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They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The home is very managed and the health, safety and welfare of people are promoted. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions affecting them.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (The manager has been in post for almost 3 years and is a trained nurse. She and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (deputy manager are currently working towards a diploma in leadership and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (management. The manager runs a monthly surgery for people and families/advocates )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one weekend every )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (month.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing all kinds of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (issues.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manager ran the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (home, finding her approachable and and very supportive; one visitor said 'I couldn't )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (speak highly enough of her'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (There is a sound quality assurance procedure, with separate questionnaires for people, )Tj ET endstream endobj 55 0 obj<> endobj 56 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 57 0 obj<>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 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 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 251.32 w 33.45 685.74 m 563.65 685.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 229.95 w 32.32 673.93 m 564.78 673.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 556.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 556.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 557.84 m 566.98 557.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (their relatives/visitors, staff and visiting professionals. The findings are discussed and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (acted upon with the area manager, who visits monthly. The latest results are also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (displayed in the reception area for visitors to see.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Health and safety policies were well documented and showed a clear commitment to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that residents have a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to raise money )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relating to fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire evidenced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (that fire alarm, fire drills and emergency lighting checks have been undertaken. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (saw records to show that maintenance and service histories of all aids and adaptations )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (had been carried out. )Tj ET endstream endobj 58 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 59 0 obj<> endobj 60 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 (23)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 61 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 62 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 (24)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. 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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. 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TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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C)L`Fsnwͮ\24WLPB~bۏnlẆ?t7%RjDT@Fy3!l!*]!xuvydy&WCn ;0Vռ/ %#d7x$ ޠʎ ih׼ \DOO}ՉK7|GV8Us6jqf,$F]Ǻ%kD:> s-rt\ږ؅nzV95[ɞ-{v"z@"A?ջ߃1>zL9jda;M=f~ܟ('_{EssH${FȆm{ _T*{pe>rSNеk 8vdWP#W -/ֺ5Y|:bh4c$9Zy`?}bŲoreMT*ubA::NǢ]ߧ%[N-~XO੫3ƒ+F=S<[<|m# =h^Ad+j)Yo!lQG92# .7҆N*%ݖTTz&E+?ۥP4tѥJdǀj:e7P/t(Iҍ9Pφ<8>A(vfCyLÆ(칡\ wtNYα9 |c~Nn}|;5!=2SF_If5.M+uh^|kp+w<@Rg mLe+36#w\M3!6Z8bL, 2OMz$ٙMYz֑"'N܌>gYst<qWU0HTH3kjsB?IU-#XcZ -?;#+mA"֞FgcѦ0{C@$TOOBuEWv{9l9v݇ KZ' 栦T_㭛of=͇%c)nQb[._1ڃz5{%nTA3boC׾ b`vM*xS5%ڃ,?92_@Iשͫ)705frK%׷[kKNd:@EP2KEҖP,Lj!EbF[. 5^8vu~@É7Osy4:]ûrl{SO`Du\ $ VX `3F`Q[k[k`*>AslR7ho59Q77t7Cu~fN"?>n=^Sl61 ~>ON x0_V8e2dOsUb<К1W<$wMhȧE@?y2BO㣌'B1}X^ޝ82*l%l"6V]uv@Tc^iB^: 6Pdj'SG4) 7󱼮6BMzpN*l Hzx +K?(Kh@Ze( pX>'O5jAkE\qG\#("vY{nݚQK1ϞP3td![M\Fx }Ga^`Ht"px:iWV7̠=tqDN^@T]69) sN| i٧Vv)fWB8 9r~']w0pҴӠ֖j`sK.a^rQQQvZ% k!0VS&wZFL*D*`}H(um@7͘LZ2Oo)HgQ]AA-{y [< jnRX=;:#R=֥mu,O+쩰aB0)=!udhZ| d|qE"Ep,zޅ[C|6ƥއ윺+z;4TXȲX3YEKQL֏{"MK:Mȅ ҆NЉD|BG1 Sּgh: e0ۏ뗳g:˹ag ٸych7VKNϯ!9fZSfա"ÒN+1ՕMMvV{vIH)xeq~@m%O+痷e66̠_KS6DlJ!Iu?0ήA:F {UH*_FUNт_NQGO _ܙH6m5iߊפ㨫RܳߺH[ܽϧ j֌ ?'#euDZyux[u:s`r&NaxAl mI0@<>"{0MoPR7 懥NKuVovzr_A4I%l Dcc)Oqϯ}TJVt]xWo9Y(vXch]H?4o𼋮àrchSej@*h!bL|hvgX pXFj81+VE*n8*W@2 "aJnǯ|CvmiW|ޠDŽ9sk_'bM3Ћ/O;Y rZJ:"һCnvXz@M^୩uivJ{E7_w2^0TOfɌ]iҹ\4 0+u:iME Gy9:¦=Bcc>?[ 06ϛbb-5|Xw]T 7lR**7iPlp7G}{c NC@cۨPi0Sy.Y͋~sf됑{=$)yeښN(ow"R h?WX°N ط-C۶v Ai㧩Τ|m)qLx;Oj2 En_Y">nqOWZEtky""mxů2 'Ϋ:Ž/hO rCs 5 Y#-geD;!C(X:êٯJ<GnBciޓzݎ")ڽ1KULBqK]ˎuEV0+7x:=X(GH6,974>\F[uG3W ci-A/iE8l7D6 /",U6: (CX fJHKxf'ۋKvtRa@ kɲEK-E]p$L3""Vo\yWC8f[({]t! fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 68 0 obj<> endobj 69 0 obj<>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 70 0 obj<> endobj 71 0 obj<>/FontDescriptor 70 0 R/DW 1000>> endobj 72 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 73 0 obj<>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,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 74 0 obj<> endobj 75 0 obj<>/FontDescriptor 74 0 R/DW 1000>> endobj 76 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 77 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. 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+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 78 0 obj<> endobj 79 0 obj<>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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 80 0 obj<> endobj 81 0 obj<>/FontDescriptor 80 0 R/DW 1000>> endobj 82 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 83 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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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} 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 /middot 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 Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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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 283 0 obj 3357 endobj 284 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 (25)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 285 0 obj 8918 endobj 286 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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(Lincolnshire)Tj 1 0 0 1 273.04999 676.29999 Tm (NG34 8ND)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01526832128)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01526834107)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (roxholm@btconnect.com)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 1 1 1 RG 355.5 539.25 m 565.90002 539.25 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 509.12997 m 353.25 509.12997 l S 1 1 1 RG 355.5 509.12997 m 565.90002 509.12997 l S 0.99608 0.9451 0.76077 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88998 m 568.10004 474.88998 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 541.76996 Tm (Guardian Care Homes \(UK\) )Tj 1 0 0 1 358.35001 527.19 Tm (Limited)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (39)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 443.10001 m 565.60004 443.10001 l S 41.16 w 31.2 409.97998 m 297.20001 409.97998 l S 20.58 w 299.44998 420.26999 m 565.60004 420.26999 l S 299.44998 399.69 m 432.51999 399.69 l S 432.51999 399.69 m 565.60004 399.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 454.50998 m 567.79999 454.50998 l S 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 388.26999 m 567.79999 388.26999 l S 30.07001 455.59 m 30.07001 387.20001 l S 298.32001 432.75998 m 298.32001 387.20001 l S 566.71997 455.59 m 566.71997 387.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 438.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 415.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 415.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 394.91998 Tm (Under 65)Tj 1 0 0 1 435.37 394.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.47998 m 297.30002 373.47998 l S 299.54999 373.47998 m 431.44998 373.47998 l S 433.70001 373.47998 m 565.60004 373.47998 l S 35.16 w 31.2 343.35999 m 297.30002 343.35999 l S 299.54999 343.35999 m 431.44998 343.35999 l S 433.70001 343.35999 m 565.60004 343.35999 l S 31.2 305.94998 m 297.30002 305.94998 l S 299.54999 305.94998 m 431.44998 305.94998 l S 433.70001 305.94998 m 565.60004 305.94998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 275.82999 m 565.60004 275.82999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 362.06998 m 567.79999 362.06998 l S 28.99001 324.66 m 567.79999 324.66 l S 28.99001 287.25 m 567.79999 287.25 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 287.25 m 567.79999 287.25 l S 28.99001 264.41998 m 567.79999 264.41998 l S 30.07001 385.97 m 30.07001 263.34 l S 298.41998 385.97 m 298.41998 286.16998 l S 432.56998 385.97 m 432.56998 286.16998 l S 566.71997 385.97 m 566.71997 263.34 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 (0)Tj 1 0 0 1 436.54999 368.70999 Tm (20)Tj 1 0 0 1 34.05 345.88 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 331.30002 Tm (disability or dementia)Tj 1 0 0 1 302.39999 345.88 Tm (1)Tj 1 0 0 1 436.54999 345.88 Tm (0)Tj 1 0 0 1 34.05 308.47 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 293.88998 Tm (category)Tj 1 0 0 1 302.39999 308.47 Tm (0)Tj 1 0 0 1 436.54999 308.47 Tm (18)Tj 1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89999 249.62999 l S 474.14999 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78999 m 30.07001 39.14999 l S 567.01996 217.78999 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03999 m 30.07001 215.62999 l S 567.01996 237.03999 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 287 0 obj 2543 endobj 288 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 289 0 obj 3510 endobj 290 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 (25)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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14999 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 291 0 obj 1041 endobj 292 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 293 0 obj 5164 endobj 294 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39999 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39999 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 295 0 obj 2093 endobj 296 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 (25)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 297 0 obj 5443 endobj 298 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 (10)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 (25)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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53999 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 299 0 obj 1461 endobj 300 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 301 0 obj 5430 endobj 302 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 (25)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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28999 m 563.64996 188.28999 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03999 m 564.77997 177.03999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 303 0 obj 397 endobj 304 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 (25)Tj ET endstream endobj 305 0 obj 5585 endobj 306 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 (25)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 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17999 m 564.77997 197.17999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 307 0 obj 1080 endobj 308 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 309 0 obj 5120 endobj 310 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 (25)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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28999 m 564.77997 253.28999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 311 0 obj 5361 endobj 312 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 (25)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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 313 0 obj 1483 endobj 314 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 315 0 obj 5557 endobj 316 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of 3 staff for 24 people. In addition the manager an\ d deputy )Tj /TT0 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT0 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT0 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 317 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 0 318 0000000007 65535 f 0000000016 00000 n 0000010820 00000 n 0000027387 00000 n 0000027519 00000 n 0000028076 00000 n 0000028203 00000 n 0000000011 00001 f 0000028398 00000 n 0000028526 00000 n 0000028648 00000 n 0000000013 00001 f 0000028792 00000 n 0000000015 00001 f 0000028964 00000 n 0000000017 00001 f 0000029110 00000 n 0000000022 00001 f 0000029256 00000 n 0000029391 00000 n 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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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of staff for 24 people. In addition the manager and\ deputy )Tj /TT0 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT0 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT0 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 321 0 obj<> endobj 322 0 obj<> endobj 323 0 obj 5588 endobj 324 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for 24 people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 325 0 obj 5587 endobj 326 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for 2 people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 327 0 obj 5586 endobj 328 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 329 0 obj 5620 endobj 330 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (3)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 331 0 obj 5621 endobj 332 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 333 0 obj 4921 endobj 334 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.98431 0.78824 0.08627 RG 1 i 135.75 w 10 M 0 j 0 J []0 d 24.07001 742.40002 m 558.14996 742.40002 l S 2.25 w 20.74001 812.52997 m 561.47998 812.52997 l S 20.74001 674.52997 m 561.47998 674.52997 l S 21.82001 813.60999 m 21.82001 673.45001 l S 560.40002 813.60999 m 560.40002 673.45001 l S q 191.25 0 0 117.75 28.35001 685.64996 cm /Im1 Do Q 0.60001 0.60001 0.60001 rg BT /C2_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 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366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89996 185.05 l S 474.14996 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 335 0 obj 5481 endobj 336 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 (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 (25)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 250.17998 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 337 0 obj 3357 endobj 338 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 339 0 obj 8918 endobj 340 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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(Lincolnshire)Tj 1 0 0 1 273.04999 676.29999 Tm (NG34 8ND)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01526832128)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01526834107)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (roxholm@btconnect.com)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 1 1 1 RG 355.5 539.25 m 565.90002 539.25 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 509.12994 m 353.25 509.12994 l S 1 1 1 RG 355.5 509.12994 m 565.90002 509.12994 l S 0.99608 0.9451 0.76077 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 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(\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 341 0 obj 2543 endobj 342 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 343 0 obj 3510 endobj 344 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 345 0 obj 1041 endobj 346 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 347 0 obj 5164 endobj 348 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39996 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39996 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 349 0 obj 2093 endobj 350 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 (25)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 351 0 obj 5443 endobj 352 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 353 0 obj 1461 endobj 354 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 355 0 obj 5430 endobj 356 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 357 0 obj 397 endobj 358 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 (25)Tj ET endstream endobj 359 0 obj 5585 endobj 360 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 361 0 obj 1080 endobj 362 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 363 0 obj 5120 endobj 364 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 365 0 obj 5361 endobj 366 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 367 0 obj 1483 endobj 368 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 369 0 obj 5621 endobj 370 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 371 0 obj 1050 endobj 372 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 373 0 obj 5433 endobj 374 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 (25)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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53999 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 375 0 obj 2242 endobj 376 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31999 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 377 0 obj 3079 endobj 378 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 (23)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 (25)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 379 0 obj 4454 endobj 380 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 (24)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 (25)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 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64999 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89999 704.82001 l S 476.14999 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64999 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 381 0 obj 2044 endobj 382 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj 1 0 0 1 28.35001 515.14996 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 383 0 obj 4921 endobj 384 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.98431 0.78824 0.08627 RG 1 i 135.75 w 10 M 0 j 0 J []0 d 24.07001 742.40002 m 558.14996 742.40002 l S 2.25 w 20.74001 812.52997 m 561.47998 812.52997 l S 20.74001 674.52997 m 561.47998 674.52997 l S 21.82001 813.60999 m 21.82001 673.45001 l S 560.40002 813.60999 m 560.40002 673.45001 l S q 191.25 0 0 117.75 28.35001 685.64996 cm /Im1 Do Q 0.60001 0.60001 0.60001 rg BT /C2_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 136.34999 656.26996 Tm <002C005100560053004800460057004C0051004A000300490052005500030045004800570057004800550003004F004C005900480056>Tj 0 0 0 rg /C2_0 28 Tf 1 0 0 1 147.05 596.26996 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 552.19 m 557.14996 552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 493.45999 Tm <0003>Tj 1 0 0 1 28.35001 486.22 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 472.44 m 160.37999 472.44 l S 1 1 1 RG 162.62999 472.44 m 563.64996 472.44 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 414.44998 m 160.37999 414.44998 l S 1 1 1 RG 162.62999 414.44998 m 563.64996 414.44998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 483.84998 m 565.84998 483.84998 l S 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 367.87 m 565.84998 367.87 l S 30.07001 484.92999 m 30.07001 366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 385 0 obj 5481 endobj 386 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 (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 (25)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. 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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 387 0 obj 3357 endobj 388 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 389 0 obj 8918 endobj 390 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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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 391 0 obj 2543 endobj 392 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 393 0 obj 3510 endobj 394 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 395 0 obj 1041 endobj 396 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 397 0 obj 5164 endobj 398 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39993 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 399 0 obj 2093 endobj 400 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 (25)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 401 0 obj 5443 endobj 402 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 403 0 obj 1461 endobj 404 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 405 0 obj 5430 endobj 406 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 407 0 obj 397 endobj 408 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 (25)Tj ET endstream endobj 409 0 obj 5585 endobj 410 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 411 0 obj 1080 endobj 412 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 413 0 obj 5120 endobj 414 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 415 0 obj 5361 endobj 416 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 417 0 obj 1483 endobj 418 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 419 0 obj 5621 endobj 420 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 421 0 obj 1050 endobj 422 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 423 0 obj 5433 endobj 424 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 425 0 obj 2242 endobj 426 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 427 0 obj 3079 endobj 428 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89996 631.95001 l S 476.14996 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 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64998 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 431 0 obj 2044 endobj 432 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. 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552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 493.45999 Tm <0003>Tj 1 0 0 1 28.35001 486.22 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 472.44 m 160.37999 472.44 l S 1 1 1 RG 162.62999 472.44 m 563.64996 472.44 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 414.44998 m 160.37999 414.44998 l S 1 1 1 RG 162.62999 414.44998 m 563.64996 414.44998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 483.84998 m 565.84998 483.84998 l S 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 367.87 m 565.84998 367.87 l S 30.07001 484.92999 m 30.07001 366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 435 0 obj 5481 endobj 436 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 (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 (25)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 250.17998 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 437 0 obj 3357 endobj 438 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 439 0 obj 8918 endobj 440 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 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (25)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.99608 0.9451 0.76077 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.99608 0.9451 0.76077 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.99608 0.9451 0.76077 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Roxholm Hall)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Roxholm Hall)Tj 1 0 0 1 273.04999 729.03998 Tm (Roxholm)Tj 1 0 0 1 273.04999 711.45996 Tm (Sleaford)Tj 1 0 0 1 273.04999 693.88 Tm (Lincolnshire)Tj 1 0 0 1 273.04999 676.29999 Tm (NG34 8ND)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01526832128)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01526834107)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (roxholm@btconnect.com)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 1 1 1 RG 355.5 539.25 m 565.90002 539.25 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 509.12988 m 353.25 509.12988 l S 1 1 1 RG 355.5 509.12988 m 565.90002 509.12988 l S 0.99608 0.9451 0.76077 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 541.76996 Tm (Guardian Care Homes \(UK\) )Tj 1 0 0 1 358.35001 527.19 Tm (Limited)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (39)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 443.10001 m 565.60004 443.10001 l S 41.16 w 31.2 409.97998 m 297.20001 409.97998 l S 20.58 w 299.44998 420.26999 m 565.60004 420.26999 l S 299.44998 399.69 m 432.51999 399.69 l S 432.51999 399.69 m 565.60004 399.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 454.50998 m 567.79999 454.50998 l S 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 388.26999 m 567.79999 388.26999 l S 30.07001 455.59 m 30.07001 387.20001 l S 298.32001 432.75998 m 298.32001 387.20001 l S 566.71997 455.59 m 566.71997 387.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 438.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 415.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 415.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 394.91998 Tm (Under 65)Tj 1 0 0 1 435.37 394.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.47998 m 297.30002 373.47998 l S 299.54999 373.47998 m 431.44998 373.47998 l S 433.70001 373.47998 m 565.60004 373.47998 l S 35.16 w 31.2 343.35999 m 297.30002 343.35999 l S 299.54999 343.35999 m 431.44998 343.35999 l S 433.70001 343.35999 m 565.60004 343.35999 l S 31.2 305.94998 m 297.30002 305.94998 l S 299.54999 305.94998 m 431.44998 305.94998 l S 433.70001 305.94998 m 565.60004 305.94998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 275.82999 m 565.60004 275.82999 l S 0.99216 0.89804 0.5451 RG 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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 441 0 obj 2543 endobj 442 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 443 0 obj 3510 endobj 444 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 445 0 obj 1041 endobj 446 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 447 0 obj 5163 endobj 448 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.3999 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 449 0 obj 2093 endobj 450 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 (25)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 451 0 obj 5443 endobj 452 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 453 0 obj 1461 endobj 454 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 455 0 obj 5430 endobj 456 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 457 0 obj 397 endobj 458 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 (25)Tj ET endstream endobj 459 0 obj 5585 endobj 460 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 461 0 obj 1080 endobj 462 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 463 0 obj 5120 endobj 464 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 465 0 obj 5361 endobj 466 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 467 0 obj 1483 endobj 468 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 469 0 obj 5621 endobj 470 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 471 0 obj 1050 endobj 472 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 473 0 obj 5433 endobj 474 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 475 0 obj 2242 endobj 476 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 477 0 obj 3079 endobj 478 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 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 479 0 obj 4454 endobj 480 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 (24)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 (25)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 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64998 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 481 0 obj 2044 endobj 482 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj 1 0 0 1 28.35001 515.14996 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 483 0 obj 4921 endobj 484 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.98431 0.78824 0.08627 RG 1 i 135.75 w 10 M 0 j 0 J []0 d 24.07001 742.40002 m 558.14996 742.40002 l S 2.25 w 20.74001 812.52997 m 561.47998 812.52997 l S 20.74001 674.52997 m 561.47998 674.52997 l S 21.82001 813.60999 m 21.82001 673.45001 l S 560.40002 813.60999 m 560.40002 673.45001 l S q 191.25 0 0 117.75 28.35001 685.64996 cm /Im1 Do Q 0.60001 0.60001 0.60001 rg BT /C2_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 136.34999 656.26996 Tm <002C005100560053004800460057004C0051004A000300490052005500030045004800570057004800550003004F004C005900480056>Tj 0 0 0 rg /C2_0 28 Tf 1 0 0 1 147.05 596.26996 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 552.19 m 557.14996 552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 493.45999 Tm <0003>Tj 1 0 0 1 28.35001 486.22 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 472.44 m 160.37999 472.44 l S 1 1 1 RG 162.62999 472.44 m 563.64996 472.44 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 414.44998 m 160.37999 414.44998 l S 1 1 1 RG 162.62999 414.44998 m 563.64996 414.44998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 483.84998 m 565.84998 483.84998 l S 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 367.87 m 565.84998 367.87 l S 30.07001 484.92999 m 30.07001 366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 485 0 obj 5481 endobj 486 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 (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 (25)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. 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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 487 0 obj 3357 endobj 488 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 489 0 obj 8918 endobj 490 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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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 491 0 obj 2543 endobj 492 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 493 0 obj 3510 endobj 494 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 495 0 obj 1041 endobj 496 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 497 0 obj 5164 endobj 498 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39987 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 499 0 obj 2093 endobj 500 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 (25)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 501 0 obj 5443 endobj 502 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 503 0 obj 1461 endobj 504 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 505 0 obj 5430 endobj 506 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 507 0 obj 397 endobj 508 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 (25)Tj ET endstream endobj 509 0 obj 5585 endobj 510 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 511 0 obj 1080 endobj 512 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 513 0 obj 5120 endobj 514 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 515 0 obj 5361 endobj 516 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 517 0 obj 1483 endobj 518 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 519 0 obj 5621 endobj 520 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 521 0 obj 1050 endobj 522 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 523 0 obj 5433 endobj 524 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 525 0 obj 2242 endobj 526 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 527 0 obj 3079 endobj 528 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 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 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64998 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 531 0 obj 2044 endobj 532 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. 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552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 493.45999 Tm <0003>Tj 1 0 0 1 28.35001 486.22 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 472.44 m 160.37999 472.44 l S 1 1 1 RG 162.62999 472.44 m 563.64996 472.44 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 414.44998 m 160.37999 414.44998 l S 1 1 1 RG 162.62999 414.44998 m 563.64996 414.44998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 483.84998 m 565.84998 483.84998 l S 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 367.87 m 565.84998 367.87 l S 30.07001 484.92999 m 30.07001 366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 535 0 obj 5481 endobj 536 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 (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 (25)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 250.17998 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 537 0 obj 3357 endobj 538 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 539 0 obj 8918 endobj 540 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 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (25)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.99608 0.9451 0.76077 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.99608 0.9451 0.76077 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.99608 0.9451 0.76077 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Roxholm Hall)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Roxholm Hall)Tj 1 0 0 1 273.04999 729.03998 Tm (Roxholm)Tj 1 0 0 1 273.04999 711.45996 Tm (Sleaford)Tj 1 0 0 1 273.04999 693.88 Tm (Lincolnshire)Tj 1 0 0 1 273.04999 676.29999 Tm (NG34 8ND)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01526832128)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01526834107)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (roxholm@btconnect.com)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 1 1 1 RG 355.5 539.25 m 565.90002 539.25 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.99608 0.9451 0.76077 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 541.76996 Tm (Guardian Care Homes \(UK\) )Tj 1 0 0 1 358.35001 527.19 Tm (Limited)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (39)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 443.10001 m 565.60004 443.10001 l S 41.16 w 31.2 409.97998 m 297.20001 409.97998 l S 20.58 w 299.44998 420.26999 m 565.60004 420.26999 l S 299.44998 399.69 m 432.51999 399.69 l S 432.51999 399.69 m 565.60004 399.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 454.50998 m 567.79999 454.50998 l S 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 388.26999 m 567.79999 388.26999 l S 30.07001 455.59 m 30.07001 387.20001 l S 298.32001 432.75998 m 298.32001 387.20001 l S 566.71997 455.59 m 566.71997 387.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 438.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 415.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 415.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 394.91998 Tm (Under 65)Tj 1 0 0 1 435.37 394.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.47998 m 297.30002 373.47998 l S 299.54999 373.47998 m 431.44998 373.47998 l S 433.70001 373.47998 m 565.60004 373.47998 l S 35.16 w 31.2 343.35999 m 297.30002 343.35999 l S 299.54999 343.35999 m 431.44998 343.35999 l S 433.70001 343.35999 m 565.60004 343.35999 l S 31.2 305.94998 m 297.30002 305.94998 l S 299.54999 305.94998 m 431.44998 305.94998 l S 433.70001 305.94998 m 565.60004 305.94998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 275.82999 m 565.60004 275.82999 l S 0.99216 0.89804 0.5451 RG 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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 541 0 obj 2543 endobj 542 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 543 0 obj 3510 endobj 544 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 545 0 obj 1041 endobj 546 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 547 0 obj 5164 endobj 548 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39987 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 549 0 obj 2093 endobj 550 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 (25)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 551 0 obj 5443 endobj 552 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 553 0 obj 1461 endobj 554 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 555 0 obj 5430 endobj 556 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 557 0 obj 397 endobj 558 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 (25)Tj ET endstream endobj 559 0 obj 5585 endobj 560 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 561 0 obj 1080 endobj 562 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 563 0 obj 5120 endobj 564 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 565 0 obj 5361 endobj 566 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 567 0 obj 1483 endobj 568 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 569 0 obj 5621 endobj 570 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT1 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT1 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT1 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT1 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT1 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT1 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 571 0 obj 1050 endobj 572 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 573 0 obj 5433 endobj 574 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 575 0 obj 2242 endobj 576 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 577 0 obj 3079 endobj 578 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 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 579 0 obj 4454 endobj 580 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 (24)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 (25)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 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64998 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 581 0 obj 2044 endobj 582 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj 1 0 0 1 28.35001 515.14996 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 583 0 obj 4921 endobj 584 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.98431 0.78824 0.08627 RG 1 i 135.75 w 10 M 0 j 0 J []0 d 24.07001 742.40002 m 558.14996 742.40002 l S 2.25 w 20.74001 812.52997 m 561.47998 812.52997 l S 20.74001 674.52997 m 561.47998 674.52997 l S 21.82001 813.60999 m 21.82001 673.45001 l S 560.40002 813.60999 m 560.40002 673.45001 l S q 191.25 0 0 117.75 28.35001 685.64996 cm /Im1 Do Q 0.60001 0.60001 0.60001 rg BT /C2_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 136.34999 656.26996 Tm <002C005100560053004800460057004C0051004A000300490052005500030045004800570057004800550003004F004C005900480056>Tj 0 0 0 rg /C2_0 28 Tf 1 0 0 1 147.05 596.26996 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 552.19 m 557.14996 552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 493.45999 Tm <0003>Tj 1 0 0 1 28.35001 486.22 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 472.44 m 160.37999 472.44 l S 1 1 1 RG 162.62999 472.44 m 563.64996 472.44 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 414.44998 m 160.37999 414.44998 l S 1 1 1 RG 162.62999 414.44998 m 563.64996 414.44998 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 483.84998 m 565.84998 483.84998 l S 28.99001 461.01999 m 565.84998 461.01999 l S 28.99001 367.87 m 565.84998 367.87 l S 30.07001 484.92999 m 30.07001 366.80002 l S 161.5 484.92999 m 161.5 366.80002 l S 564.77997 484.92999 m 564.77997 366.80002 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 467.66998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.66998 Tm (Roxholm Hall)Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (Roxholm Hall )Tj 1 0 0 1 165.48 427.25998 Tm (Roxholm)Tj 1 0 0 1 165.48 409.67999 Tm (Sleaford)Tj 1 0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 585 0 obj 5481 endobj 586 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 (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 (25)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. 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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 587 0 obj 3357 endobj 588 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 589 0 obj 8918 endobj 590 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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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 591 0 obj 2543 endobj 592 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 593 0 obj 3510 endobj 594 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 595 0 obj 1041 endobj 596 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 597 0 obj 5164 endobj 598 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39987 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 599 0 obj 2093 endobj 600 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 (25)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 601 0 obj 5443 endobj 602 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 603 0 obj 1461 endobj 604 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 605 0 obj 5430 endobj 606 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 607 0 obj 397 endobj 608 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 (25)Tj ET endstream endobj 609 0 obj 5585 endobj 610 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 611 0 obj 1080 endobj 612 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 613 0 obj 5120 endobj 614 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 615 0 obj 5361 endobj 616 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 617 0 obj 1483 endobj 618 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 619 0 obj 5621 endobj 620 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT0 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT0 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT0 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 621 0 obj 1050 endobj 622 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 623 0 obj 5433 endobj 624 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 625 0 obj 2242 endobj 626 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 627 0 obj 3079 endobj 628 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 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 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj 1 0 0 1 28.35001 515.14996 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 633 0 obj 38265 endobj 634 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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2814 endobj 636 0 obj<>stream H|KoFZ,R}"Y<'?#'bِ5 `n>,Wܵwӧۻ?yxy˟/|z }_o/7oٷ﷿l_~zs?nW{?~Ǜ_8w?|zΏ#VY<^}pyyy{syzLJx:ӬOs:4\OrӼ4O8NNNNNNNN/㿿\sY>s9l>gsyyyyyyyyl>aD?thG?thG?thG?th'OƟ?rd'OƟ?rd'OƟ?rd'OƟ?rdgƟ?vlgƟ?vlgƟ?vlgƟ?vl/_qb/\7+fVܬYqbf͊7+fVܬYqbf͊7+fVܬYqbf͊U7fVݬYujfͪ=W_:5W_:5W_|Yypz_uR|T>,qz"y-8VO<8\z?ؽZ_kW~ΚO:g:g:?=o+ݫΉ}Ns;}3l~6gs7_?]sg>o~6[?|lvO6_?1o~6[?c=lofοοοοοοtݽ_ox>νvj̫W3^ͮܫWsfi̫ױ{]_~57nfܸqsf͍77nĚ6{b =f̺u3nͬY7f̺u3nͬY7fݞXwnwߝw_Xwnw?pa?pa?pa?pa?tiO?tiO?tiO?tOڸn\ D@Q4E@UtE@YE@]E@a4F@etF@isk܇?O?O?O';8 悹`aaaaaaaaaaad#"""2222222222222222 ****************-[o~ -[o~+W0_a| +W0_a| Ov ~6mo ~6mo~;vo~;vïïïïïïïïïïïïïïïïooooooooooooooooooooa>a>a>a>a>a>a>a>a>a>BM 5)ԤPBM 5)ԤPBM 5)ԤPBM 5)ԤPBM 5)ԤP CM 5)ԤPBM 5)ԤPBM 5)ԤPBM 5)ԤPBM 5)ԤPBM 5)(4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4Ќ:5vd&jRI&jRI&jRI&jRI&jRI&UjRI&jRI&jRI&jRI&jRI&jRI&jRI&jRI&?4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 (4ЌB3 ͨ ~hFfQhFfQhFfQhFfQhFfQhFujƟȨI&jRI&jRI&jRI&uP!#dVz,) }qqqqqqqqq7aa0c1f 3Ìa0c1f 3Ìa0c1f}1f 3Ìa0c13/> r`20 L&d`20 L&d`20 L&d`20 L&d`20 L&d`20 L&d`20 L&ɾA c1d 2A c1d 2A cA c1d 2A c1d 2sz;?^N~^>z<>ݟO_^Owz{zrzv` endstream endobj 637 0 obj 4921 endobj 638 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.98431 0.78824 0.08627 RG 1 i 135.75 w 10 M 0 j 0 J []0 d 24.07001 742.40002 m 558.14996 742.40002 l S 2.25 w 20.74001 812.52997 m 561.47998 812.52997 l S 20.74001 674.52997 m 561.47998 674.52997 l S 21.82001 813.60999 m 21.82001 673.45001 l S 560.40002 813.60999 m 560.40002 673.45001 l S q 191.25 0 0 117.75 28.35001 685.64996 cm /Im1 Do Q 0.60001 0.60001 0.60001 rg BT /C2_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 136.34999 656.26996 Tm <002C005100560053004800460057004C0051004A000300490052005500030045004800570057004800550003004F004C005900480056>Tj 0 0 0 rg /C2_0 28 Tf 1 0 0 1 147.05 596.26996 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 552.19 m 557.14996 552.19 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 504.5 Tm (Care 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0 0 1 165.48 392.10001 Tm (Lincolnshire)Tj 1 0 0 1 165.48 374.51999 Tm (NG34 8ND)Tj /C2_1 10 Tf 1 0 0 1 28.35001 355.62 Tm <0003>Tj 1 0 0 1 28.35001 338.62 Tm <0003>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 319.07999 m 358.94998 319.07999 l S 1 1 1 RG 361.20001 319.07999 m 565.90002 319.07999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 330.5 m 568.10004 330.5 l S 28.99001 307.66998 m 568.10004 307.66998 l S 30.07001 331.57001 m 30.07001 306.59 l S 360.06998 331.57001 m 360.06998 306.59 l S 567.01996 331.57001 m 567.01996 306.59 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj 1 0 0 1 191.92 314.31 Tm (care home)Tj 1 0 0 1 255.59 314.31 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 314.31 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 295.41 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 276.35999 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 1 0 0 1 28.35001 259.35999 Tm (meeting the needs of the people who use it.)Tj 1 0 0 1 295.20001 259.35999 Tm (\240 )Tj 1 0 0 1 303.64999 259.35999 Tm (We give a quality rating following a full )Tj 1 0 0 1 28.35001 242.36 Tm (assessment of the service.)Tj 1 0 0 1 189.22 242.36 Tm (\240 )Tj 1 0 0 1 197.67 242.36 Tm (We call this a \221key\222 inspection.)Tj 1 0 0 1 28.35001 225.36 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 207.87999 m 315.25 207.87999 l S 317.5 207.87999 m 565.90002 207.87999 l S 1 1 1 RG 317.5 185.05 m 346.54999 185.05 l S 348.80002 185.05 m 377.89999 185.05 l S 380.14999 185.05 m 409.20001 185.05 l S 411.44998 185.05 m 440.54999 185.05 l S 442.80002 185.05 m 471.89993 185.05 l S 474.14993 185.05 m 503.20001 185.05 l S 505.44998 185.05 m 534.54999 185.05 l S 536.79999 185.05 m 565.90002 185.05 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 219.28998 m 568.10004 219.28998 l S 28.99001 196.45999 m 568.10004 196.45999 l S 28.99001 173.62999 m 568.10004 173.62999 l S 30.07001 220.37 m 30.07001 172.55 l S 316.37 220.37 m 316.37 172.55 l S 347.66998 197.53998 m 347.66998 172.55 l S 379.01999 197.53998 m 379.01999 172.55 l S 410.31998 197.53998 m 410.31998 172.55 l S 441.66998 197.53998 m 441.66998 172.55 l S 473.01999 197.53998 m 473.01999 172.55 l S 504.31998 197.53998 m 504.31998 172.55 l S 535.66998 197.53998 m 535.66998 172.55 l S 567.01996 220.37 m 567.01996 172.55 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 203.11 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 180.28 Tm (Julie Western)Tj 1 0 0 1 329.63 180.28 Tm (1)Tj 1 0 0 1 360.94998 180.28 Tm (7)Tj 1 0 0 1 392.28 180.28 Tm (0)Tj 1 0 0 1 423.60999 180.28 Tm (6)Tj 1 0 0 1 454.94998 180.28 Tm (2)Tj 1 0 0 1 486.28 180.28 Tm (0)Tj 1 0 0 1 517.60004 180.28 Tm (0)Tj 1 0 0 1 548.95996 180.28 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 161.37999 Tm <0003>Tj 1 0 0 1 28.35001 144.37999 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 127.38 Tm <0003>Tj 1 0 0 1 297.63998 115.31 Tm <0003>Tj 1 0 0 1 297.63998 103.24001 Tm <0003>Tj ET endstream endobj 639 0 obj 5481 endobj 640 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 (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 (25)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 250.17998 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 641 0 obj 3357 endobj 642 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 (25)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 1 229.14998 769.45001 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.14998 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.78998 Tm (Audience)Tj 1 0 0 1 229.14998 723.78998 Tm (General public)Tj 1 0 0 1 31.2 700.95996 Tm (Further copies from)Tj 1 0 0 1 229.14998 700.95996 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.14998 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 1 229.14998 663.54999 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.14998 648.96997 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.14998 634.39001 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.14998 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.14998 605.22998 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.14998 590.64996 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.14998 576.07001 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.14998 561.48999 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.14998 546.90997 Tm (document specified.)Tj 1 0 0 1 31.2 524.08002 Tm (Internet address)Tj 1 0 0 1 229.14998 524.08002 Tm (www.cqc.org.uk)Tj ET endstream endobj 643 0 obj 8918 endobj 644 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 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (25)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.99608 0.9451 0.76077 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.99608 0.9451 0.76077 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.99608 0.9451 0.76077 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.99608 0.9451 0.76077 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Roxholm Hall)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Roxholm Hall)Tj 1 0 0 1 273.04999 729.03998 Tm (Roxholm)Tj 1 0 0 1 273.04999 711.45996 Tm (Sleaford)Tj 1 0 0 1 273.04999 693.88 Tm (Lincolnshire)Tj 1 0 0 1 273.04999 676.29999 Tm (NG34 8ND)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01526832128)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 273.04999 630.64001 Tm (01526834107)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 273.04999 607.81 Tm (roxholm@btconnect.com)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76077 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 1 1 1 RG 355.5 539.25 m 565.90002 539.25 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.99608 0.9451 0.76077 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 541.76996 Tm (Guardian Care Homes \(UK\) )Tj 1 0 0 1 358.35001 527.19 Tm (Limited)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (39)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 443.10001 m 565.60004 443.10001 l S 41.16 w 31.2 409.97998 m 297.20001 409.97998 l S 20.58 w 299.44998 420.26999 m 565.60004 420.26999 l S 299.44998 399.69 m 432.51999 399.69 l S 432.51999 399.69 m 565.60004 399.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 454.50998 m 567.79999 454.50998 l S 28.99001 431.67999 m 567.79999 431.67999 l S 28.99001 388.26999 m 567.79999 388.26999 l S 30.07001 455.59 m 30.07001 387.20001 l S 298.32001 432.75998 m 298.32001 387.20001 l S 566.71997 455.59 m 566.71997 387.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 438.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 415.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 415.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 394.91998 Tm (Under 65)Tj 1 0 0 1 435.37 394.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.47998 m 297.30002 373.47998 l S 299.54999 373.47998 m 431.44998 373.47998 l S 433.70001 373.47998 m 565.60004 373.47998 l S 35.16 w 31.2 343.35999 m 297.30002 343.35999 l S 299.54999 343.35999 m 431.44998 343.35999 l S 433.70001 343.35999 m 565.60004 343.35999 l S 31.2 305.94998 m 297.30002 305.94998 l S 299.54999 305.94998 m 431.44998 305.94998 l S 433.70001 305.94998 m 565.60004 305.94998 l S 0.99608 0.9451 0.76077 RG 20.58 w 31.2 275.82999 m 565.60004 275.82999 l S 0.99216 0.89804 0.5451 RG 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1 0 0 1 34.05 271.06 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76077 RG 20.58 w 31.2 249.62999 m 315.25 249.62999 l S 1 1 1 RG 317.5 249.62999 m 346.54999 249.62999 l S 348.80002 249.62999 m 377.89999 249.62999 l S 380.14999 249.62999 m 409.20001 249.62999 l S 411.44998 249.62999 m 440.54999 249.62999 l S 442.80002 249.62999 m 471.89993 249.62999 l S 474.14993 249.62999 m 503.20001 249.62999 l S 505.44998 249.62999 m 534.54999 249.62999 l S 536.79999 249.62999 m 565.90002 249.62999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 261.04001 m 568.10004 261.04001 l S 28.99001 238.20999 m 568.10004 238.20999 l S 30.07001 262.12 m 30.07001 237.12999 l S 316.37 262.12 m 316.37 237.12999 l S 347.66998 262.12 m 347.66998 237.12999 l S 379.01999 262.12 m 379.01999 237.12999 l S 410.31998 262.12 m 410.31998 237.12999 l S 441.66998 262.12 m 441.66998 237.12999 l S 473.01999 262.12 m 473.01999 237.12999 l S 504.31998 262.12 m 504.31998 237.12999 l S 535.66998 262.12 m 535.66998 237.12999 l S 567.01996 262.12 m 567.01996 237.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 244.86 Tm (\240Date of last inspection)Tj ET 0.99608 0.9451 0.76077 RG 17 w 31.2 226.34 m 565.90002 226.34 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 216.70999 m 568.10004 216.70999 l S 30.07001 217.78998 m 30.07001 39.14999 l S 567.01996 217.78998 m 567.01996 39.14999 l S 28.99001 235.95999 m 568.10004 235.95999 l S 28.99001 216.70999 m 568.10004 216.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 237.03998 m 30.07001 215.62999 l S 567.01996 237.03998 m 567.01996 215.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 222.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 222.78 Tm (care home)Tj 1 0 0 1 35.5 203.53 Tm (Roxholm Hall is a large Victorian detached property set within 7 acres o\ f its own )Tj 1 0 0 1 35.5 186.53 Tm (private grounds in a remote rural area approximately 3 miles from the ma\ rket town of )Tj 1 0 0 1 35.5 169.53 Tm (Sleaford and near to the village of Cranwell.)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The service is registered to provide personal care for 39 residents in t\ he categories of )Tj 1 0 0 1 35.5 118.53 Tm (Dementia, Mental Disorder and Old age. Accommodation is provided on two \ floors in )Tj 1 0 0 1 35.5 101.53 Tm (36 single and 1 double bedrooms all with en-suite facilities. Stairs and\ a shaft lift )Tj 1 0 0 1 35.5 84.53 Tm (serves accommodation on the first floor. There are both lounge and dinin\ g rooms on )Tj 1 0 0 1 35.5 67.53 Tm (each floor.)Tj 1 0 0 1 35.5 50.53 Tm (\240)Tj ET endstream endobj 645 0 obj 2543 endobj 646 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 (25)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 536.08002 l S 567.01996 795.47998 m 567.01996 536.08002 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 537.14996 m 568.10004 537.14996 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 (On the day of the inspection visit there were 33 people living in the ho\ me.)Tj 1 0 0 1 33.25 766.46997 Tm (\240)Tj 1 0 0 1 33.25 749.46997 Tm (Local facilities can be reached by car and in addition, staff and a loca\ l council transport )Tj 1 0 0 1 33.25 732.46997 Tm (service provide transport for residents into Sleaford and to attend othe\ r appointments.)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (The grounds are well maintained with parking for staff and visitors. The\ gardens )Tj 1 0 0 1 33.25 681.46997 Tm (include a water feature and a large brick dovecote, which is a listed bu\ ilding. The )Tj 1 0 0 1 33.25 664.46997 Tm (home's stated aims and objectives are that they believe in independence,\ )Tj 1 0 0 1 483.53 664.46997 Tm (self-)Tj 1 0 0 1 33.25 647.46997 Tm (importance)Tj 1 0 0 1 101.03 647.46997 Tm ( and dignity and provide the care and attention each resident deserves.)Tj 1 0 0 1 33.25 630.46997 Tm (\240)Tj 1 0 0 1 33.25 613.46997 Tm (Fees currently range from \243351 to \243621 each week. Extras are for h\ airdressing, )Tj 1 0 0 1 33.25 596.46997 Tm (chiropody, toiletries, personal newspapers and magazines. Information ab\ out the home )Tj 1 0 0 1 33.25 579.46997 Tm (together with the statement of purpose and service user's guide is avail\ able in the )Tj 1 0 0 1 33.25 562.46997 Tm (reception area of the home.)Tj 1 0 0 1 33.25 545.46997 Tm (\240)Tj 1 0 0 1 28.35001 525.08997 Tm (\240)Tj 1 0 0 1 28.35001 508.09 Tm (\240)Tj ET endstream endobj 647 0 obj 3510 endobj 648 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 (25)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 1 212.28998 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 31.2 249.06998 m 567.84998 249.06998 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 (This was an unannounced visit and it formed part of a key inspection, fo\ cusing on key )Tj 1 0 0 1 35.17 206.90001 Tm (standards, which have the potential to affect the health, safety and wel\ fare of people )Tj 1 0 0 1 35.17 192.31999 Tm (who use the service. Throughout this report the terms we and us refer to\ The Care )Tj 1 0 0 1 35.17 177.73999 Tm (Quality Commission \(CQC\). The visit lasted approximately three hours a\ nd we took into )Tj 1 0 0 1 35.17 163.14998 Tm (account previous information held by us including the previous inspectio\ n report, their )Tj 1 0 0 1 35.17 148.56999 Tm (service history and records of any incidents that we had been notified o\ f since the last )Tj 1 0 0 1 35.17 133.98999 Tm (inspection.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Before we made our visit the provider had returned the Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\). This gave us information about their own assessment\ of how well )Tj 1 0 0 1 35.17 75.68001 Tm (they are meeting standards and their plans to improve aspects of the ser\ vice. We sent )Tj ET endstream endobj 649 0 obj 1041 endobj 650 0 obj<>stream 1 1 1 RG 1 i 105.06 w 10 M 0 j 0 J []0 d 32.32001 760 m 566.71997 760 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 706.33997 m 568.91998 706.33997 l S 31.2 814.72998 m 31.2 705.26996 l S 567.84998 814.72998 m 567.84998 705.26996 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 (out surveys to people before we visited the service.)Tj 1 0 0 1 32.92 788.13995 Tm (The main method used to carry out the inspection is called case tracking\ , which )Tj 1 0 0 1 32.92 773.56 Tm (includes following the care of a sample of four people through their rec\ ords and )Tj 1 0 0 1 32.92 758.97998 Tm (assessing their care. We spoke to two people who use the service and saw\ rooms of )Tj 1 0 0 1 32.92 744.40002 Tm (those people who said we could and to one staff member. The manager and \ deputy )Tj 1 0 0 1 32.92 729.82001 Tm (manager were present throughout the visit and the general outcomes of th\ e visit were )Tj 1 0 0 1 32.92 715.23999 Tm (discussed with them.)Tj ET endstream endobj 651 0 obj 5164 endobj 652 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 (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.35999 m 567.84998 803.35999 l S 210.12 w 32.32001 685.76001 m 566.71997 685.76001 l S 20.58 w 32.7 568.15997 m 569.34998 568.15997 l S 78.90001 w 33.82001 516.16998 m 568.21997 516.16998 l S 20.58 w 33.45 464.17999 m 570.10004 464.17999 l S 49.74001 w 34.57001 426.76999 m 568.96997 426.76999 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 30.12 579.58002 m 568.91998 579.58002 l S 31.2 793.02997 m 31.2 578.5 l S 31.2 579.58002 m 569.34998 579.58002 l S 32.7 556.75 m 569.34998 556.75 l S 31.62 556.75 m 570.41998 556.75 l S 31.62 475.60001 m 570.41998 475.60001 l S 33.45 452.76999 m 570.10004 452.76999 l S 33.45 475.60001 m 570.10004 475.60001 l S 32.37 452.76999 m 571.16998 452.76999 l S 32.37 400.78 m 571.16998 400.78 l S 32.7 557.83002 m 32.7 474.51999 l S 33.45 453.84998 m 33.45 399.70001 l S 567.84998 793.02997 m 567.84998 578.5 l S 569.34998 557.83002 m 569.34998 474.51999 l S 570.10004 453.84998 m 570.10004 399.70001 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 (The home is in a rural part of the countryside and provides care in a qu\ iet and peaceful )Tj 1 0 0 1 35.17 761.17999 Tm (setting. A visitor commented upon this as one reason for choosing the ho\ me.)Tj 1 0 0 1 35.17 746.60004 Tm (People are cared for in a clean and comfortable environment and the home\ is )Tj 1 0 0 1 35.17 732.01996 Tm (decorated to a good standard.)Tj 1 0 0 1 35.17 717.44 Tm (All people spoken with made positive comments about the care they receiv\ ed; one said )Tj 1 0 0 1 35.17 702.85999 Tm (I cant fault it and another said The staff are what keep me going, they'\ re always )Tj 1 0 0 1 35.17 688.27997 Tm (cheerful. The staff group is well trained and knowledgeable about the pe\ ople living at )Tj 1 0 0 1 35.17 673.70001 Tm (the home and how they prefer to be cared for.)Tj 1 0 0 1 35.17 659.12 Tm (The manager has made many positive changes since she was apopinted two y\ ears ago )Tj 1 0 0 1 35.17 644.53998 Tm (and both staff and visitors praised her approach. There is a very stable\ staff group who )Tj 1 0 0 1 35.17 629.95996 Tm (know the needs of the peoplethey care for well and encourage confidence \ in them.)Tj 1 0 0 1 35.17 615.38 Tm (People are encouraged to make choices about their daily lifestyles and i\ ndividual likes )Tj 1 0 0 1 35.17 600.79999 Tm (and dislikes are catered for.)Tj 1 0 0 1 35.17 586.21997 Tm (Quality assurance is very thorough and ensures that the views of people \ are heard.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 684.20996 Tm (\240)Tj 1 0 0 1 31.2 566.04999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 563.39001 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 566.60999 Tm (\240)Tj 1 0 0 1 31.2 514.62 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 540.56 Tm (Care plans are now in more detail and contain more information to enable\ staff to meet )Tj 1 0 0 1 36.67 525.97998 Tm (the needs of people.)Tj 1 0 0 1 36.67 511.39987 Tm (The home has an extensive training record and plan.)Tj 1 0 0 1 36.67 496.81998 Tm (Bathrooms have been completely refurbished, windows have been replaced a\ nd there )Tj 1 0 0 1 36.67 482.23999 Tm (are new carpets and furniture in many rooms. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 514.62 Tm (\240)Tj 1 0 0 1 31.2 462.63 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 459.41 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 425.22 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 436.57999 Tm (The building suffers from an ongoing problem with flies in the summer, d\ ue to its )Tj 1 0 0 1 37.42 422 Tm (situation. The manager already has plans to provide fly screens to all o\ pening windows )Tj 1 0 0 1 37.42 407.41998 Tm (shortly.)Tj 1 0 0 1 28.35001 385.09 Tm (\240)Tj 1 0 0 1 28.35001 365.10001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 365.10001 Tm (care home)Tj 1 0 0 1 480.03998 365.10001 Tm ( is taking )Tj 1 0 0 1 28.35001 347.60001 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35001 327.60999 Tm (\240)Tj 1 0 0 1 28.35001 307.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 307.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 307.60999 Tm (You can get )Tj 1 0 0 1 28.35001 290.10999 Tm (printed copies from )Tj 1 0 0 1 149.87 290.10999 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.39993 290.10999 Tm (0870 240 )Tj 1 0 0 1 28.35001 272.62 Tm (7535.)Tj ET endstream endobj 653 0 obj 2093 endobj 654 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 (25)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 655 0 obj 5443 endobj 656 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 (10)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 (25)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 1 250.50998 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 490.16995 m 565.84998 490.16995 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 154.97 w 33.45 351.25 m 563.64996 351.25 l S 1 1 1 RG 22.5 w 31.2 419.72998 m 565.90002 419.72998 l S 132.47 w 32.32001 340 m 564.77997 340 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 31.2 271.56 l S 565.90002 408.44 m 565.90002 271.56 l S 31.2 407.35999 m 565.90002 407.35999 l S 30.12 272.63998 m 566.97998 272.63998 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (People who use this service have good information about the home in orde\ r to make )Tj 1 0 0 1 35.47 316.69 Tm (an informed decision about whether the service is right for them. The ho\ me does not )Tj 1 0 0 1 35.47 299.20001 Tm (provide intermediate care.)Tj 1 0 0 1 35.47 281.70001 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.53998 w 33.45 157.5 m 563.64996 157.5 l S 1 1 1 RG 22.5 w 31.2 237.76999 m 565.90002 237.76999 l S 157.17 w 32.32001 145.69 m 564.77997 145.69 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 225.40001 m 566.97998 225.40001 l S 31.2 226.47 m 31.2 64.90001 l S 565.90002 226.47 m 565.90002 64.90001 l S 31.2 225.40001 m 565.90002 225.40001 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.45999 Tm (Evidence:)Tj 1 0 0 1 35.47 209.70999 Tm (The manager confirmed that she or the deputy manager always visited pros\ pective )Tj 1 0 0 1 35.47 192.22 Tm (residents at home or in a care setting such as a hospital to undertake a\ thorough )Tj 1 0 0 1 35.47 174.72 Tm (assessment of all their care needs. Records we saw confirmed this.)Tj 1 0 0 1 35.47 157.22 Tm (We saw written admission documentation that was comprehensive and clear,\ giving )Tj 1 0 0 1 35.47 139.73 Tm (staff the information they needed to meet the needs of people.)Tj 1 0 0 1 35.47 122.23 Tm (The statement of purpose we saw was very comprehensive and contained the\ service )Tj 1 0 0 1 35.47 104.74001 Tm (user guide, terms and conditions and contracts. It was in large print fo\ r people with )Tj 1 0 0 1 35.47 87.24001 Tm (poor eyesight to read easily. The manager said it was sent to all people\ making )Tj ET endstream endobj 657 0 obj 1461 endobj 658 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (enquiries.)Tj 1 0 0 1 33.22 761.60004 Tm (A resident we spoke with described how he had visited for the day before\ he was sure )Tj 1 0 0 1 33.22 744.10999 Tm (she wanted to move in permanently. A relative told us that this home had\ been chosen )Tj 1 0 0 1 33.22 726.60999 Tm (because her relative had been in two other local homes and this was the \ best.)Tj 1 0 0 1 33.22 709.10999 Tm (A staff member described the admission process and the importance of mak\ ing new )Tj 1 0 0 1 33.22 691.62 Tm (residents and their families welcomed.)Tj ET endstream endobj 659 0 obj 5430 endobj 660 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 (25)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 1 250.50998 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 137.47 w 33.45 394 m 563.64996 394 l S 1 1 1 RG 22.5 w 31.2 453.72998 m 565.90002 453.72998 l S 114.98 w 32.32001 382.75 m 564.77997 382.75 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 31.2 323.06 l S 565.90002 442.44 m 565.90002 323.06 l S 31.2 441.35999 m 565.90002 441.35999 l S 30.12 324.13998 m 566.97998 324.13998 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 (Care plans are in enough detail to ensure that the health care needs of \ people can be )Tj 1 0 0 1 35.47 350.69 Tm (met.)Tj 1 0 0 1 35.47 333.20001 Tm (There are safe medicine practices in the home.)Tj ET 0.99608 0.9451 0.76077 RG 219.95 w 33.45 188.28998 m 563.64996 188.28998 l S 1 1 1 RG 22.5 w 31.2 289.26999 m 565.90002 289.26999 l S 197.45999 w 32.32001 177.03998 m 564.77997 177.03998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 276.88998 m 566.97998 276.88998 l S 31.2 277.97 m 31.2 76.11 l S 565.90002 277.97 m 565.90002 76.11 l S 31.2 276.88998 m 565.90002 276.88998 l S 30.12 77.19 m 566.97998 77.19 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.20999 Tm (Care plans we saw contained information about the health and personal ca\ re needs of )Tj 1 0 0 1 35.47 243.70999 Tm (people. They were reviewed regularly and signed where possible by people\ or their )Tj 1 0 0 1 35.47 226.22 Tm (relatives or advocates.)Tj 1 0 0 1 35.47 208.72 Tm (We saw a medication policy that was clear and comprehensive. The pharmac\ ist visited )Tj 1 0 0 1 35.47 191.22 Tm (regularly, the last visit being on 14th May 2009 and no issues were iden\ tified. One )Tj 1 0 0 1 35.47 173.73 Tm (person took their own medication and this was well recorded, with letter\ s from the )Tj 1 0 0 1 35.47 156.23 Tm (person and the GP confirming ability to do this. People received regular\ visits from )Tj 1 0 0 1 35.47 138.73999 Tm (district nurses, Macmillan nurses, CPNs and other agencies involved with\ their care. A )Tj 1 0 0 1 35.47 121.24001 Tm (visiting chiropodist said that the service offered a high standard of he\ alth care.)Tj 1 0 0 1 35.47 103.74001 Tm (We saw staff carrying out their duties with kindness and sensitivity tow\ ards people, )Tj 1 0 0 1 35.47 86.25 Tm (especially when attending to their personal needs.)Tj ET endstream endobj 661 0 obj 397 endobj 662 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 (25)Tj ET endstream endobj 663 0 obj 5585 endobj 664 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 (25)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 1 250.50998 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 500.67996 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 119.98 w 33.45 436.73999 m 563.64996 436.73999 l S 1 1 1 RG 22.5 w 31.2 487.72998 m 565.90002 487.72998 l S 97.48 w 32.32001 425.5 m 564.77997 425.5 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 31.2 374.54999 l S 565.90002 476.44 m 565.90002 374.54999 l S 31.2 475.35999 m 565.90002 475.35999 l S 30.12 375.63 m 566.97998 375.63 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 (good)Tj 0 Tr 1 0 0 1 291.76999 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 (Social activities are regular and are tailored to suit the individual ne\ eds of residents. )Tj 1 0 0 1 35.47 384.69 Tm (People have a choice of meals from a balanced and varied menu.)Tj ET 0.99608 0.9451 0.76077 RG 281.54001 w 33.45 208.98999 m 563.64996 208.98999 l S 1 1 1 RG 22.5 w 31.2 340.75998 m 565.90002 340.75998 l S 260.16 w 32.32001 197.17998 m 564.77997 197.17998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 328.38998 m 566.97998 328.38998 l S 31.2 329.47 m 31.2 64.90001 l S 565.90002 329.47 m 565.90002 64.90001 l S 31.2 328.38998 m 565.90002 328.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 337.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 312.70001 Tm (We found that the home has two activities coordinators, who provide a va\ riety of )Tj 1 0 0 1 35.47 295.20999 Tm (activities from Monday to Friday for residents including entertainers, i\ ndoor games )Tj 1 0 0 1 35.47 277.70999 Tm (such as board and card games and trips to local pubs and shops. On the d\ ay of the )Tj 1 0 0 1 35.47 260.22 Tm (inspection people were making scones with the activities co-ordinator an\ d having )Tj 1 0 0 1 35.47 242.72 Tm (memory activity in one of the two activities rooms, one upstairs and one\ down. People )Tj 1 0 0 1 35.47 225.22 Tm (we spoke with all said they had a choice of whether or not to take part.\ Some told us )Tj 1 0 0 1 35.47 207.73 Tm (they preferred to sit in a quiet lounge instead and one said she went on\ regular )Tj 1 0 0 1 35.47 190.23 Tm (outings with the local transport services. The activities programme is o\ n the notice )Tj 1 0 0 1 35.47 172.73999 Tm (board and various places around the building, to ensure that all residen\ ts are kept )Tj 1 0 0 1 35.47 155.23999 Tm (informed.)Tj 1 0 0 1 35.47 137.73999 Tm (People we spoke with all said they enjoyed the meals served; one said th\ e mid-day )Tj 1 0 0 1 35.47 120.25 Tm (meal was marvellous and another that there was good food, variety and pl\ enty of it. )Tj 1 0 0 1 35.47 102.75 Tm (The menu for the week was displayed in the dining room and offered alter\ native )Tj 1 0 0 1 35.47 85.25999 Tm (choices of meals. The home employs a cook and two kitchen assistants. Al\ l have )Tj ET endstream endobj 665 0 obj 1080 endobj 666 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (advanced food hygiene qualifications and the National Vocational Qualifi\ cation in )Tj 1 0 0 1 33.22 761.60004 Tm (nutrition and food hygiene at Level 2. )Tj ET endstream endobj 667 0 obj 5120 endobj 668 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 (25)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 1 250.50998 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 137.47 w 33.45 479 m 563.64996 479 l S 1 1 1 RG 22.5 w 31.2 538.72998 m 565.90002 538.72998 l S 114.98 w 32.32001 467.75 m 564.77997 467.75 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 31.2 408.06 l S 565.90002 527.44 m 565.90002 408.06 l S 31.2 526.35999 m 565.90002 526.35999 l S 30.12 409.13998 m 566.97998 409.13998 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.41998 Tm (Judgement:)Tj 1 0 0 1 35.47 510.67996 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.01999 510.67996 Tm (good)Tj 0 Tr 1 0 0 1 291.76999 510.67996 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 (The procedures for addressing complaints and for protection from abuse a\ re clear. )Tj 1 0 0 1 35.47 435.69 Tm (People and their families are confident that their comments and concerns\ will be )Tj 1 0 0 1 35.47 418.20001 Tm (listened to.)Tj ET 0.99608 0.9451 0.76077 RG 237.45 w 33.45 264.54001 m 563.64996 264.54001 l S 1 1 1 RG 22.5 w 31.2 374.26999 m 565.90002 374.26999 l S 214.95 w 32.32001 253.28998 m 564.77997 253.28998 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 361.88998 m 566.97998 361.88998 l S 31.2 362.97 m 31.2 143.61 l S 565.90002 362.97 m 565.90002 143.61 l S 31.2 361.88998 m 565.90002 361.88998 l S 30.12 144.69 m 566.97998 144.69 l S BT /T1_0 12 Tf 1 0 0 1 31.2 370.94998 Tm (Evidence:)Tj 1 0 0 1 35.47 346.20999 Tm (People spoken with said they did not wish to complain but knew how to ma\ ke a )Tj 1 0 0 1 35.47 328.70999 Tm (complaint. The home had an up to date copy of the Local Authority adult \ protection )Tj 1 0 0 1 35.47 311.22 Tm (procedures; staff members said they had read it. The training programme \ showed that )Tj 1 0 0 1 35.47 293.72 Tm (there was a rolling training course for staff on POVA and safeguarding a\ dults. Staff )Tj 1 0 0 1 35.47 276.22 Tm (members spoken with knew what to do in the event of a serious concern.Th\ e manager )Tj 1 0 0 1 35.47 258.72998 Tm (said that residents and their families were regularly asked for their vi\ ews regarding the )Tj 1 0 0 1 35.47 241.23 Tm (running of the home. A resident said I am sure that if I had a complaint\ the manager )Tj 1 0 0 1 35.47 223.73999 Tm (would see to it and visitors spoken with said that they were given infor\ mation on how )Tj 1 0 0 1 35.47 206.23999 Tm (to make complaints. Since the last inspection there had been one complai\ nt which was )Tj 1 0 0 1 35.47 188.73999 Tm (unsubstantiated. The manager said that complaints were audited by head o\ ffice and )Tj 1 0 0 1 35.47 171.25 Tm (we saw a suggestions and comments box in the reception area for visitors\ to use.)Tj 1 0 0 1 35.47 153.75 Tm (Staff spoken with confirmed that they had received training in safeguard\ ing adults. )Tj ET endstream endobj 669 0 obj 5361 endobj 670 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 (25)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 1 250.50998 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 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 (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 (People live in a comfortable and pleasant environment with both private \ and )Tj 1 0 0 1 35.47 418.69 Tm (communal space that is generally suitable for their needs.)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 214.17998 m 564.77997 214.17998 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 (Overall, the standard of decoration internal was high and afforded resid\ ents a good )Tj 1 0 0 1 35.47 329.20999 Tm (degree of comfort.)Tj 1 0 0 1 35.47 311.70999 Tm (The gardens were well maintained and offered pleasant places for people \ to sit out in )Tj 1 0 0 1 35.47 294.22 Tm (good weather.)Tj 1 0 0 1 35.47 276.72 Tm (Staff described how any maintenance issues were addressed quickly by the\ )Tj 1 0 0 1 35.47 259.22 Tm (maintenance personnel.)Tj 1 0 0 1 35.47 241.73 Tm (There were a large number of flies in the building; this is because ther\ e is a chicken )Tj 1 0 0 1 35.47 224.23 Tm (farm nearby. The manager has made all attempts to keep flies from enteri\ ng the )Tj 1 0 0 1 35.47 206.73999 Tm (building, including 'insectocutors', sticky tape strips and fly screens \ in the kitchen. In )Tj 1 0 0 1 35.47 189.23999 Tm (the next few weeks fly screens are to be put up at all opening windows i\ n the building. )Tj 1 0 0 1 35.47 171.73999 Tm (Work has commenced on replacing the windows with double glazed units. Th\ e boiler )Tj 1 0 0 1 35.47 154.25 Tm (has been replaced and staff said control of heating in the building was \ much better. )Tj 1 0 0 1 35.47 136.75 Tm (The bathrooms on the ground floor as also due to be completely refurbish\ ed to bring )Tj 1 0 0 1 35.47 119.25999 Tm (them up to standard with those on the first floor, which are newly refur\ bished and )Tj 1 0 0 1 35.47 101.75999 Tm (decorated with seaside themes.)Tj 1 0 0 1 35.47 84.25999 Tm (There were safety notices around the building to prevent the spread of i\ nfection and )Tj ET endstream endobj 671 0 obj 1483 endobj 672 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 128.84999 w 33.45 746.97998 m 563.64996 746.97998 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 107.48 w 32.32001 735.16998 m 564.77997 735.16998 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 31.2 679.22998 l S 565.90002 791.10999 m 565.90002 679.22998 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 680.31 m 566.97998 680.31 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 (COSHH regulations were observed throughout.)Tj 1 0 0 1 33.22 761.60004 Tm (Although the building has different levels and steps throughout there is\ a lift and a )Tj 1 0 0 1 33.22 744.10999 Tm (stair lift to enable people to access the whole building.)Tj 1 0 0 1 33.22 726.60999 Tm (The most recent visit from the Environmental Health Officer found no iss\ ues of concern )Tj 1 0 0 1 33.22 709.10999 Tm (and the service had been awarded four stars in their award scheme.)Tj 1 0 0 1 33.22 691.62 Tm (The building smelled clean and on the whole fresh throughout. )Tj ET endstream endobj 673 0 obj 5621 endobj 674 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 (25)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 1 250.50998 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 (excellent)Tj 0 Tr 1 0 0 1 315.95999 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 (Staff numbers are in sufficient quantity for them to be able to care for\ people. Staff )Tj 1 0 0 1 35.47 418.69 Tm (members are suitably trained, qualified and competent.)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 214.17998 m 564.77997 214.17998 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 (There was a minimum of )Tj /TT0 12 Tf (5)Tj /T1_0 12 Tf ( staff for )Tj /TT0 12 Tf (36)Tj /T1_0 12 Tf ( people. In addition the manager and deputy )Tj /TT0 12 Tf -7.37 -24.74997 Td ( )Tj /T1_0 12 Tf (manager could assist during busy periods, although)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf (they said that at present )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (this was not necessary.)Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (The home also employed a cook and domestic staff. There were no vacancie\ s at )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (present.)Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (The manager said that by October 2008, 100% of staff members would have \ a )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (National Vocational Qualification [a nationally recognised qualification\ ]. Six members )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (of staff have recently achieved NVQ at Level )Tj /TT0 12 Tf (2)Tj /T1_0 12 Tf (, and three staff members had )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (achieved Level )Tj /TT0 12 Tf (3)Tj /T1_0 12 Tf (.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (The most recent staff member to be employed described how she had an int\ erview, )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (gave three references and underwent CRB/POVA checks. She was still under\ taking the )Tj /TT0 12 Tf 0 -17.48999 TD ( )Tj /T1_0 12 Tf (induction course. Staff records confirmed this.)Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (Staff training records demonstrated that statutory training has been und\ ertaken and )Tj /TT0 12 Tf 0 -17.49001 TD ( )Tj /T1_0 12 Tf (we saw a training programme thatincluded external and in-house training.\ Records )Tj /TT0 12 Tf 0 -17.5 TD ( )Tj /T1_0 12 Tf (showed that staff received regular supervision and were minutes of regul\ ar staff )Tj /TT0 12 Tf T* ( )Tj /T1_0 12 Tf (meetings.)Tj ET endstream endobj 675 0 obj 1050 endobj 676 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 58.86 w 33.45 781.96997 m 563.64996 781.96997 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 37.49001 w 32.32001 770.15997 m 564.77997 770.15997 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 31.2 749.20996 l S 565.90002 791.10999 m 565.90002 749.20996 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 750.28998 m 566.97998 750.28998 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 (We saw records that showed very little staff turnover and staff spoken w\ ith confirmed )Tj 1 0 0 1 33.22 761.60004 Tm (this.)Tj ET endstream endobj 677 0 obj 5433 endobj 678 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 (25)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 1 250.50998 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 507.16995 m 565.84998 507.16995 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 119.98 w 33.45 385.73999 m 563.64996 385.73999 l S 1 1 1 RG 22.5 w 31.2 436.72998 m 565.90002 436.72998 l S 97.48 w 32.32001 374.5 m 564.77997 374.5 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 31.2 323.54999 l S 565.90002 425.44 m 565.90002 323.54999 l S 31.2 424.35999 m 565.90002 424.35999 l S 30.12 324.63 m 566.97998 324.63 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 very managed and the health, safety and welfare of people ar\ e promoted. )Tj 1 0 0 1 35.47 333.69 Tm (The views of people are listened to and they are involved in decisions a\ ffecting them.)Tj ET 0.99608 0.9451 0.76077 RG 230.53998 w 33.45 183.48999 m 563.64996 183.48999 l S 1 1 1 RG 22.5 w 31.2 289.75998 m 565.90002 289.75998 l S 209.15999 w 32.32001 171.67999 m 564.77997 171.67999 l S 0.99216 0.89804 0.5451 RG 2.25 w 30.12 277.38998 m 566.97998 277.38998 l S 31.2 278.47 m 31.2 64.90001 l S 565.90002 278.47 m 565.90002 64.90001 l S 31.2 277.38998 m 565.90002 277.38998 l S 30.12 65.97 m 566.97998 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 286.44998 Tm (Evidence:)Tj 1 0 0 1 35.47 261.70001 Tm (The manager has been in post for almost 3 years and is a trained nurse. \ She and the )Tj 1 0 0 1 35.47 244.20999 Tm (deputy manager are currently working towards a diploma in leadership and\ )Tj 1 0 0 1 35.47 226.70999 Tm (management. The manager runs a monthly surgery for people and families/a\ dvocates )Tj 1 0 0 1 35.47 209.22 Tm (which is advertised in the reception area and she is also available one \ weekend every )Tj 1 0 0 1 35.47 191.72 Tm (month.)Tj 1 0 0 1 35.47 174.22 Tm (One resident liked the surgery and found it very useful for discussing a\ ll kinds of )Tj 1 0 0 1 35.47 156.73 Tm (issues.)Tj 1 0 0 1 35.47 139.23 Tm (People we spoke with all made positive comments about the way the manage\ r ran the )Tj 1 0 0 1 35.47 121.74001 Tm (home, finding her approachable and and very supportive; one visitor said\ 'I couldn't )Tj 1 0 0 1 35.47 104.24001 Tm (speak highly enough of her'.)Tj 1 0 0 1 35.47 86.74001 Tm (There is a sound quality assurance procedure, with separate questionnair\ es for people, )Tj ET endstream endobj 679 0 obj 2242 endobj 680 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 (25)Tj ET 0.99608 0.9451 0.76077 RG 251.31998 w 33.45 685.73999 m 563.64996 685.73999 l S 1 1 1 RG 22.5 w 31.2 802.40997 m 565.90002 802.40997 l S 229.95 w 32.32001 673.92999 m 564.77997 673.92999 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 31.2 556.76001 l S 565.90002 791.10999 m 565.90002 556.76001 l S 31.2 790.02997 m 565.90002 790.02997 l S 30.12 557.83997 m 566.97998 557.83997 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 (their relatives/visitors, staff and visiting professionals. The findings\ are discussed and )Tj 1 0 0 1 33.22 761.60004 Tm (acted upon with the area manager, who visits monthly. The latest results\ are also )Tj 1 0 0 1 33.22 744.10999 Tm (displayed in the reception area for visitors to see.)Tj 1 0 0 1 33.22 726.60999 Tm (Health and safety policies were well documented and showed a clear commi\ tment to )Tj 1 0 0 1 33.22 709.10999 Tm (ensuring the wellbeing of people. Records were very well maintained.)Tj 1 0 0 1 33.22 691.62 Tm (We saw minutes of the last residents meeting and this showed that reside\ nts have a )Tj 1 0 0 1 33.22 674.12 Tm (voice and feel free to express opinions. There is an active committee to\ raise money )Tj 1 0 0 1 33.22 656.63 Tm (for events and activities.)Tj 1 0 0 1 33.22 639.13 Tm (There are a range of policies and procedures available in the home relat\ ing to fire )Tj 1 0 0 1 33.22 621.63 Tm (safety and fire risk assessments. The homes pre-inspection questionnaire\ evidenced )Tj 1 0 0 1 33.22 604.14001 Tm (that fire alarm, fire drills and emergency lighting checks have been und\ ertaken. We )Tj 1 0 0 1 33.22 586.64001 Tm (saw records to show that maintenance and service histories of all aids a\ nd adaptations )Tj 1 0 0 1 33.22 569.14996 Tm (had been carried out. )Tj ET endstream endobj 681 0 obj 3079 endobj 682 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 (23)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 (25)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 199.64998 631.95001 m 289.5 631.95001 l S 291.75 631.95001 m 473.89993 631.95001 l S 476.14993 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 683 0 obj 4454 endobj 684 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 (24)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 (25)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 0.76077 RG 52.74001 w 31.2 748.58997 m 566.20001 748.58997 l S 30.3 w 31.2 704.82001 m 91 704.82001 l S 93.25 704.82001 m 197.40001 704.82001 l S 199.64998 704.82001 m 289.5 704.82001 l S 291.75 704.82001 m 473.89993 704.82001 l S 476.14993 704.82001 m 566.20001 704.82001 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 66.74001 w 31.2 616.67999 m 566.20001 616.67999 l S 30.3 w 31.2 565.90997 m 91 565.90997 l S 93.25 565.90997 m 197.40001 565.90997 l S 199.64998 565.90997 m 289.5 565.90997 l S 291.75 565.90997 m 473.89993 565.90997 l S 476.14993 565.90997 m 566.20001 565.90997 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 582.17999 m 568.40002 582.17999 l S 28.99001 651.16998 m 568.40002 651.16998 l S 28.99001 582.17999 m 568.40002 582.17999 l S 28.99001 549.63 m 568.40002 549.63 l S 30.07001 652.25 m 30.07001 548.56 l S 92.12 583.26001 m 92.12 548.56 l S 198.51999 583.26001 m 198.51999 548.56 l S 290.62 583.26001 m 290.62 548.56 l S 475.01999 583.26001 m 475.01999 548.56 l S 567.32001 652.25 m 567.32001 548.56 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 637.98999 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 617.98999 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 603.40997 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 603.40997 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 588.83002 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 571.01001 Tm (No.)Tj 1 0 0 1 96.10001 568.01001 Tm (Standard)Tj 1 0 0 1 202.5 568.01001 Tm (Regulation)Tj 1 0 0 1 294.60001 568.01001 Tm (Requirement)Tj 1 0 0 1 479 568.01001 Tm (Timescale for )Tj 1 0 0 1 479 555.85999 Tm (action)Tj ET 0.99608 0.9451 0.76077 RG 67.32001 w 31.2 477.47 m 566.20001 477.47 l S 18.14999 w 31.2 432.48999 m 91 432.48999 l S 93.25 432.48999 m 197.40001 432.48999 l S 199.64998 432.48999 m 566.20001 432.48999 l S 0.99216 0.89804 0.5451 RG 2.25 w 28.99001 442.69 m 568.40002 442.69 l S 28.99001 512.26001 m 568.40002 512.26001 l S 28.99001 442.69 m 568.40002 442.69 l S 28.99001 422.28998 m 568.40002 422.28998 l S 30.07001 513.33997 m 30.07001 421.20999 l S 92.12 443.76999 m 92.12 421.20999 l S 198.51999 443.76999 m 198.51999 421.20999 l S 567.32001 513.33997 m 567.32001 421.20999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 496.06998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 478.48999 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 449.32999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 31.2 431.50998 Tm (No.)Tj 1 0 0 1 96.10001 428.50998 Tm (Refer to Standard)Tj 1 0 0 1 202.5 428.50998 Tm (Good Practice Recommendations)Tj ET endstream endobj 685 0 obj 2044 endobj 686 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 (25)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 (25)Tj ET 0.98431 0.78824 0.08627 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 100.11 759.60004 Tm (03000 616161 or )Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Textphone:)Tj 0 Tr 1 0 0 1 101.5 739.60004 Tm (or )Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Email:)Tj 0 Tr 1 0 0 1 71.07001 719.60999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 699.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 699.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 679.60999 Tm (\240)Tj 1 0 0 1 28.35001 659.62 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35001 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 1 0 0 1 28.35001 567.63 Tm (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 1 0 0 1 28.35001 550.14001 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 532.64001 Tm (misleading context. 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