47 311.22 Tm (visitors signing in book in reception. The service user guide includes t\ he complaints )Tj 1 0 0 1 35.47 293.72 Tm (policy. People told us that they feel safe and would report a concern to\ relatives, )Tj 1 0 0 1 35.47 276.22 Tm (keyworkers or the manager. One said, "...I do not know what alternative \ action I could )Tj 1 0 0 1 35.47 258.72998 Tm (take." The policy needs up to date contact details for the Commission, a\ nd could )Tj 1 0 0 1 35.47 241.23 Tm (include the local council and advocacy organizations. This could be disc\ ussed with )Tj 1 0 0 1 35.47 223.73999 Tm (people and families so they are clear about support and options.)Tj 1 0 0 1 35.47 206.23999 Tm (\240)Tj 1 0 0 1 35.47 188.73999 Tm (There have been no complaints or adult protection concerns in the past f\ our years, but )Tj 1 0 0 1 35.47 171.25 Tm (people can have confidence that this would be taken seriously and acted \ upon within )Tj 1 0 0 1 35.47 153.75 Tm (ten days, which exceeds the minimum standards. Everyone we spoke to said\ that they )Tj 1 0 0 1 35.47 136.25999 Tm (have nothing to complain about. From the information available to us, th\ e home's )Tj 1 0 0 1 35.47 118.75999 Tm (approach to safeguarding is under-developed and we were not satisfied wi\ th )Tj 1 0 0 1 35.47 101.25999 Tm (management's response during feedback. The Commission's guidance is on t\ he office )Tj 1 0 0 1 35.47 83.77 Tm (noticeboard, but it has not been used to review Homecroft's systems and \ policies.)Tj ET endstream endobj 160 0 obj 4754 endobj 161 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 653.72998 w 33.45 484.53998 m 563.64996 484.53998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 632.35999 w 32.32001 472.72998 m 564.77997 472.72998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 154.34999 l S 565.90002 791.10999 m 565.90002 154.34999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 155.42999 m 566.97998 155.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (\240)Tj 1 0 0 1 33.22 761.60004 Tm (The induction of new staff includes a purchased video and test about rec\ ognising )Tj 1 0 0 1 33.22 744.10999 Tm (abuse / neglect and how to respond. The training matrix shows that some \ staff have )Tj 1 0 0 1 33.22 726.60999 Tm (not yet had abuse and adult protection training and that it is not consi\ dered applicable )Tj 1 0 0 1 33.22 709.10999 Tm (to certain staff and managers. This needs review as everyone working in \ the home )Tj 1 0 0 1 33.22 691.62 Tm (must be clear on their role, the home's policy on involving the police a\ nd working with )Tj 1 0 0 1 33.22 674.12 Tm (other statutory agencies. The adult protection policy has no link to the\ council )Tj 1 0 0 1 509.82999 674.12 Tm (multi-)Tj 1 0 0 1 33.22 656.63 Tm (agency)Tj 1 0 0 1 76.00999 656.63 Tm ( protocol. Management were uncertain where the council protocol is kept,\ and )Tj 1 0 0 1 33.22 639.13 Tm (the protocol in the office is not up to date. Staff supervision notes in\ clude reporting )Tj 1 0 0 1 33.22 621.63 Tm (abuse to social services however management confirmed that no one in the\ home has )Tj 1 0 0 1 33.22 604.14001 Tm (attended council training to understand the multi-agency process and wid\ er issues. )Tj 1 0 0 1 33.22 586.64001 Tm (Staff trained in 2006 now need refresher training, and we are told this \ is planned.)Tj 1 0 0 1 33.22 569.14996 Tm (\240)Tj 1 0 0 1 33.22 551.64996 Tm (Links are needed between the home's code of conduct for staff, policies \ about adult )Tj 1 0 0 1 33.22 534.14996 Tm (protection, whistleblowing, restraint, mental capacity, staff selection,\ disciplinaries and )Tj 1 0 0 1 33.22 516.65997 Tm (reporting to the Independent Safeguarding Authority. These are required \ to safeguard )Tj 1 0 0 1 33.22 499.16 Tm (adults, their rights and their financial interests and prevent abuse aff\ ecting people in )Tj 1 0 0 1 33.22 481.66998 Tm (the home, care industry and wider community - the home must work with st\ atutory )Tj 1 0 0 1 33.22 464.16998 Tm (agencies and in accordance with mental capacity law codes of practice. A\ legal duty of )Tj 1 0 0 1 33.22 446.66998 Tm (care differs for people able to make informed choices, and those determi\ ned to have )Tj 1 0 0 1 33.22 429.17999 Tm (mental incapacity about their own and other's personal safety. The home \ may also )Tj 1 0 0 1 33.22 411.67999 Tm (support people who experienced abuse at other times in their lives. A ho\ me )Tj 1 0 0 1 33.22 394.19 Tm (particularly registered to provide dementia care should be clear on thei\ r approach.)Tj 1 0 0 1 33.22 376.69 Tm (\240)Tj 1 0 0 1 33.22 359.19 Tm (Managers attended council training on Deprivation of Liberty Safeguards,\ which is a )Tj 1 0 0 1 33.22 341.70001 Tm (new legal duty. We understand that a policy was formed and managers are \ about to )Tj 1 0 0 1 33.22 324.20001 Tm (train staff about people's legal rights. End of life care planning polic\ y could be )Tj 1 0 0 1 33.22 306.70999 Tm (developed so that staff know how to support people who make advance deci\ sions.)Tj 1 0 0 1 33.22 289.20999 Tm (\240)Tj 1 0 0 1 33.22 271.70999 Tm (There were no inventories in people's records about possessions they bri\ ng to the )Tj 1 0 0 1 33.22 254.22 Tm (home, and people's interests could be better protected if something goes\ missing. )Tj 1 0 0 1 33.22 236.72 Tm (There are insurance arrangements about personal possessions in the servi\ ce user )Tj 1 0 0 1 33.22 219.23 Tm (guide, along with details about how to vote in local elections. People's\ financial )Tj 1 0 0 1 33.22 201.73 Tm (interests are well protected through bulk purchase savings passed on, se\ curing money )Tj 1 0 0 1 33.22 184.23 Tm (and valuables on request, and supporting people with personal allowances\ and account )Tj 1 0 0 1 33.22 166.73999 Tm (statements. )Tj ET endstream endobj 162 0 obj 5483 endobj 163 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 68 w 31.2 627.28998 m 563.64996 627.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 662.41998 m 565.84998 662.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 668.47998 Tm (hygienic. )Tj 1 0 0 1 35.5 649.22998 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.22998 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.22998 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 598.22998 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 137.47 w 33.45 462 m 563.64996 462 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 114.98 w 32.32001 450.75 m 564.77997 450.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 391.06 l S 565.90002 510.44 m 565.90002 391.06 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 392.13998 m 566.97998 392.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Homecroft is comfortable, clean, well maintained and provides a good, ho\ mely )Tj 1 0 0 1 35.47 418.69 Tm (environment for people. Facilities support privacy. The home's health an\ d safety )Tj 1 0 0 1 35.47 401.20001 Tm (culture could improve to prevent accidents.)Tj ET 0.99608 0.9451 0.76077 RG 298.04001 w 33.45 217.23999 m 563.64996 217.23999 l S 1 1 1 RG 22.5 w 31.2 357.26999 m 565.90002 357.26999 l S 276.66998 w 32.32001 205.42999 m 564.77997 205.42999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 344.88998 m 566.97998 344.88998 l S 31.2 345.97 m 31.2 64.90001 l S 565.90002 345.97 m 565.90002 64.90001 l S 31.2 344.88998 m 565.90002 344.88998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 353.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 329.20999 Tm (Homecroft is located in a residential area on a main road, with access t\ o public )Tj 1 0 0 1 35.47 311.70999 Tm (transport. It is an extended ordinary house with wheelchair access at th\ e front. The )Tj 1 0 0 1 35.47 294.22 Tm (standard of decoration and furnishing is high. A survey said, "overall t\ he home )Tj 1 0 0 1 35.47 276.72 Tm (provides a safe and pleasant environment...". It is comfortable, with a \ variety of )Tj 1 0 0 1 35.47 259.22 Tm (communal areas. Chairs could be arranged so that conversation is more li\ kely. )Tj 1 0 0 1 35.47 241.73 Tm (Facilities for people with sensory impairments include large screen TVs \ and talking )Tj 1 0 0 1 35.47 224.23 Tm (books. The home is painted one colour throughout, which does not help pe\ ople with )Tj 1 0 0 1 35.47 206.73999 Tm (poor memories find their way around however communal rooms are labelled \ and )Tj 1 0 0 1 35.47 189.23999 Tm (bedrooms are numbered. Upstairs there are window restrictors to prevent \ falls. There )Tj 1 0 0 1 35.47 171.73999 Tm (is open access in the dining room to a level patio which people told us \ they liked. The )Tj 1 0 0 1 35.47 154.25 Tm (landscaped garden is steeply sloped and inaccessible for most people.)Tj 1 0 0 1 35.47 136.75 Tm (\240)Tj 1 0 0 1 35.47 119.25999 Tm (Bedrooms are spacious, with sufficient storage for essential equipment, \ aids and )Tj 1 0 0 1 35.47 101.75999 Tm (personal possessions. Each room is different and the home will provide h\ elp for people )Tj 1 0 0 1 35.47 84.25999 Tm (to make changes to their rooms, for example to hang pictures. All bedroo\ ms are for )Tj ET endstream endobj 164 0 obj 4619 endobj 165 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 636.22998 w 33.45 493.28998 m 563.64996 493.28998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 614.85999 w 32.32001 481.47998 m 564.77997 481.47998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 171.84999 l S 565.90002 791.10999 m 565.90002 171.84999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 172.92 m 566.97998 172.92 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (single occupants and are ensuite, some with showers or wetrooms with no \ step. There )Tj 1 0 0 1 33.22 761.60004 Tm (are lockable facilities for valuables and door locks; people can request\ a key. There are )Tj 1 0 0 1 33.22 744.10999 Tm (also assisted bathing and toilet facilities on both floors, with hoists,\ slings and door )Tj 1 0 0 1 33.22 726.60999 Tm (locks. These facilities promote privacy.)Tj 1 0 0 1 33.22 709.10999 Tm (\240)Tj 1 0 0 1 33.22 691.62 Tm (The home is modern and generally well designed for people living there, \ but there is )Tj 1 0 0 1 33.22 674.12 Tm (an outward opening toilet door on the ground floor that can cause an acc\ ident if )Tj 1 0 0 1 33.22 656.63 Tm (opened too quickly. We discussed this as there is no warning sign on eit\ her side of this )Tj 1 0 0 1 33.22 639.13 Tm (door. We also advised that a better place is found to charge the hoist b\ attery than an )Tj 1 0 0 1 33.22 621.63 Tm (upstairs hallway floor, which had not been noticed and removed. Hallways\ need to be )Tj 1 0 0 1 33.22 604.14001 Tm (kept free from hazards to prevent falls.)Tj 1 0 0 1 33.22 586.64001 Tm (\240)Tj 1 0 0 1 33.22 569.14996 Tm (Maintenance and contractor checks we saw were up to date, including emer\ gency )Tj 1 0 0 1 33.22 551.64996 Tm (lighting, hoists, fire extinguishers and smoke detectors. Fire drills ar\ e held. Repairs are )Tj 1 0 0 1 33.22 534.14996 Tm (timely. There is no written risk assessment or scheme about preventing b\ acteria )Tj 1 0 0 1 33.22 516.65997 Tm (entering the water supply. Director's had clearly thought this through, \ and said that )Tj 1 0 0 1 33.22 499.16 Tm (the home has a sealed system with no pockets for water to pool. There ar\ e regular )Tj 1 0 0 1 33.22 481.66998 Tm (checks of hot water to prevent scalds, but the safe temperature range wa\ s exceeded in )Tj 1 0 0 1 33.22 464.16998 Tm (showers. The home confirmed this was adjusted after our visit. We had on\ e sink tested )Tj 1 0 0 1 33.22 446.66998 Tm (as the last check showed an excessively high temperature and no further \ action was )Tj 1 0 0 1 33.22 429.17999 Tm (documented. We were told that the testing device needed re-setting and t\ he test we )Tj 1 0 0 1 33.22 411.67999 Tm (saw confirmed the water tmperature was safe.)Tj 1 0 0 1 33.22 394.19 Tm (\240)Tj 1 0 0 1 33.22 376.69 Tm (The home is very clean with good measures to control infection, such as \ anti-bacterial )Tj 1 0 0 1 33.22 359.19 Tm (gel in reception, paper towels and liquid soap, separation of clean and \ soiled laundry. )Tj 1 0 0 1 33.22 341.70001 Tm (Gloves and aprons are used in people's rooms for cleaning and personal c\ are. We were )Tj 1 0 0 1 33.22 324.20001 Tm (told that slings are washed after use. The kitchen is hygienic, and temp\ eratures of )Tj 1 0 0 1 33.22 306.70999 Tm (fridges and freezers are in the safe range. The food probe is regularly \ tested and )Tj 1 0 0 1 527.54999 306.70999 Tm (re-)Tj 1 0 0 1 33.22 289.20999 Tm (calibrated.)Tj 1 0 0 1 96.8 289.20999 Tm ( Food probing to ensure meat is safe is regularly done by the cook, but \ )Tj 1 0 0 1 33.22 271.70999 Tm (records could improve on weekends when this task is undertaken by manage\ rs. There )Tj 1 0 0 1 33.22 254.22 Tm (has not been an environmental health inspection in at least three years.\ A Director )Tj 1 0 0 1 33.22 236.72 Tm (attended the council Safer Food Better Business course, and we were told\ that the )Tj 1 0 0 1 33.22 219.23 Tm (charts in use were further enhanced by the home. These charts rather tha\ n the diary )Tj 1 0 0 1 33.22 201.73 Tm (should form the home's permanent record of food probing and we recommend\ ed spot )Tj 1 0 0 1 33.22 184.23 Tm (checks by directors.)Tj ET endstream endobj 166 0 obj 5539 endobj 167 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 644.28998 m 562.52997 644.28998 l S 1 1 1 RG 17 w 31.2 601.78998 m 563.64996 601.78998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 592.16998 m 565.84998 592.16998 l S 30.07001 699.73999 m 30.07001 591.08997 l S 564.77997 699.73999 m 564.77997 591.08997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 668.47998 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 651.47998 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 634.47998 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 617.47998 Tm (managers.)Tj 1 0 0 1 35.5 598.22998 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 573.90997 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 551.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 551.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 551.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 551.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 534.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 470.73999 m 563.64996 470.73999 l S 1 1 1 RG 22.5 w 31.2 521.72998 m 565.90002 521.72998 l S 97.48 w 32.32001 459.5 m 564.77997 459.5 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 509.35999 m 566.97998 509.35999 l S 31.2 510.44 m 31.2 408.54999 l S 565.90002 510.44 m 565.90002 408.54999 l S 31.2 509.35999 m 565.90002 509.35999 l S 30.12 409.63 m 566.97998 409.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 518.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 493.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 493.67999 Tm (adequate)Tj 0 Tr 1 0 0 1 318.25 493.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 476.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 456.17999 Tm (\240)Tj 1 0 0 1 35.47 436.19 Tm (Overall people have appropriate levels of support by qualified staff. Ho\ wever people )Tj 1 0 0 1 35.47 418.69 Tm (are not fully protected by the home's recruitment procedures and process\ .)Tj ET 0.99608 0.9451 0.76077 RG 315.53998 w 33.45 225.98999 m 563.64996 225.98999 l S 1 1 1 RG 22.5 w 31.2 374.75998 m 565.90002 374.75998 l S 294.16 w 32.32001 214.17999 m 564.77997 214.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 362.38998 m 566.97998 362.38998 l S 31.2 363.47 m 31.2 64.90001 l S 565.90002 363.47 m 565.90002 64.90001 l S 31.2 362.38998 m 565.90002 362.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 371.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.70001 Tm (Rotas were examined over a four week period. There are four or five care\ staff during )Tj 1 0 0 1 35.47 329.20999 Tm (day shifts, and two staff at night. People had timely attention to their\ needs on our )Tj 1 0 0 1 35.47 311.70999 Tm (visit and told us that this was usual. Temporary staff have not been nec\ essary to cover )Tj 1 0 0 1 35.47 294.22 Tm (for sickness and holidays, so staffing is consistent. On each shift ther\ e are staff trained )Tj 1 0 0 1 35.47 276.72 Tm (in first aid, kept up to date so that they can save lives in an emergenc\ y. We were told )Tj 1 0 0 1 35.47 259.22 Tm (that staff roles are interchangeable - staff and managers clean, handle \ food and )Tj 1 0 0 1 35.47 241.73 Tm (provide care. One carer tests temperatures in the kitchen and for medica\ tion. The )Tj 1 0 0 1 35.47 224.23 Tm (managers and cook prepare food. A director does the shopping and acts as\ the )Tj 1 0 0 1 518.26001 224.23 Tm (care-)Tj 1 0 0 1 35.47 206.73999 Tm (taker.)Tj 1 0 0 1 71.16 206.73999 Tm ( All staff are currently supervised by the manager with an on-call staff\ support )Tj 1 0 0 1 35.47 189.23999 Tm (system day and night.)Tj 1 0 0 1 35.47 171.73999 Tm (\240)Tj 1 0 0 1 35.47 154.25 Tm (We wanted to see legally required information about staff so that we cou\ ld check on )Tj 1 0 0 1 35.47 136.75 Tm (improvements since our last inspection however records lacked clarity an\ d three staff )Tj 1 0 0 1 35.47 119.25999 Tm (files were disorganized. The AQAA led us to expect to see police and gov\ ernment list )Tj 1 0 0 1 35.47 101.75999 Tm (checks for new employees. We could not confirm that existing or new staf\ f were )Tj 1 0 0 1 35.47 84.25999 Tm (determined to be safe and fit to work in the home because there was insu\ fficient )Tj ET endstream endobj 168 0 obj 5235 endobj 169 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 741.20996 w 33.45 440.80002 m 563.64996 440.80002 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 719.83997 w 32.32001 428.98999 m 564.77997 428.98999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.87 l S 565.90002 791.10999 m 565.90002 66.87 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.95 m 566.97998 67.95 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (recruitment information kept in accordance with our published guidance. \ There were )Tj 1 0 0 1 33.22 761.60004 Tm (no UK checks in two staff records, as at the last inspection.)Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Management said that there is a checklist for staff files that was not b\ eing used. )Tj 1 0 0 1 33.22 709.10999 Tm (Fitness assessments were introduced about staff working at night. There \ is only one )Tj 1 0 0 1 33.22 691.62 Tm (health declaration question on job application forms, which lacks depth.\ We queried a )Tj 1 0 0 1 33.22 674.12 Tm (blank detailed health assessment in a new staff record where the person'\ s role )Tj 1 0 0 1 33.22 656.63 Tm (included working weekends and were told that they will be working such s\ hifts after )Tj 1 0 0 1 33.22 639.13 Tm (training, but only then will their health be assessed in depth. This mea\ ns that the )Tj 1 0 0 1 33.22 621.63 Tm (home is not determining fitness for the full intended job role when recr\ uiting staff.)Tj 1 0 0 1 33.22 604.14001 Tm (\240)Tj 1 0 0 1 33.22 586.64001 Tm (A training chart was not up to date and the staff development plan, supe\ rvision and )Tj 1 0 0 1 33.22 569.14996 Tm (appraisal of staff performance was not clear in the manager's absence. W\ e agreed )Tj 1 0 0 1 33.22 551.64996 Tm (additional time for management to search for electronic records. After o\ ur visit we )Tj 1 0 0 1 33.22 534.14996 Tm (established with management that supervision records are often undated s\ o no one )Tj 1 0 0 1 33.22 516.65997 Tm (can confirm whether there is sufficient supervision. Staff performance i\ s annually )Tj 1 0 0 1 33.22 499.16 Tm (assessed for pay awards, but this does not include all staff roles and c\ ontinued fitness, )Tj 1 0 0 1 33.22 481.66998 Tm (so the appraisal process is under-developed to ensure that people are in\ safe hands at )Tj 1 0 0 1 33.22 464.16998 Tm (all times. We were assured this will be improved with oversight by a acc\ ountable )Tj 1 0 0 1 33.22 446.66998 Tm (director registered with the Commission.)Tj 1 0 0 1 33.22 429.17999 Tm (\240)Tj 1 0 0 1 33.22 411.67999 Tm (There is an induction about care and safe working practices for new staf\ f. Skills For )Tj 1 0 0 1 33.22 394.19 Tm (Care competencies are confirmed by the manager after tests, discussion a\ nd )Tj 1 0 0 1 33.22 376.69 Tm (observation. Regular observation needs to take place in addition to medi\ cation audits )Tj 1 0 0 1 33.22 359.19 Tm (to sustain good medication practice following accredited and witness tra\ ining. Staff )Tj 1 0 0 1 33.22 341.70001 Tm (knowledge about medication and best practice also needs updating because\ it often )Tj 1 0 0 1 33.22 324.20001 Tm (changes. Records did not show us that this takes place.)Tj 1 0 0 1 33.22 306.70999 Tm (\240)Tj 1 0 0 1 33.22 289.20999 Tm (We were told that almost all staff have NVQ care qualifications and addi\ tional training )Tj 1 0 0 1 33.22 271.70999 Tm (so that staff understand people's conditions and encourage independence,\ which is )Tj 1 0 0 1 33.22 254.22 Tm (good practice but the training chart doesn't reflect this. It also shows\ us that some but )Tj 1 0 0 1 33.22 236.72 Tm (not all staff had mandatory training, and some staff did not have at lea\ st 3 days )Tj 1 0 0 1 33.22 219.23 Tm (training in 2008. A director confirmed there is no refresher policy. Han\ ds-on manual )Tj 1 0 0 1 33.22 201.73 Tm (handling training is refreshed by an external trainer. Management said t\ hat after )Tj 1 0 0 1 33.22 184.23 Tm (mandatory training in other areas, updates are undertaken in supervision\ but record )Tj 1 0 0 1 33.22 166.73999 Tm (keeping did not enable us to confirm that all mandatory training is refr\ eshed about )Tj 1 0 0 1 33.22 149.23999 Tm (health and safety. The home has accredited trainers who can provide cert\ ification in )Tj 1 0 0 1 33.22 131.75 Tm (future. Staff and managers need adult protection training or refreshers \ in light of )Tj 1 0 0 1 33.22 114.25 Tm (changes in the law and about their roles in relation to the local protoc\ ol. The training )Tj 1 0 0 1 33.22 96.75 Tm (chart shows that this training has not been seen as necessary for manage\ rs and )Tj 1 0 0 1 33.22 79.25999 Tm (certain staff, which does not promote safeguarding or take adult protect\ ion seriously. )Tj ET endstream endobj 170 0 obj 397 endobj 171 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET endstream endobj 172 0 obj 5573 endobj 173 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 768.13 Tm (Management and administration)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35001 747.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.42999 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35001 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35001 700.84998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 601.78998 m 562.52997 601.78998 l S 1 1 1 RG 102 w 31.2 559.28998 m 563.64996 559.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 698.66998 m 565.84998 698.66998 l S 28.99001 611.41998 m 565.84998 611.41998 l S 28.99001 507.16998 m 565.84998 507.16998 l S 30.07001 699.73999 m 30.07001 506.09 l S 564.77997 699.73999 m 564.77997 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.47998 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.47998 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 651.47998 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 634.47998 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 617.47998 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 598.22998 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.22998 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 564.22998 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 547.22998 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 530.22998 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 513.22998 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 466.85999 Tm (This is what people )Tj 1 0 0 1 148.48999 466.85999 Tm (staying in this care home)Tj 1 0 0 1 305.45999 466.85999 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.85999 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35001 449.67999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 154.97 w 33.45 368.25 m 563.64996 368.25 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 132.47 w 32.32001 357 m 564.77997 357 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 424.35999 m 566.97998 424.35999 l S 31.2 425.44 m 31.2 288.56 l S 565.90002 425.44 m 565.90002 288.56 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 289.63998 m 566.97998 289.63998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 408.67999 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 408.67999 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 408.67999 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.17999 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.17999 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (The home is well run to benefit people and protect their rights, includi\ ng their finances. )Tj 1 0 0 1 35.47 333.69 Tm (People influence service development. The environment is safe but improv\ ements are )Tj 1 0 0 1 35.47 316.20001 Tm (needed to risk management, human resource processes, and to update polic\ ies and )Tj 1 0 0 1 35.47 298.70001 Tm (procedures for health, safety and working with statutory agencies.)Tj ET 0.99608 0.9451 0.76077 RG 195.53999 w 33.45 166 m 563.64996 166 l S 1 1 1 RG 22.5 w 31.2 254.76999 m 565.90002 254.76999 l S 174.17 w 32.32001 154.19 m 564.77997 154.19 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 242.40001 m 566.97998 242.40001 l S 31.2 243.47 m 31.2 64.90001 l S 565.90002 243.47 m 565.90002 64.90001 l S 31.2 242.40001 m 565.90002 242.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 251.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 226.70999 Tm (The manager is experienced and is registered by the Commission. They hav\ e an NVQ4 )Tj 1 0 0 1 35.47 209.22 Tm (qualification, the Registered Managers Award and recently attended leade\ rship )Tj 1 0 0 1 35.47 191.72 Tm (training. We are told that the manager developed a new policy and will b\ e running )Tj 1 0 0 1 538.87 191.72 Tm (in-)Tj 1 0 0 1 35.47 174.22 Tm (house)Tj 1 0 0 1 71.35001 174.22 Tm ( training for staff about legal duties for Deprivation of Liberty author\ isations and )Tj 1 0 0 1 35.47 156.73 Tm (people's rights. A person-centred approach has been led by the manager. \ This shows )Tj 1 0 0 1 35.47 139.23 Tm (us that the manager keeps up to date and ensures new ways of working are\ used.)Tj 1 0 0 1 35.47 121.74001 Tm (\240)Tj 1 0 0 1 35.47 104.24001 Tm (The manager is held in high regard and is seen as approachable by everyo\ ne we spoke )Tj 1 0 0 1 35.47 86.74001 Tm (to. Thhe manager will soon have more support in running the home. A depu\ ty )Tj ET endstream endobj 174 0 obj 5274 endobj 175 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 742.04999 w 33.45 440.38 m 563.64996 440.38 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 720.67999 w 32.32001 428.56998 m 564.77997 428.56998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 66.02 l S 565.90002 791.10999 m 565.90002 66.02 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 67.10001 m 566.97998 67.10001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (manager and director are on site and will have training including medica\ tion so that )Tj 1 0 0 1 33.22 761.60004 Tm (roles, systems and supervision of staff can be reviewed. An audit was co\ nducted by a )Tj 1 0 0 1 33.22 744.10999 Tm (manager prior to their own medication training, but other roles have bee\ n held in )Tj 1 0 0 1 33.22 726.60999 Tm (obeyance. Some essential records could not be located in the managers' a\ bsence, )Tj 1 0 0 1 33.22 709.10999 Tm (which needs resolution so that management roles can be effectively share\ d.)Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (The AQAA was returned on time and the quality was generally good but we \ queried )Tj 1 0 0 1 33.22 656.63 Tm (accuracy of the dataset about recruitment checks, and action taken to tw\ o )Tj 1 0 0 1 33.22 639.13 Tm (recommendations since the last inspection. Appropriate certificates were\ on display )Tj 1 0 0 1 33.22 621.63 Tm (about registration and insurance.)Tj 1 0 0 1 33.22 604.14001 Tm (\240)Tj 1 0 0 1 33.22 586.64001 Tm (There are staff recruitment and retention strategies. The service user g\ uide has a )Tj 1 0 0 1 33.22 569.14996 Tm (statement about the current lack of male staff and how this affects choi\ ce for men. We )Tj 1 0 0 1 33.22 551.64996 Tm (were told that the home previously had male staff. Homecroft is choosy a\ bout staff )Tj 1 0 0 1 33.22 534.14996 Tm (selected and seek experienced staff in the UK and abroad. Recruitment ab\ road is now )Tj 1 0 0 1 33.22 516.65997 Tm (more restricted by government. We shared some comments made to us for th\ e home )Tj 1 0 0 1 33.22 499.16 Tm (to act upon, that some staff are not always understood by people in the \ home. Since )Tj 1 0 0 1 33.22 481.66998 Tm (the last inspection Homecroft's existing Investors in People \(IPP\) Awa\ rd was )Tj 1 0 0 1 499.20001 481.66998 Tm (re-)Tj 1 0 0 1 33.22 464.16998 Tm (confirmed,)Tj 1 0 0 1 97.66 464.16998 Tm ( showing how highly staff are valued. Food is provided free to staff on \ shift. )Tj 1 0 0 1 33.22 446.66998 Tm (Homecroft are aiming for all staff to achieve NVQ 3 qualifications. Thro\ ugh Narrick we )Tj 1 0 0 1 33.22 429.17999 Tm (were told that international qualifications were equated to those in the\ UK, although )Tj 1 0 0 1 33.22 411.67999 Tm (we did not see this in staff files or on the home's training chart. Rota\ s are arranged so )Tj 1 0 0 1 33.22 394.19 Tm (that staff can pursue other qualifications they arrange themselves or th\ rough an )Tj 1 0 0 1 33.22 376.69 Tm (agency abroad. Work permits show no restrictions on hours for staff ente\ ring the UK to )Tj 1 0 0 1 33.22 359.19 Tm (study, and this was not queried.)Tj 1 0 0 1 33.22 341.70001 Tm (\240)Tj 1 0 0 1 33.22 324.20001 Tm (The home's process of recruitment checks, supervision, training and appr\ aisal has )Tj 1 0 0 1 33.22 306.70999 Tm (positive merits, however it is too lax to ensure that people are safe an\ d staff )Tj 1 0 0 1 33.22 289.20999 Tm (performance is sustained. We advised management to audit staff files to \ meet an )Tj 1 0 0 1 33.22 271.70999 Tm (immediate requirement about existing staff. Action was taken to our sati\ sfaction, more )Tj 1 0 0 1 33.22 254.22 Tm (is planned, but changes are needed to ensure sufficient vetting before s\ taff are )Tj 1 0 0 1 33.22 236.72 Tm (confirmed in post. The staff development plan needs to be informed by an\ up to date )Tj 1 0 0 1 33.22 219.23 Tm (training chart so that essential training can be prioritised and checked\ as progressed.)Tj 1 0 0 1 33.22 201.73 Tm (\240)Tj 1 0 0 1 33.22 184.23 Tm (People, relatives, professionals and staff influence the running of the \ home in a variety )Tj 1 0 0 1 33.22 166.73999 Tm (of ways. A new quality assurance framework was introduced during the pas\ t year so )Tj 1 0 0 1 33.22 149.23999 Tm (that the home can compare views gathered over time, evidence changes in \ response )Tj 1 0 0 1 33.22 131.75 Tm (to views, and improve outcomes for people at all stages of their stay in\ the home. A )Tj 1 0 0 1 33.22 114.25 Tm (director intends to analyse and publish the results from two sets of sur\ veys we saw. )Tj 1 0 0 1 33.22 96.75 Tm (The home's surveys matched those of our own and discussions on our visit\ . High )Tj 1 0 0 1 33.22 79.25999 Tm (satisfaction has been maintained with praise from all sources. We discus\ sed positive )Tj ET endstream endobj 176 0 obj 4610 endobj 177 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 526.07001 53.03999 Tm (of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (34)Tj ET 0.99608 0.9451 0.76077 RG 671.21997 w 33.45 475.78998 m 563.64996 475.78998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 649.84998 w 32.32001 463.97998 m 564.77997 463.97998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 790.02997 m 566.97998 790.02997 l S 31.2 791.10999 m 31.2 136.84999 l S 565.90002 791.10999 m 565.90002 136.84999 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 137.92999 m 566.97998 137.92999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.08997 Tm (Evidence:)Tj 1 0 0 1 33.22 779.10004 Tm (achievements, as well as suggestions from people not yet acted upon: the\ range of )Tj 1 0 0 1 33.22 761.60004 Tm (activities, access to stroke recovery services, and help to personalize \ a room.)Tj 1 0 0 1 33.22 744.10999 Tm (\240)Tj 1 0 0 1 33.22 726.60999 Tm (Some relatives manage people's money and receive regular statements as w\ ell as an )Tj 1 0 0 1 33.22 709.10999 Tm (annual statement of account. This is good practice. We checked and confi\ rmed that )Tj 1 0 0 1 33.22 691.62 Tm (accounts and receipts tallied where people are supported with personal a\ llowances. )Tj 1 0 0 1 33.22 674.12 Tm (The home does not act as anyone's agent. Staff encourage people to make \ their own )Tj 1 0 0 1 33.22 656.63 Tm (decisions about money, and this is spent in accordance with their assess\ ed needs )Tj 1 0 0 1 33.22 639.13 Tm (when best interest decisions are made.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14001 Tm (Homecroft's policies and procedures have not all been regularly reviewed\ ; some date )Tj 1 0 0 1 33.22 586.64001 Tm (back to 2001 whereas the law and best practice has changed. The home's m\ edication )Tj 1 0 0 1 33.22 569.14996 Tm (policies need clarity as sections written in 2003 are alongside newer un\ dated versions. )Tj 1 0 0 1 33.22 551.64996 Tm (Other policies and procedures need updating and cross-referencing for ef\ fective )Tj 1 0 0 1 33.22 534.14996 Tm (safeguarding and to meet legal duties. For example human resource policy\ must )Tj 1 0 0 1 33.22 516.65997 Tm (include reporting to the Independent Safeguarding Authority about barrin\ g should the )Tj 1 0 0 1 33.22 499.16 Tm (need arise. The code of conduct must ensure staff do not benefit from wi\ lls. There are )Tj 1 0 0 1 33.22 481.66998 Tm (good systems for recording incidents and accidents, and we were told the\ se are )Tj 1 0 0 1 33.22 464.16998 Tm (analysed to act on any patterns. We confirmed that the home notifies the\ Commission )Tj 1 0 0 1 33.22 446.66998 Tm (in accordance with our guidance. There are fire, health and safety risk \ assessments )Tj 1 0 0 1 33.22 429.17999 Tm (but the culture needs further development and leadership so that there i\ s proactive )Tj 1 0 0 1 33.22 411.67999 Tm (prevention of accidents and hazards and timely response to medication er\ rors for )Tj 1 0 0 1 33.22 394.19 Tm (people's protection.)Tj 1 0 0 1 33.22 376.69 Tm (\240)Tj 1 0 0 1 33.22 359.19 Tm (Directors keep up to date about health and safety, but they are not alwa\ ys checking )Tj 1 0 0 1 33.22 341.70001 Tm (regulator guidance and national safety alerts. These need to be reflecte\ d in the home's )Tj 1 0 0 1 33.22 324.20001 Tm (risk assessment, policy and procedure updates. There are no Regulation 2\ 6 reports or )Tj 1 0 0 1 33.22 306.70999 Tm (unannounced spot checks because a director is in the home daily. There a\ re regular )Tj 1 0 0 1 33.22 289.20999 Tm (audits, but these do not include all the home's systems and we advised m\ ore oversight )Tj 1 0 0 1 33.22 271.70999 Tm (by individuals registered by the Commission. Care records are accurate, \ but those )Tj 1 0 0 1 33.22 254.22 Tm (about staff are not always dated. Audits need to evidence the action tak\ en and date )Tj 1 0 0 1 33.22 236.72 Tm (progressed.)Tj 1 0 0 1 33.22 219.23 Tm (\240)Tj 1 0 0 1 33.22 201.73 Tm (In many ways the home has continued to improve and provides people with \ innovative )Tj 1 0 0 1 33.22 184.23 Tm (options. With the additional management support and oversight planned, w\ e have )Tj 1 0 0 1 33.22 166.73999 Tm (confidence that this report will be acted upon so that performance in al\ l areas is )Tj 1 0 0 1 33.22 149.23999 Tm (improved and sustained.)Tj ET endstream endobj 178 0 obj 3079 endobj 179 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.99608 0.9451 0.76077 RG 17 w 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.99608 0.9451 0.76077 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.99216 0.89804 0.5451 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.99608 0.9451 0.76077 RG 69.18001 w 31.2 683.94 m 566.20001 683.94 l S 30.3 w 31.2 631.95001 m 91 631.95001 l S 93.25 631.95001 m 197.40001 631.95001 l S 199.64999 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89999 631.95001 l S 476.14999 631.95001 m 566.20001 631.95001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj ET endstream endobj 180 0 obj 6481 endobj 181 0 obj<>stream 0.98431 0.78824 0.08627 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (34)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.99608 0.9451 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