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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 1 0 0 1 28.35 503.98 Tm (Care homes for older people)Tj ET /F1 6 Tf BT 1 0 0 1 28.35 492.94 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 485.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 471.92 m 160.38 471.92 l S 0.001 w 1 1 1 RG 20.58 w 162.63 471.92 m 563.65 471.92 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 422.71 m 160.38 422.71 l S 0.001 w 1 1 1 RG 73.33 w 162.63 422.71 m 563.65 422.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.33 m 565.85 483.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 384.92 m 565.85 384.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.41 m 30.07 383.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.41 m 161.5 383.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.41 m 564.78 383.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 467.14 Tm (Name:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 467.14 Tm (Westerlands Care Centre)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 444.31 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 444.31 Tm (Elloughton Road )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 426.73 Tm (Brough)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 409.15 Tm (East Yorkshire)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 391.56 Tm (HU15 1AP)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 372.67 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 355.67 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.13 m 358.95 336.13 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.13 m 565.9 336.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 347.54 m 568.1 347.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.71 m 568.1 324.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 348.62 m 30.07 323.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 348.62 m 360.07 323.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 348.62 m 567.02 323.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 331.36 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 331.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 331.36 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 400.15 331.36 Tm (two star good service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 312.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 293.4 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 276.4 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 276.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 276.4 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 259.4 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 259.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 259.4 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 242.4 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 224.92 m 315.25 224.92 l S 0.001 w 20.58 w 317.5 224.92 m 565.9 224.92 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.09 m 346.55 202.09 l S 0.001 w 20.58 w 348.8 202.09 m 377.9 202.09 l S 0.001 w 20.58 w 380.15 202.09 m 409.2 202.09 l S 0.001 w 20.58 w 411.45 202.09 m 440.55 202.09 l S 0.001 w 20.58 w 442.8 202.09 m 471.9 202.09 l S 0.001 w 20.58 w 474.15 202.09 m 503.2 202.09 l S 0.001 w 20.58 w 505.45 202.09 m 534.55 202.09 l S 0.001 w 20.58 w 536.8 202.09 m 565.9 202.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 213.5 m 568.1 213.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.34 m 568.1 236.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.5 m 568.1 213.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.67 m 568.1 190.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.41 m 30.07 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.41 m 316.37 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 214.58 m 347.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 214.58 m 379.02 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 214.58 m 410.32 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 214.58 m 441.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 214.58 m 473.02 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 214.58 m 504.32 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 214.58 m 535.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.41 m 567.02 189.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 220.15 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 220.15 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 197.31 Tm (Jo Bell)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 197.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 197.31 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 197.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 197.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 197.31 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 178.42 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 161.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.35 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.28 Tm ()Tj ET endstream endobj 7 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 11 0 obj<>>> endobj 12 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (2)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (25)Tj ET /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.02 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F3 12 Tf BT 1 0 0 1 428.23 787.02 Tm (care home is meeting )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.52 Tm (the needs of people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 226.59 769.52 Tm (There is a summary of what we think this service does )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 752.02 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 734.52 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 717.03 Tm (experience.)Tj ET /F3 12 Tf BT 1 0 0 1 106.58 717.03 Tm (National minimum standards are written by the Department of Health for )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.53 Tm (each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.53 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.03 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.84 m 572.15 653.84 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.16 m 572.15 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.85 m 22.7 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.85 m 572.15 320.16 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 31.2 640.54 Tm (Outcome area \(for example )Tj ET /F2 10 Tf BT 1 0 0 1 189.13 640.54 Tm (Choice of home\))Tj ET /F2 10 Tf BT 1 0 0 1 31.2 610.24 Tm (These are the outcomes that people )Tj ET /F2 10 Tf BT 1 0 0 1 236.38 610.24 Tm (staying in care homes should experience.)Tj ET /F2 10 Tf BT 1 0 0 1 479.51 610.24 Tm (They reflect )Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.08 Tm (the things that people have said are important to them:)Tj ET 1 0.9451 0.76078 RG 82.25 w 30.6 533.34 m 562.45 533.34 l S 0.001 w 1 1 1 RG 40 w 29.47 513.34 m 563.57 513.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.71 m 565.77 576.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.21 m 565.77 492.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.78 m 28.35 491.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.78 m 564.7 491.14 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 561.02 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 543.52 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.79 543.52 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 518.77 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 501.27 Tm (key inspection.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.76 Tm (This is what people )Tj ET /F2 10 Tf BT 1 0 0 1 143.21 461.76 Tm (staying in this care home experience:)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 424.6 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 40 w 30.6 393.29 m 562.45 393.29 l S 0.001 w 1 1 1 RG 40 w 29.47 394.41 m 563.57 394.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.54 m 565.77 415.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.29 m 565.77 373.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.61 m 28.35 372.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.61 m 564.7 372.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 399.85 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.65 399.85 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 382.35 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 356.47 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.91 m 562.45 333.91 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.04 m 563.57 335.04 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.41 m 565.77 347.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.66 m 565.77 322.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.49 m 28.35 321.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.49 m 564.7 321.59 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 331.72 Tm (This box describes the information we used to come to our judgement.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 285.1 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.81 285.1 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.54 285.1 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.39 285.1 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.19 285.1 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 232.6 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.68 232.6 Tm (www.tso.co.uk/bookshop)Tj ET [] 0 d 0.708 w 0 0 1 RG 238.68 231.55 m 390.93 231.55 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.61 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 172.61 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 172.61 Tm (Put the people who use social care first)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 154.97 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 154.97 Tm (Improve services and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 137.33 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 137.33 Tm (Be an expert voice on social care)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 119.69 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 119.69 Tm (Practise what we preach in our own organisation)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 79.55 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (3)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (25)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.38 m 224.05 751.38 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.38 m 567 751.38 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.55 m 224.05 728.55 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.55 m 567 728.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.72 m 224.05 705.72 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.72 m 567 705.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.83 w 28.35 617.26 m 224.05 617.26 l S 0.001 w 1 1 1 RG 151.83 w 226.3 617.26 m 567 617.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.8 m 224.05 528.8 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.8 m 567 528.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.39 m 569.2 517.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 769.44 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 769.44 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 746.61 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 746.61 Tm (CSCI)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 723.78 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 723.78 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 700.94 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 700.94 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 678.11 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 678.11 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 313.49 678.11 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 344 678.11 Tm (\) Commission for Social Care )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 663.53 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 648.95 Tm (in whole or in part, free of charge, in any format or )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 634.36 Tm (medium provided that it is not used for commercial )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 619.78 Tm (gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 605.2 Tm (reproduced accurately and on proviso that it is not )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 590.61 Tm (used in a derogatory manner or misleading context. )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 576.03 Tm (The material should be acknowledged as CSCI )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 561.45 Tm (copyright, with the title and date of publication of the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 546.86 Tm (document specified.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 524.03 Tm (Internet address)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 524.03 Tm (www.csci.org.uk)Tj ET endstream endobj 15 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (4)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (25)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 725.01 m 267.95 725.01 l S 0.001 w 1 1 1 RG 73.33 w 270.2 725.01 m 565.65 725.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.8 m 267.95 675.8 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.8 m 565.65 675.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.97 m 267.95 652.97 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.97 m 565.65 652.97 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.14 m 267.95 630.14 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.14 m 565.65 630.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.3 m 267.95 607.3 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.3 m 565.65 607.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.89 m 567.85 595.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.44 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.44 Tm (Westerlands Care Centre)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.61 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.61 Tm (Elloughton Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Brough)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (East Yorkshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (HU15 1AP)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.03 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.03 Tm (01482667223)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.2 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 648.2 Tm (F/P01482667223)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.36 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.53 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.09 m 353.25 564.09 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.09 m 565.9 564.09 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.26 m 353.25 541.26 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.26 m 565.9 541.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.43 m 353.25 518.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.43 m 565.9 518.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.68 m 568.1 552.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.84 m 568.1 529.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.51 m 568.1 575.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.68 m 568.1 552.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.84 m 568.1 529.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.01 m 568.1 507.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.59 m 30.07 505.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.59 m 354.37 505.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.59 m 567.02 505.93 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.32 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 559.32 Tm (Prime Life Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 536.49 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 536.49 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 513.66 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 513.66 Tm (35)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 494.71 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.22 m 565.6 475.22 l S 0.001 w 41.17 w 31.2 442.1 m 297.2 442.1 l S 0.001 w 20.58 w 299.45 452.39 m 565.6 452.39 l S 0.001 w 20.58 w 299.45 431.8 m 432.52 431.8 l S 0.001 w 20.58 w 432.52 431.8 m 565.6 431.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.8 m 567.8 463.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.64 m 567.8 486.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.8 m 567.8 463.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.39 m 567.8 420.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.71 m 30.07 419.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.88 m 298.32 419.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.71 m 566.72 419.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 470.45 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 447.61 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 447.61 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 427.03 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 427.03 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.6 m 297.3 405.6 l S 0.001 w 20.58 w 299.55 405.6 m 431.45 405.6 l S 0.001 w 20.58 w 433.7 405.6 m 565.6 405.6 l S 0.001 w 35.17 w 31.2 375.47 m 297.3 375.47 l S 0.001 w 35.17 w 299.55 375.47 m 431.45 375.47 l S 0.001 w 35.17 w 433.7 375.47 m 565.6 375.47 l S 0.001 w 20.58 w 31.2 345.35 m 297.3 345.35 l S 0.001 w 20.58 w 299.55 345.35 m 431.45 345.35 l S 0.001 w 20.58 w 433.7 345.35 m 565.6 345.35 l S 0.001 w 20.58 w 31.2 322.51 m 297.3 322.51 l S 0.001 w 20.58 w 299.55 322.51 m 431.45 322.51 l S 0.001 w 20.58 w 433.7 322.51 m 565.6 322.51 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 299.68 m 565.6 299.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.18 m 567.8 394.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.76 m 567.8 356.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.93 m 567.8 333.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.1 m 567.8 311.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.01 m 567.8 417.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.18 m 567.8 394.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.76 m 567.8 356.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.93 m 567.8 333.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.1 m 567.8 311.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.26 m 567.8 288.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.09 m 30.07 287.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.09 m 298.42 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.09 m 432.57 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.09 m 566.72 287.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 400.82 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 400.82 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 400.82 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 377.99 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 363.41 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 377.99 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 377.99 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 340.57 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 340.57 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 340.57 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 317.74 Tm (terminally ill)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 317.74 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 317.74 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 294.91 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 273.47 m 315.25 273.47 l S 0.001 w 1 1 1 RG 20.58 w 317.5 273.47 m 346.55 273.47 l S 0.001 w 20.58 w 348.8 273.47 m 377.9 273.47 l S 0.001 w 20.58 w 380.15 273.47 m 409.2 273.47 l S 0.001 w 20.58 w 411.45 273.47 m 440.55 273.47 l S 0.001 w 20.58 w 442.8 273.47 m 471.9 273.47 l S 0.001 w 20.58 w 474.15 273.47 m 503.2 273.47 l S 0.001 w 20.58 w 505.45 273.47 m 534.55 273.47 l S 0.001 w 20.58 w 536.8 273.47 m 565.9 273.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 284.89 m 568.1 284.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262.06 m 568.1 262.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 285.97 m 30.07 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 285.97 m 316.37 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 285.97 m 347.67 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 285.97 m 379.02 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 285.97 m 410.32 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 285.97 m 441.67 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 285.97 m 473.02 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 285.97 m 504.32 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 285.97 m 535.67 260.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 285.97 m 567.02 260.98 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 268.7 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 250.18 m 565.9 250.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 240.56 m 568.1 240.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 241.63 m 30.07 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 241.63 m 567.02 39.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.81 m 568.1 259.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 240.56 m 568.1 240.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.65 m 568.1 40.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 260.88 m 30.07 239.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 260.88 m 567.02 239.48 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 246.62 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 246.62 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 227.37 Tm (Westerlands Care Centre is a large house situated in its own spacious grounds in a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 210.37 Tm (residential area of the village of Brough. Two decked areas are available for residents )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 193.37 Tm (to sit outside. Car parking is available to the front of the building. The village itself has )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 176.37 Tm (numerous shops, a train station and is adjacent to a motorway. Accommodation is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 159.37 Tm (provided over 3 floors serviced by a lift. The majority of the bedrooms are single, one )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 142.37 Tm (with an en-suite and six bedrooms being shared. The home is owned by Prime Life Ltd. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 125.37 Tm (The home may provide residential and nursing care for up to 35 people of either sex, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 108.37 Tm (who may also have dementia, a physical disability or terminal illness. Services )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 91.37 Tm (provided include personal care, meals, laundry and health care, with additional health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 74.37 Tm (services being accessed as necessary, for example, the district nursing services. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 57.37 Tm (weekly fees range from 350-600. Additional charges are made for hairdressing, )Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (5)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.15 m 568.1 758.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (chiropody or toiletries. A copy of the latest inspection report and statement of purpose )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (are reaily available in the home for people to access. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 746.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 729.09 Tm ()Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xMo1+|Kc=T*qB7ġj*%|9ڄTZwbwc/= 1D;<_?7~@R"GtXgt=|Z4lk U=09<}kO=KjBkvkjO/mlz%]k]8ITx6q %ec9j+KT QTfL'y*f?:h5s5C4EG  &FS=v]Cԝ8({cvn6i3`C ˮt&cҽ8X9]:;Ŷ'{,4egۓs=g/+zqY\vVn޼/|BNnz^p|=W'2p\R>4lrjB4g k,DૺG1 y Yο~}EC \Vi_ۥ3u;؛s u%5?n7h } endstream endobj 22 0 obj<> endobj 23 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.69 m 568.35 55.69 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 33.75 52.38 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 483.75 53.38 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 514.26 53.38 Tm (6)Tj ET /F3 11 Tf BT 1 0 0 1 522.08 53.38 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 540.36 53.38 Tm (25)Tj ET /F6 10 Tf BT 1 0 0 1 28.35 38.03 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 740.69 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.63 m 568.4 731.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.8 m 568.4 708.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.72 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 715.44 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.88 715.44 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.53 715.44 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 411.35 715.44 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.3 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.31 607.26 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.44 567.01 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.19 526.76 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.96 486.51 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 446.26 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 406.01 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.51 365.76 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.31 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 170.96 w 32.32 151.05 m 566.72 151.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.65 m 567.85 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 568.92 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.44 m 568.92 64.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.73 m 31.2 63.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.73 m 567.85 63.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.46 Tm (The quality rating for this service is 2 star. This means the people who use this service )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (experience good quality outcomes.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (We went to the home without telling them that we were going to visit. This report )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (follows the visit that took place on Thursday 29th January 2009. The visit lasted from )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm (9:30 until 14:30.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm (We have reviewed our practice when making requirements, to improve national )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm (consistency. Some requirements from previous inspection reports may have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm (deleted or carried forward into this report as recommendations, but only when it is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm (considered that people who use services are not being put at significant risk of harm. )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 1 1 1 RG 455.07 w 31.2 584.99 m 565.6 584.99 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 567.8 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.33 m 567.8 356.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 355.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 814.73 m 566.72 355.25 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 31.8 802.72 Tm (In future, if a requirement is repeated, it is likely that enforcement action will be taken.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 788.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 773.55 Tm (The purpose of the visit was to make sure that the home was operating and being )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 758.97 Tm (managed in the best interests of people living there. Information has been used from )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 744.38 Tm (different sources for this report. These sources include- Reviewing information that has )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 729.8 Tm (been received about the home since the last inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 715.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 700.63 Tm (The annual quality assurance assessment. This is information which details what has )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 686.05 Tm (happened during the past 12 months.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 671.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 656.89 Tm (Nine surveys from people using the service, three staff,and one health care )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 642.3 Tm (professional survey.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 627.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 613.14 Tm (Notifications \(Regulation 37\) relating to incidents in the home affecting people using )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 598.55 Tm (the service.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 583.97 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 569.39 Tm (Details of complaints and allegations raised by people connected to the service.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 554.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 540.22 Tm (At the site visit one inspector spent 5.0 hours at the home. During this time )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 525.64 Tm (observations of care practices took place. People using the service were spoken with )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 511.05 Tm (along with some relatives. Discussions with the manager regarding meeting needs, )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 496.47 Tm (mealtimes, protecting people and the environment took place. The lunchtime meal was )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 481.89 Tm (observed and time was spent inspecting care plans, looking at individual rooms and )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 467.31 Tm (reviewing a selection of health and safety information. Staffing and management )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 452.72 Tm (issues were discussed and feedback was given to the manager at the end of the )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 438.14 Tm (inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 31.8 423.56 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 31.8 408.97 Tm (The weekly fees range from 350pounds-600pounds. Additional charges are made for )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 394.39 Tm (chiropody, hairdressing and newspapers. The home has a copy of the latest inspection )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 379.81 Tm (report, the Statement of Purpose and Service Users Guide. These are readily available )Tj ET /F3 12 Tf BT 1 0 0 1 31.8 365.23 Tm (and are discussed with people.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (8)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (25)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 268.49 w 32.32 656.57 m 566.72 656.57 l S 0.001 w 20.58 w 32.7 509.79 m 569.35 509.79 l S 0.001 w 78.92 w 33.82 457.79 m 568.22 457.79 l S 0.001 w 20.58 w 33.45 405.79 m 570.1 405.79 l S 0.001 w 93.5 w 34.57 346.5 m 568.97 346.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 521.2 m 568.92 521.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 520.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 521.2 m 569.35 521.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 498.37 m 569.35 498.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 498.37 m 570.42 498.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 417.2 m 570.42 417.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 394.37 m 570.1 394.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 417.2 m 570.1 417.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 394.37 m 571.17 394.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 298.62 m 571.17 298.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 499.45 m 32.7 416.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 395.45 m 33.45 297.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 520.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 499.45 m 569.35 416.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 395.45 m 570.1 297.55 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 798.59 Tm (What the )Tj ET /F2 12 Tf BT 1 0 0 1 96.96 798.59 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 167.52 798.59 Tm ( does well:)Tj ET /F3 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The staff group in the home ensure that people receive a high standard of care. Staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (interact positively with people and deal with issues promptly and effectively.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (The manager of the home ensures the best interests of people are a priory and daily )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm (routines fit in with people using the service and their relatives.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (The home is extremely clean and well maintained, this makes it pleasant for people to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm (spend time in the communal areas. "My room is lovely and spacious" was one )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (comment.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 629.93 Tm (People enjoy a range of activities which are suitable for this client group. One person )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 615.34 Tm (said "I enjoy playing cards, and doing chair exercises".)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 600.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 586.18 Tm (The food and drink offered is appetising, homecooked and enjoyed by many people. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 571.59 Tm (One person said "the food is lovely".)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 557.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 542.43 Tm (Staff are very competent safely recruited and alert to signs of abuse. This helps protect )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 527.85 Tm (people from harm)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 655.02 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 507.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 505.01 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 508.23 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 456.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 482.18 Tm (Some of the communal areas have been decorated and new furntiture has been )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 467.6 Tm (obtained.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 453.01 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 438.43 Tm (Staff continue to complete NVQ training in care and the manager offers specialised )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 423.85 Tm (training in dementia care, nutrtion and palliative care.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 456.23 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 404.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 401.02 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 344.94 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 378.18 Tm (The training records could be more comprehensive, this will ensure the manager is )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 363.6 Tm (aware what mandatory training is needed for staff. People using hte service will benefit )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 349.02 Tm (from staff having up to date knowledge of health and safety procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 334.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 319.85 Tm (People could be assisted at lunchtime in a more dignified manner. This will make the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 305.27 Tm (dining experience more pleasant for people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 282.93 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 262.93 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 262.93 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 262.93 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 245.44 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 225.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 205.44 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 205.44 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 205.44 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 187.94 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 187.94 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 187.94 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 170.44 Tm (240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (9)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (25)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.59 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.59 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 695.95 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 673.95 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 651.95 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 629.95 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 607.95 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 585.95 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 563.95 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 543.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.08 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (10)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 592.72 m 562.53 592.72 l S 0.001 w 1 1 1 RG 119 w 31.2 550.22 m 563.65 550.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.59 m 565.85 489.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 488.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 488.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 449.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 449.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 449.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 432.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 367.89 m 563.65 367.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 418.89 m 565.9 418.89 l S 0.001 w 97.5 w 32.32 356.64 m 564.78 356.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 406.52 m 566.98 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.59 m 31.2 305.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 407.59 m 565.9 305.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 406.52 m 565.9 406.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.77 m 566.98 306.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 415.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 390.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 390.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 353.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 333.33 Tm (People are effectively assessed prior to admission, which helps to ensure individual )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.83 Tm (needs can be met)Tj ET 0.99608 0.9451 0.76078 RG 212.25 w 33.45 174.77 m 563.65 174.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.9 m 565.9 271.9 l S 0.001 w 190.87 w 32.32 162.96 m 564.78 162.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.52 m 566.98 259.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.52 m 565.9 259.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 268.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 243.84 Tm (The three pre-admission assessments looked at confirmed that a senior person )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 226.34 Tm (completes an assessment before an individual moves to the home. This is to check )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.84 Tm (what type of care and support the person needs and whether the staff have the skills )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.34 Tm (and knowledge to provide that care if the individual chooses to move there. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.84 Tm (process also reassures the individual and their family that they will receive the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.34 Tm (support.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.34 Tm (Assessments are completed if the person has a care manager or is privately funded. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.84 Tm (These detail health, personal, nursing, social and mental health needs. All the surveys )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.34 Tm (completed by people living there report that people are given enough information )Tj ET endstream endobj 33 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 34 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (11)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 198.86 w 33.45 711.97 m 563.65 711.97 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 177.49 w 32.32 700.16 m 564.78 700.16 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 31.2 609.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 609.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 610.29 m 566.98 610.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (about the service and what it provides. This means they can make an informed choice )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (about whether to move there or not.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (One person said "I tried it here first before I came permanently", another person said )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm ("the manager asked me lots of questions before I arrived". The manager is very aware )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (of the categories of registration and knows the client group well. Intermediate care can )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (be catered for and this involves liaising with the physiotherapist or occupational )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (therapist, and specialist health care professionals. This is discussed in the Statement )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (of Purpose. At the time of the visit the intermediate care facility was not being used.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm ()Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (12)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 68 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.59 m 565.85 523.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 522.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 522.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 483.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 483.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 483.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 466.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.5 w 33.45 410.64 m 563.65 410.64 l S 0.001 w 1 1 1 RG 22.5 w 31.2 452.89 m 565.9 452.89 l S 0.001 w 80 w 32.32 399.39 m 564.78 399.39 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 440.52 m 566.98 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.59 m 31.2 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 440.52 m 565.9 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.27 m 566.98 358.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 449.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 424.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 424.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 387.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 367.33 Tm (People have their health and personal care needs met in a dignified manner.)Tj ET 0.99608 0.9451 0.76078 RG 263.74 w 33.45 200.52 m 563.65 200.52 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.4 m 565.9 323.4 l S 0.001 w 242.37 w 32.32 188.71 m 564.78 188.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 311.02 m 566.98 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 312.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 312.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.02 m 565.9 311.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 320.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 295.33 Tm (Everyone observed during the visit looked clean and well cared for. Three care plans )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.83 Tm (were looked at during this visit. These describe the care and support people need to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.34 Tm (stay in charge of their own lives as much as possible. The plans looked at contained a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (lot of information, so that an unfamiliar carer could look at them and would be able to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (work out how much support they needed. There were written assessments as to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (whether people were at risk of developing pressure sores, of losing weight because of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (poor appetite or a health problem or needing help with moving and handling. Those )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (identified as 'at risk' had a care plan in place describing how that risk was to be )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (managed. All nine surveys received from people using the service had positive )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (comments regarding the care received. "the staff are wonderful", "I get all the care )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (and attention I want" were two comments. The home is very pro-active in promoting )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (people's well being. This was evident when discussing with the manager research into )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (cranberry tablets and yogurt flavoured drinks to aid digestion and prevent infections. )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (13)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 338.86 w 33.45 641.98 m 563.65 641.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 317.48 w 32.32 630.16 m 564.78 630.16 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 31.2 469.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 470.3 m 566.98 470.3 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (The home have a designated Doctor who visits twice a week. Health care professional )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (surveys confirmed that the medical support is good and people receive the attention )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (they need. One person said "the home sort out the chiropodist, dentist or optician for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (me". All accidents and injuries are dealt with appropriately and these are reported )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (promptly to The Commission.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (The medication system was inspected. The administration of medication is effective. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (There are clear records in place which show that staff sign in the correct place on the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (medication charts once a person takes their tablets. Regular stock balances are in )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (place and an audit of the system identifies any errors or areas for improvement. Fridge )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (temperatures are taken daily and the controlled drugs are stored and recorded )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (correctly. This is a robust system which is routinely monitored.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (Staff in the home are respectful and ensure people have the privacy they need. People )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (are able to have personal possessions in their room and telephones can be fitted. One )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (person recently had a telephone installed and this was viewed. Staff were observed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (speaking in a dignified manner to all people they came into contact with. \(see also )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (Staffing outcome\))Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (14)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 626.72 m 562.53 626.72 l S 0.001 w 1 1 1 RG 17 w 31.2 567.22 m 563.65 567.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.84 m 565.85 576.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.59 m 565.85 557.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 556.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 556.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 517.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 517.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 517.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 517.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 500.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 427.14 m 563.65 427.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 486.89 m 565.9 486.89 l S 0.001 w 114.99 w 32.32 415.89 m 564.78 415.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 474.52 m 566.98 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.59 m 31.2 356.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 475.59 m 565.9 356.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 474.52 m 565.9 474.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.27 m 566.98 357.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 483.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 458.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 458.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 421.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 401.33 Tm (People participate in a range of activities and visitors are welcomed. Staff encourage )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.83 Tm (autonomy and choice, and people enjoy dining in pleasant surrounding with appealing )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.33 Tm (food)Tj ET 0.99608 0.9451 0.76078 RG 262.75 w 33.45 200.03 m 563.65 200.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.4 m 565.9 322.4 l S 0.001 w 241.37 w 32.32 188.21 m 564.78 188.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.02 m 566.98 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.02 m 565.9 310.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 319.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 294.34 Tm (The home encourages social activities by offering; music to movement, cards, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.84 Tm (dominoes, church services; and a selection of seasonal events. All events/activities are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.34 Tm (advertised in via a notice board and newsletter displayed in the home. Activities are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.84 Tm (available every day. Manicures and pedicures take place, people visit the hairdresser, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.34 Tm (there are DVDs to enjoy, music, television and plenty of newspapers and magazines to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.84 Tm (read. A mini-bus is available twice a month and trips to local areas are arranged. On )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.34 Tm (external outings staff supervise people on a one to one basis.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.34 Tm (Visitors are welcomed into the home and the visitors book confirm people arrive at )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.85 Tm (different times of the day. One person said "people come at anytime, staff always )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.35 Tm (welcome them". People have their religious and cultural needs met and the manager is )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.85 Tm (aware of equality and diversity issues.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.35 Tm ()Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (15)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 268.86 w 33.45 676.97 m 563.65 676.97 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 247.49 w 32.32 665.16 m 564.78 665.16 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 31.2 539.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.29 m 566.98 540.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (The lunchtime meal was observed. There are two dining areas for people to use. A )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (light and airy conservatory area is used for people who need a small amount of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (assistance and a smaller lounge area for people who may have dementia care needs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (and need more assistance at mealtimes. The food looked appetising, with a range of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (portion sizes available. One person had oxtail soup, followed by chicken and fresh )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (vegetables. "The food is delicious" one person said. The tables were laid with white )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (table cloths and different sizes tables were available. A range of drinks were offered )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (and alternative food was available as required. Staff ask people what they would like )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (to eat and drink and this is done in a dignified way. It was evident that some people )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (were given assistance with their food whilst the member of staff was standing up )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (instead of sitting down next to the person. Two people had different staff assisting )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (them at different times. This could have been improved to ensure the dining )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (experience was positive. The manager was made aware of this and was going to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (address this straight away.)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (16)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.22 m 562.53 652.22 l S 0.001 w 1 1 1 RG 17 w 31.2 618.22 m 563.65 618.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.59 m 565.85 608.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 607.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 607.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 568.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 568.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 568.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 551.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 486.89 m 563.65 486.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 537.89 m 565.9 537.89 l S 0.001 w 97.5 w 32.32 475.64 m 564.78 475.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 525.52 m 566.98 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.59 m 31.2 424.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 424.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 525.52 m 565.9 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 425.77 m 566.98 425.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 534.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 509.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 509.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 509.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 472.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 452.33 Tm (People have their concerns listened to and acted upon, with staff been alert to signs of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (abuse.This helps keep people safe.)Tj ET 0.99608 0.9451 0.76078 RG 237.49 w 33.45 281.15 m 563.65 281.15 l S 0.001 w 1 1 1 RG 22.5 w 31.2 390.9 m 565.9 390.9 l S 0.001 w 214.99 w 32.32 269.9 m 564.78 269.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 378.52 m 566.98 378.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.6 m 31.2 160.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 379.6 m 565.9 160.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 378.52 m 565.9 378.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 161.29 m 566.98 161.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 387.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 362.83 Tm (The home have a complaints procedure in place which people and their visitors are )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.34 Tm (aware of. This is discussed at the admission stage and a copy of this is displayed in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (home. No formal complaints have been made. Staff spoken to were aware of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm (safeguarding procedures in place. Some staff have completed abuse awareness )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (training,and staff knew about the different types of abuse and the action to take if an )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (abusive situation occurs.The home have a policy in place and staff are encouraged to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (use the 'Whistle Blowing' policy. The manager was generally aware of the action to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm (take if an allegation of abuse occurs though she needs to familiarise herself with the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (involvement of social services and the role they play as the lead agency. There have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (been no safeguarding referrals made in the past twelve months. People looked safe in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (the home and staff have protection of vulnerable adults check prior to starting work in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (the home.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (17)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 68 w 31.2 626.72 m 563.65 626.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 648.65 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 631.65 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.5 w 33.45 478.64 m 563.65 478.64 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 80 w 32.32 467.39 m 564.78 467.39 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 425.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 425.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.27 m 566.98 426.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (People live in a comfortable and very clean environment.)Tj ET 0.99608 0.9451 0.76078 RG 331.74 w 33.45 234.52 m 563.65 234.52 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.4 m 565.9 391.4 l S 0.001 w 310.37 w 32.32 222.71 m 564.78 222.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.02 m 566.98 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.02 m 565.9 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 388.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 363.33 Tm (The home is welcoming, warm with a high standard of cleanliness. There are a range )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.83 Tm (of communal areas for people to use, and the home has friendly and homely feel to it. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.34 Tm (Three bedrooms were inspected these were all spacious, clean and personalised. One )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm (person felt their room waas too hot and they did not know how to adjust this. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (manager dealt with this immediately. A maintenance person carries out a range of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (health and safety checks to ensure the home is safe. There is an accessible garden )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.34 Tm (which is suitable for people with or without mobility problems. People clearly enjoy )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm (living in this environment, during the site visit the lift was been repaired, this had been )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (unusable for three days. This meant some people had to stay in their rooms all day. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (However, staff were aware of individual needs and made sure they spent more time )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (with people upstairs. There were areas of the home which needed redecorating, the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (manager was aware of this.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (Staff were observed wearing protective clothing and using hand washing techniques. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (Some staff had previously completed infection control training but this was a few years )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm (ago and should be updated. People were observed wearing clean and well-ironed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (clothes, the system for removing soiled laundry was discussed and this system was )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (18)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 41.37 w 33.45 790.72 m 563.65 790.72 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 20 w 32.32 778.91 m 564.78 778.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 766.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.7 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 30.12 767.78 m 566.98 767.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (robust and effective. )Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (19)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 643.72 m 562.53 643.72 l S 0.001 w 1 1 1 RG 17 w 31.2 601.22 m 563.65 601.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.59 m 565.85 591.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 590.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 590.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 551.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 551.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 551.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 534.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.99 w 33.45 469.89 m 563.65 469.89 l S 0.001 w 1 1 1 RG 22.5 w 31.2 520.89 m 565.9 520.89 l S 0.001 w 97.5 w 32.32 458.64 m 564.78 458.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 508.52 m 566.98 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.59 m 31.2 407.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 509.59 m 565.9 407.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 508.52 m 565.9 508.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 408.77 m 566.98 408.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 517.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 492.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 492.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 455.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 435.33 Tm (People are cared for by sufficient staff who are extremely competent, well trained and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.83 Tm (safely recruited. This ensures individual needs can be consistently met.)Tj ET 0.99608 0.9451 0.76078 RG 314.25 w 33.45 225.77 m 563.65 225.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 373.9 m 565.9 373.9 l S 0.001 w 292.87 w 32.32 213.96 m 564.78 213.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.52 m 566.98 361.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.52 m 565.9 361.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 370.58 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 345.83 Tm (The home has thirty people who have nursing and may have dementia care needs. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 328.34 Tm (Registered nurses are well supported by care and ancillary staff. Staff were observed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.84 Tm (dealing with people promptly and efficiently. One survey said "the service is tailored to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.34 Tm (individual needs". Positive comments were received through the surveys and through )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.84 Tm (verbal discussions with people at the visit. "The staff are absolutely wonderful", "I )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.34 Tm (would not hesitate in asking the staff for anything, they are lovely", and "the staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.84 Tm (really know how to look after me, its like a hotel". These were some of the comments )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.34 Tm (made. Staff were observed moving and handling people and interacting with people )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.84 Tm (with differing needs. The communication observed was extremely professional, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.34 Tm (friendly. This had a positive impact on people, and many people had a smile on their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.85 Tm (face when staff were speaking with them. The different skill mix of staff worked well )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.35 Tm (and the number of staff was appropriate. Many care staff have completed an NVQ )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.85 Tm (Level 2 in care and this is continually offered with some staff undertaking an NVQ level )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.35 Tm (3.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.35 Tm (Staff are safely recruited and the manager usually obtains three written references, )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (20)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 163.87 w 33.45 729.47 m 563.65 729.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.49 w 32.32 717.66 m 564.78 717.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.29 m 566.98 645.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (along with a police check and a protection of vulnerable adults check prior to a new )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (staff member starting work. Three files were checked and this information was )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (confirmed. Details of the nurses registration are also kept up to date.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (An induction programme equivalent to Skills for Care is in place. This covers an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (orientation to the home and a range of care practises and health and safety issues. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (Extra training regarding Parkinson's disease, dementia care and palliative care have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (been offered to staff and this helps them develop further. )Tj ET endstream endobj 54 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 55 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (21)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.22 m 562.53 601.22 l S 0.001 w 1 1 1 RG 102 w 31.2 558.72 m 563.65 558.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 506.59 m 565.85 506.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 505.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 505.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 466.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 466.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 466.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 449.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.5 w 33.45 393.64 m 563.65 393.64 l S 0.001 w 1 1 1 RG 22.5 w 31.2 435.89 m 565.9 435.89 l S 0.001 w 80 w 32.32 382.39 m 564.78 382.39 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 423.52 m 566.98 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.59 m 31.2 340.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 340.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 423.52 m 565.9 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 341.27 m 566.98 341.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 432.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 407.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 407.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 370.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 350.33 Tm (The home is run in the best interests of the people using the service.)Tj ET 0.99608 0.9451 0.76078 RG 246.74 w 33.45 192.02 m 563.65 192.02 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.4 m 565.9 306.4 l S 0.001 w 225.37 w 32.32 180.21 m 564.78 180.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.02 m 566.98 294.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.02 m 565.9 294.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 303.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 278.33 Tm (The manager is registered with The Commission and has completed an NVQ Level 4 in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 260.83 Tm (Care and Management. She is an experienced manager with many years experience )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 243.34 Tm (working with older people. At the site visit the manager had to deal with a range of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.84 Tm (issues, these related to staffing and maintenance. These issues were all dealt with in a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (calm, robust and professional manner. This clearly demonstrated the managers ability )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (to run the home to a high standard. The atmoshphere in the home is calm and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm (relaxing and visitors feel they can approach the manager and staff if they have any )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm (concerns.The annual quality assurance assessment was completed comprehensively, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (and information regarding the improvements that have taken place in the past twelve )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (months.The evidence relating to what the service does well again was detailed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm (The home have a quality assurance system in place which includes client and visitor )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (22)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 426.35 w 33.45 598.23 m 563.65 598.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 404.98 w 32.32 586.42 m 564.78 586.42 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 31.2 381.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 381.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 382.8 m 566.98 382.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (questionnaires and a range of audits which relate to health and safety, the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (environment and care practices. A senior manager also visits monthly and speaks to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (people using the service and identifies what improvements have been made. Records )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (of these visits were available. Resident and staff meetings take place, and care plan )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (and medication audits help confirm that people are happy with the personal and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (healthcare they receive.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (People can keep personal money in the home. This may be used for chiropody, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (hairdresing, clothes or toiletries.Well-maintained records are kept of all transactions )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (and invoices are available which confirm the money coming in and going out.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (Health and safety was discussed and a selection of policies were inspected. A fire risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (assessment is in place and staff had a good understanding of the action needed in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (event of a fire. Staff receive fire, moving and handling, infection control and food )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (hygiene training. However, this needs updating as some staff have not had formal )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (training since 2004 or 2005. The training matrix is not up to date and staff training )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (files examined need to be accurate and reflect the training people have had. Some of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (this is inhouse whilst other aspects are more formal.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (Water temperatures are taken and both the electrical wiring certificate and gas safety )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (checks are in place. This helps to keep people safe in their environment.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm ()Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (23)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (25)Tj ET 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F8 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F8 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.19 w 31.2 683.93 m 566.2 683.93 l S 0.001 w 30.3 w 31.2 631.93 m 91 631.93 l S 0.001 w 30.3 w 93.25 631.93 m 197.4 631.93 l S 0.001 w 30.3 w 199.65 631.93 m 289.5 631.93 l S 0.001 w 30.3 w 291.75 631.93 m 473.9 631.93 l S 0.001 w 30.3 w 476.15 631.93 m 566.2 631.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.66 m 568.4 615.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.29 m 92.12 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.29 m 198.52 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.29 m 290.62 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.29 m 475.02 614.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.58 l S 0.001 w [] 0 d /F2 16 Tf BT 1 0 0 1 31.2 702.44 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 684.02 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.44 Tm (been met. )Tj ET /F3 12 Tf BT 1 0 0 1 99.76 669.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 103.98 669.44 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.85 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.03 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.03 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.03 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.03 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.03 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.88 Tm (action)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (24)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (25)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 52.75 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.81 m 91 704.81 l S 0.001 w 30.3 w 93.25 704.81 m 197.4 704.81 l S 0.001 w 30.3 w 199.65 704.81 m 289.5 704.81 l S 0.001 w 30.3 w 291.75 704.81 m 473.9 704.81 l S 0.001 w 30.3 w 476.15 704.81 m 566.2 704.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.53 m 568.4 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.16 m 30.07 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.16 m 92.12 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.16 m 198.52 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.16 m 290.62 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.16 m 475.02 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.16 m 567.32 687.46 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 742.31 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.73 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.91 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.91 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.91 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.91 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.91 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.76 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.75 w 31.2 616.66 m 566.2 616.66 l S 0.001 w 30.3 w 31.2 565.88 m 91 565.88 l S 0.001 w 30.3 w 93.25 565.88 m 197.4 565.88 l S 0.001 w 30.3 w 199.65 565.88 m 289.5 565.88 l S 0.001 w 30.3 w 291.75 565.88 m 473.9 565.88 l S 0.001 w 30.3 w 476.15 565.88 m 566.2 565.88 l S 0.001 w 1 1 1 RG 119 w 31.2 488.98 m 91.05 488.98 l S 0.001 w 119 w 93.3 488.98 m 197.4 488.98 l S 0.001 w 119 w 199.65 488.98 m 289.45 488.98 l S 0.001 w 119 w 291.7 488.98 m 473.8 488.98 l S 0.001 w 119 w 476.05 488.98 m 566.1 488.98 l S 0.001 w 170 w 31.2 342.23 m 91.05 342.23 l S 0.001 w 170 w 93.3 342.23 m 197.4 342.23 l S 0.001 w 170 w 199.65 342.23 m 289.45 342.23 l S 0.001 w 170 w 291.7 342.23 m 473.8 342.23 l S 0.001 w 170 w 476.05 342.23 m 566.1 342.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.6 m 568.4 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.23 m 92.12 427.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.23 m 290.62 427.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.23 m 475.02 427.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 428.35 m 568.3 428.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.16 m 568.4 651.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.6 m 568.3 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 428.35 m 568.3 428.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.1 m 568.3 256.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.23 m 30.07 255.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 550.68 m 92.17 255.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.23 m 198.52 255.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 550.68 m 290.57 255.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 550.68 m 474.92 255.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.23 m 567.32 255.03 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 637.97 Tm (Statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 617.97 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 603.39 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.7 603.39 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 588.8 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 570.98 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 567.98 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 567.98 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 567.98 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 567.98 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 555.83 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 536.41 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 536.41 Tm (37)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 536.41 Tm (17)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 536.41 Tm (Accurate records must be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 519.41 Tm (kept regarding staff training.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 502.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 485.42 Tm (This will ensure training can )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 468.42 Tm (be properly planned for )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 451.42 Tm (staff, and they will receive )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 434.42 Tm (this in a timely manner.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 536.41 Tm (28/02/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 536.41 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 415.17 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 415.17 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 415.17 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 415.17 Tm (Staff must be made aware )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 398.17 Tm (of the current practice )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 381.17 Tm (regarding fire safey, moving )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 364.17 Tm (and handling, infection )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 347.17 Tm (control and food hygiene )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 330.17 Tm (practices.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 313.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 296.17 Tm (This will minimise any risk of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 279.17 Tm (harm to people using the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 262.17 Tm (service.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 415.17 Tm (30/04/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 415.17 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 47.89 w 31.2 193.66 m 566.2 193.66 l S 0.001 w 18.15 w 31.2 158.39 m 91 158.39 l S 0.001 w 18.15 w 93.25 158.39 m 197.4 158.39 l S 0.001 w 18.15 w 199.65 158.39 m 566.2 158.39 l S 0.001 w 1 1 1 RG 64.33 w 31.2 114.9 m 91.05 114.9 l S 0.001 w 64.33 w 93.3 114.9 m 197.4 114.9 l S 0.001 w 64.33 w 199.65 114.9 m 566.1 114.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 168.59 m 568.4 168.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.19 m 568.4 148.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 169.67 m 92.12 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.73 m 568.4 218.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 168.59 m 568.4 168.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.19 m 568.3 148.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.61 m 568.3 81.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 219.81 m 30.07 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 149.27 m 92.17 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 169.67 m 198.52 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 219.81 m 567.32 80.53 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 202.54 Tm (Recommendations)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 186.97 Tm (These recommendations are taken from the best practice described in the National Minimum Standards )Tj ET /F3 10 Tf BT 1 0 0 1 34.05 174.82 Tm (and the registered person\(s\) should consider them as a way of improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 157.41 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 154.41 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 154.41 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 132 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 132 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 132 Tm (People should be given assistance at mealtimes by one )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 117.42 Tm (member of staff at a time. Staff should be at the same )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 102.83 Tm (level as the person requiring assistance.This will enhance )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 88.25 Tm (the dining experience.)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (25)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (25)Tj ET 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 781.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.59 Tm (Telephone:)Tj ET /F3 12 Tf BT 1 0 0 1 107.31 759.59 Tm (0845 015 0120 or )Tj ET /F3 12 Tf BT 1 0 0 1 220.51 759.59 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 739.59 Tm (Textphone:)Tj ET /F3 12 Tf BT 1 0 0 1 108.73 739.59 Tm (0845 015 2255 )Tj ET /F3 12 Tf BT 1 0 0 1 205.31 739.59 Tm (or )Tj ET /F3 12 Tf BT 1 0 0 1 221.93 739.59 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 719.59 Tm (Email:)Tj ET /F3 12 Tf BT 1 0 0 1 74.51 719.59 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.59 Tm (Web:)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 699.59 Tm (www.csci.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 659.6 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 642.1 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 602.6 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 112.69 602.6 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 143.2 602.6 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 585.1 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 567.6 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 550.1 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 532.6 Tm (misleading context. 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2009-06-23T09:38:50+01:00 2009-06-23T09:38:50+01:00 iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal uuid:4ee27d33-bed4-4e82-8611-0757c602a9ff uuid:a8e8d46f-83a7-4b55-8dd5-f83d7e9133c2 endstream endobj 99 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.99 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page)Tj /TT0 11 Tf 30.41 0 Td (25)Tj /TT1 11 Tf 15.64 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj ET 22.5 w q 1 0 0 1 22.95 802.41 cm 0 0 m 537.5 0 l S Q BT /TT0 12 Tf 28.35 799.09 Td (Helpline:)Tj /TT1 10 Tf 0 -17.99 TD (\240)Tj /TT0 12 Tf 0 -21.51 TD (Telephone:)Tj /TT1 12 Tf 78.96 0 Td [(0845 015 0120 or )-12(0191 233 3323)]TJ /TT0 12 Tf -78.96 -20 Td (Textphone:)Tj /TT1 12 Tf 80.38 0 Td [(0845 015 2255 )-10(or )-2(0191 233 3588)]TJ /TT0 12 Tf -80.38 -20 Td (Email:)Tj /TT1 12 Tf 46.16 0 Td (enquiries@csci.gsi.gov.uk)Tj /TT0 12 Tf -46.16 -20 Td (Web:)Tj /TT1 12 Tf 36 0 Td (www.csci.org.uk)Tj -36 -20 Td (\240)Tj 0 -19.99 TD (We want people to be able to access this information. If you would like \ a summary in a )Tj 0 -17.5 TD (different format or language please contact our helpline or go to our we\ bsite.)Tj 0 -39.5 TD [(Copyright \251 \()-5(2009)-2(\) Commission for Social Care Inspection \(CSCI\). This publication may \ )]TJ 0 -17.5 TD (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj T* (that it is not used for commercial gain. This consent is subject to the \ material being )Tj T* (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj T* (misleading context. The material should be acknowledged as CSCI copyrigh\ t, with the )Tj T* (title and date of publication of the document specified.)Tj ET endstream endobj 100 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.99 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page)Tj /TT0 11 Tf 30.41 0 Td (24)Tj /TT1 11 Tf 15.64 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj /TT0 16 Tf -513.66 765.35 Td (Requirements and recommendations from this inspection:)Tj /TT0 12 Tf 0 -15.42 TD (\240)Tj ET 0.996 0.945 0.761 RG 52.75 w q 1 0 0 1 31.2 748.59 cm 0 0 m 535 0 l S Q 30.3 w q 1 0 0 1 31.2 704.81 cm 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 704.81 cm 0 0 m 104.15 0 l S Q q 1 0 0 1 199.65 704.81 cm 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 704.81 cm 0 0 m 182.15 0 l S Q q 1 0 0 1 476.15 704.81 cm 0 0 m 90.05 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 721.09 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 776.09 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 721.09 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 688.53 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 30.07 777.16 cm 0 0 m 0 -89.7 l S Q q 1 0 0 1 92.12 722.16 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 198.52 722.16 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 290.62 722.16 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 475.02 722.16 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 567.32 777.16 cm 0 0 m 0 -89.7 l S Q BT /TT0 12 Tf 34.05 759.9 Td (Immediate requirements:)Tj /TT1 12 Tf 0 -17.59 TD (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 0 -14.58 TD (The registered person had to meet these within 48 hours.)Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj ET 0.996 0.945 0.761 RG 66.75 w q 1 0 0 1 31.2 616.66 cm 0 0 m 535 0 l S Q 30.3 w q 1 0 0 1 31.2 565.88 cm 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 565.88 cm 0 0 m 104.15 0 l S Q q 1 0 0 1 199.65 565.88 cm 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 565.88 cm 0 0 m 182.15 0 l S Q q 1 0 0 1 476.15 565.88 cm 0 0 m 90.05 0 l S Q 1 1 1 RG 119 w q 1 0 0 1 31.2 488.98 cm 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3 488.98 cm 0 0 m 104.1 0 l S Q q 1 0 0 1 199.65 488.98 cm 0 0 m 89.8 0 l S Q q 1 0 0 1 291.7 488.98 cm 0 0 m 182.1 0 l S Q q 1 0 0 1 476.05 488.98 cm 0 0 m 90.05 0 l S Q 170 w q 1 0 0 1 31.2 342.23 cm 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3 342.23 cm 0 0 m 104.1 0 l S Q q 1 0 0 1 199.65 342.23 cm 0 0 m 89.8 0 l S Q q 1 0 0 1 291.7 342.23 cm 0 0 m 182.1 0 l S Q q 1 0 0 1 476.05 342.23 cm 0 0 m 90.05 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 582.16 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 549.6 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 92.12 583.23 cm 0 0 m 0 -155.95 l S Q q 1 0 0 1 290.62 583.23 cm 0 0 m 0 -155.95 l S Q q 1 0 0 1 475.02 583.23 cm 0 0 m 0 -155.95 l S Q q 1 0 0 1 28.99 428.35 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 28.99 651.16 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 582.16 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 549.6 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 28.99 428.35 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 28.99 256.1 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 30.07 652.23 cm 0 0 m 0 -397.2 l S Q q 1 0 0 1 92.17 550.68 cm 0 0 m 0 -295.65 l S Q q 1 0 0 1 198.52 583.23 cm 0 0 m 0 -328.2 l S Q q 1 0 0 1 290.57 550.68 cm 0 0 m 0 -295.65 l S Q q 1 0 0 1 474.92 550.68 cm 0 0 m 0 -295.65 l S Q q 1 0 0 1 567.32 652.23 cm 0 0 m 0 -397.2 l S Q BT /TT0 12 Tf 31.2 637.97 Td (Statutory requirements)Tj /TT1 12 Tf 2.85 -20 Td (These requirements set out what the registered person must do to meet th\ e Care )Tj 0 -14.58 TD [(Standards Act 2000, Care Homes)-369(Regulations 2001 and the National Minimum )]TJ 0 -14.59 TD (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj /TT1 12 Tf -443.5 -19.42 Td [(1)-4682(37)]TJ 166.05 0 Td (17)Tj 96.5 0 Td (Accurate records must be )Tj 0 -17 TD (kept regarding staff training.)Tj 0 -16.99 TD (\240)Tj 0 -17 TD (This will ensure training can )Tj T* (be properly planned for )Tj T* (staff, and they will receive )Tj T* (this in a timely manner.)Tj 184.05 101.99 Td [(28/02/2009)-6(\240)]TJ -446.6 -121.24 Td [(2)-4682(38)]TJ 166.05 0 Td (18)Tj 96.5 0 Td (Staff must be made aware )Tj T* (of the current practice )Tj T* (regarding fire safey, moving )Tj T* (and handling, infection )Tj T* (control and food hygiene )Tj T* (practices.)Tj T* (\240)Tj T* (This will minimise any risk of )Tj T* (harm to people using the )Tj T* (service.)Tj 184.05 153 Td [(30/04/2009)-6(\240)]TJ ET 0.996 0.945 0.761 RG 47.89 w q 1 0 0 1 31.2 193.66 cm 0 0 m 535 0 l S Q 18.15 w q 1 0 0 1 31.2 158.39 cm 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 158.39 cm 0 0 m 104.15 0 l S Q q 1 0 0 1 199.65 158.39 cm 0 0 m 366.55 0 l S Q 1 1 1 RG 64.33 w q 1 0 0 1 31.2 114.9 cm 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3 114.9 cm 0 0 m 104.1 0 l S Q q 1 0 0 1 199.65 114.9 cm 0 0 m 366.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 168.59 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 148.19 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 92.12 169.67 cm 0 0 m 0 -89.14 l S Q q 1 0 0 1 28.99 218.73 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 168.59 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 148.19 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 28.99 81.61 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 30.07 219.81 cm 0 0 m 0 -139.28 l S Q q 1 0 0 1 92.17 149.27 cm 0 0 m 0 -68.74 l S Q q 1 0 0 1 198.52 169.67 cm 0 0 m 0 -89.14 l S Q q 1 0 0 1 567.32 219.81 cm 0 0 m 0 -139.28 l S Q BT /TT0 12 Tf 34.05 202.54 Td (Recommendations)Tj /TT1 10 Tf 0 -15.57 TD (These recommendations are taken from the best practice described in the \ National Minimum Standards )Tj 0 -12.15 TD (and the registered person\(s\) should consider them as a way of improvin\ g their service.)Tj -2.85 -17.41 Td (No.)Tj 64.9 -3 Td [(Refer to Standard)-1695(Good Practice Recommendations)]TJ /TT1 12 Tf -62.05 -22.41 Td [(1)-4540(15)]TJ 168.45 0 Td (People should be given assistance at mealtimes by one )Tj 0 -14.58 TD (member of staff at a time. Staff should be at the same )Tj 0 -14.59 TD (level as the person requiring assistance.This will enhance )Tj 0 -14.58 TD (the dining experience.)Tj ET endstream endobj 101 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.99 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page)Tj /TT0 11 Tf 30.41 0 Td (23)Tj /TT1 11 Tf 15.64 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj ET 0.992 0.945 0.761 RG 36.25 w q 1 0 0 1 29.47 793.28 cm 0 0 m 535.5 0 l S Q 0.996 0.945 0.761 RG 17 w q 1 0 0 1 28.35 784.78 cm 0 0 m 393.75 0 l S Q q 1 0 0 1 424.35 784.78 cm 0 0 m 42.75 0 l S Q 1 1 1 RG q 1 0 0 1 469.35 784.78 cm 0 0 m 24.75 0 l S Q 0.996 0.945 0.761 RG q 1 0 0 1 496.35 784.78 cm 0 0 m 42.75 0 l S Q 1 1 1 RG q 1 0 0 1 541.35 784.78 cm 0 0 m 24.75 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 26.14 794.4 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 813.65 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 794.4 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 775.15 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 27.22 814.73 cm 0 0 m 0 -40.65 l S Q q 1 0 0 1 423.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 468.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 495.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 540.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.22 814.73 cm 0 0 m 0 -40.65 l S Q BT /TT1 12 Tf 33.75 800.47 Td (Are there any outstanding requirements from the last inspection?)Tj 396 -19.25 Td (Yes)Tj /C2_0 12 Tf 46.62 1.94 Td <0085>Tj /TT1 12 Tf 25.38 -1.94 Td (No)Tj /C2_0 12 Tf 46.62 1.94 Td <0035>Tj ET 0.996 0.945 0.761 RG 69.19 w q 1 0 0 1 31.2 683.93 cm 0 0 m 535 0 l S Q 30.3 w q 1 0 0 1 31.2 631.93 cm 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 631.93 cm 0 0 m 104.15 0 l S Q q 1 0 0 1 199.65 631.93 cm 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 631.93 cm 0 0 m 182.15 0 l S Q q 1 0 0 1 476.15 631.93 cm 0 0 m 90.05 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 648.21 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 719.65 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 648.21 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 615.66 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 30.07 720.73 cm 0 0 m 0 -106.15 l S Q q 1 0 0 1 92.12 649.29 cm 0 0 m 0 -34.71 l S Q q 1 0 0 1 198.52 649.29 cm 0 0 m 0 -34.71 l S Q q 1 0 0 1 290.62 649.29 cm 0 0 m 0 -34.71 l S Q q 1 0 0 1 475.02 649.29 cm 0 0 m 0 -34.71 l S Q q 1 0 0 1 567.32 720.73 cm 0 0 m 0 -106.15 l S Q BT /TT0 16 Tf 31.2 702.44 Td (Outstanding statutory requirements)Tj /TT1 12 Tf 2.85 -18.42 Td (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 0 -14.58 TD [(been met. )-5(\240)-1(They say what the registered person had to do to meet the Care Standards\ )]TJ 0 -14.59 TD (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ )Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj ET endstream endobj 102 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (22)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 426.35 w q 1 0 0 1 33.45 598.23 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 404.98 w q 1 0 0 1 32.32 586.42 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -409.38 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -409.38 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 382.8 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (questionnaires and a range of audits which relate to health and safety, \ the )Tj 0 -17.5 TD (environment and care practices. A senior manager also visits monthly and\ speaks to )Tj T* (people using the service and identifies what improvements have been made\ . Records )Tj T* (of these visits were available. Resident and staff meetings take place, \ and care plan )Tj T* (and medication audits help confirm that people are happy with the person\ al and )Tj 0 -17.49 TD (healthcare they receive.)Tj 0 -17.5 TD (\240)Tj T* (People can keep personal money in the home. This may be used for chiropo\ dy, )Tj T* (hairdresing, clothes or toiletries.Well-maintained records are kept of a\ ll transactions )Tj T* (and invoices are available which confirm the money coming in and going o\ ut.)Tj T* (\240)Tj T* (Health and safety was discussed and a selection of policies were inspect\ ed. A fire risk )Tj T* (assessment is in place and staff had a good understanding of the action \ needed in the )Tj T* (event of a fire. Staff receive fire, moving and handling, infection cont\ rol and food )Tj T* (hygiene training. However, this needs updating as some staff have not ha\ d formal )Tj 0 -17.49 TD (training since 2004 or 2005. The training matrix is not up to date and s\ taff training )Tj 0 -17.5 TD (files examined need to be accurate and reflect the training people have \ had. Some of )Tj T* (this is inhouse whilst other aspects are more formal.)Tj T* (\240)Tj T* (Water temperatures are taken and both the electrical wiring certificate \ and gas safety )Tj T* (checks are in place. This helps to keep people safe in their environment\ .)Tj T* (\240)Tj T* (\240)Tj ET endstream endobj 103 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (21)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Management and administration)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w q 1 0 0 1 32.32 601.22 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 102 w q 1 0 0 1 31.2 558.72 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 506.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -193.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -193.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 0 -17 TD (People control their own money and choose how they spend it. If they or \ someone )Tj T* (close to them cannot manage their money, it is managed by the care home \ in their )Tj T* (best interests. The environment is safe for people and staff because app\ ropriate health )Tj T* (and safety practices are carried out.)Tj 0 -19.25 TD (People get the right support from the care home because the manager runs\ it )Tj 0 -17 TD (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj T* (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj T* (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj T* (the way things should be done. They get the right care because the staff\ are )Tj T* (supervised and supported by their managers.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 102.5 w q 1 0 0 1 33.45 393.64 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 435.89 cm 0 0 m 534.7 0 l S Q 80 w q 1 0 0 1 32.32 382.39 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 423.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 424.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.9 424.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.2 423.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 341.27 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 432.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (The home is run in the best interests of the people using the service.)Tj ET 0.996 0.945 0.761 RG 246.74 w q 1 0 0 1 33.45 192.02 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 306.4 cm 0 0 m 534.7 0 l S Q 225.37 w q 1 0 0 1 32.32 180.21 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 294.02 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 295.1 cm 0 0 m 0 -229.78 l S Q q 1 0 0 1 565.9 295.1 cm 0 0 m 0 -229.78 l S Q q 1 0 0 1 31.2 294.02 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 303.08 Td (Evidence:)Tj 4.27 -24.75 Td (The manager is registered with The Commission and has completed an NVQ L\ evel 4 in )Tj 0 -17.5 TD (Care and Management. She is an experienced manager with many years exper\ ience )Tj 0 -17.49 TD (working with older people. At the site visit the manager had to deal wit\ h a range of )Tj 0 -17.5 TD (issues, these related to staffing and maintenance. These issues were all\ dealt with in a )Tj T* (calm, robust and professional manner. This clearly demonstrated the mana\ gers ability )Tj T* (to run the home to a high standard. The atmoshphere in the home is calm \ and )Tj T* (relaxing and visitors feel they can approach the manager and staff if th\ ey have any )Tj T* (concerns.The annual quality assurance assessment was completed comprehen\ sively, )Tj T* (and information regarding the improvements that have taken place in the \ past twelve )Tj T* (months.The evidence relating to what the service does well again was det\ ailed.)Tj T* (\240)Tj 0 -17.49 TD (The home have a quality assurance system in place which includes client \ and visitor )Tj ET endstream endobj 104 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (20)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 163.87 w q 1 0 0 1 33.45 729.47 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 142.49 w q 1 0 0 1 32.32 717.66 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -146.9 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -146.9 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 645.29 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (along with a police check and a protection of vulnerable adults check pr\ ior to a new )Tj 0 -17.5 TD (staff member starting work. Three files were checked and this informatio\ n was )Tj T* (confirmed. Details of the nurses registration are also kept up to date.)Tj T* (\240)Tj T* (An induction programme equivalent to Skills for Care is in place. This c\ overs an )Tj 0 -17.49 TD (orientation to the home and a range of care practises and health and saf\ ety issues. )Tj 0 -17.5 TD (Extra training regarding Parkinson's disease, dementia care and palliati\ ve care have )Tj T* (been offered to staff and this helps them develop further. )Tj ET endstream endobj 105 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (19)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Staffing)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w q 1 0 0 1 32.32 643.72 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 601.22 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 591.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -108.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 0 -17 TD (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj T* (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj T* (they are cared for by staff who get the relevant training and support fr\ om their )Tj T* (managers.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 119.99 w q 1 0 0 1 33.45 469.89 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 520.89 cm 0 0 m 534.7 0 l S Q 97.5 w q 1 0 0 1 32.32 458.64 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 508.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 509.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.9 509.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.2 508.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 408.77 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 517.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (excellent)Tj /TT1 12 Tf 65.43 0 Td (quality outcomes in this area. We have )Tj -287.94 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People are cared for by sufficient staff who are extremely competent, we\ ll trained and )Tj 0 -17.5 TD (safely recruited. This ensures individual needs can be consistently met.\ )Tj ET 0.996 0.945 0.761 RG 314.25 w q 1 0 0 1 33.45 225.77 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 373.9 cm 0 0 m 534.7 0 l S Q 292.87 w q 1 0 0 1 32.32 213.96 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 361.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 362.6 cm 0 0 m 0 -297.28 l S Q q 1 0 0 1 565.9 362.6 cm 0 0 m 0 -297.28 l S Q q 1 0 0 1 31.2 361.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 370.58 Td (Evidence:)Tj 4.27 -24.75 Td (The home has thirty people who have nursing and may have dementia care n\ eeds. )Tj 0 -17.49 TD (Registered nurses are well supported by care and ancillary staff. Staff \ were observed )Tj 0 -17.5 TD (dealing with people promptly and efficiently. One survey said "the servi\ ce is tailored to )Tj T* (individual needs". Positive comments were received through the surveys a\ nd through )Tj T* (verbal discussions with people at the visit. "The staff are absolutely w\ onderful", "I )Tj T* (would not hesitate in asking the staff for anything, they are lovely", a\ nd "the staff )Tj T* (really know how to look after me, its like a hotel". These were some of \ the comments )Tj T* (made. Staff were observed moving and handling people and interacting wit\ h people )Tj T* (with differing needs. The communication observed was extremely professio\ nal, and )Tj T* (friendly. This had a positive impact on people, and many people had a sm\ ile on their )Tj 0 -17.49 TD (face when staff were speaking with them. The different skill mix of staf\ f worked well )Tj 0 -17.5 TD (and the number of staff was appropriate. Many care staff have completed \ an NVQ )Tj T* (Level 2 in care and this is continually offered with some staff undertak\ ing an NVQ level )Tj T* (3.)Tj T* (\240)Tj T* (Staff are safely recruited and the manager usually obtains three written\ references, )Tj ET endstream endobj 106 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (18)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 41.37 w q 1 0 0 1 33.45 790.72 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 20 w q 1 0 0 1 32.32 778.91 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -24.41 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -24.41 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 767.78 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (robust and effective. )Tj ET endstream endobj 107 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (17)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Environment)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w q 1 0 0 1 32.32 643.72 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 68 w q 1 0 0 1 31.2 626.72 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 661.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 661.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 591.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -108.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 0 -17 TD (hygienic. )Tj 0 -19.25 TD (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 0 -17 TD (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj T* (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj T* (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 102.5 w q 1 0 0 1 33.45 478.64 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 520.89 cm 0 0 m 534.7 0 l S Q 80 w q 1 0 0 1 32.32 467.39 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 508.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 509.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.9 509.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.2 508.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 426.27 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 517.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People live in a comfortable and very clean environment.)Tj ET 0.996 0.945 0.761 RG 331.74 w q 1 0 0 1 33.45 234.52 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 391.4 cm 0 0 m 534.7 0 l S Q 310.37 w q 1 0 0 1 32.32 222.71 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 379.02 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 380.1 cm 0 0 m 0 -314.78 l S Q q 1 0 0 1 565.9 380.1 cm 0 0 m 0 -314.78 l S Q q 1 0 0 1 31.2 379.02 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 388.08 Td (Evidence:)Tj 4.27 -24.75 Td (The home is welcoming, warm with a high standard of cleanliness. There a\ re a range )Tj 0 -17.5 TD (of communal areas for people to use, and the home has friendly and homel\ y feel to it. )Tj 0 -17.49 TD (Three bedrooms were inspected these were all spacious, clean and persona\ lised. One )Tj 0 -17.5 TD (person felt their room waas too hot and they did not know how to adjust \ this. The )Tj T* (manager dealt with this immediately. A maintenance person carries out a \ range of )Tj T* (health and safety checks to ensure the home is safe. There is an accessi\ ble garden )Tj T* (which is suitable for people with or without mobility problems. People c\ learly enjoy )Tj T* (living in this environment, during the site visit the lift was been repa\ ired, this had been )Tj T* (unusable for three days. This meant some people had to stay in their roo\ ms all day. )Tj T* (However, staff were aware of individual needs and made sure they spent m\ ore time )Tj T* (with people upstairs. There were areas of the home which needed redecora\ ting, the )Tj 0 -17.49 TD (manager was aware of this.)Tj 0 -17.5 TD (\240)Tj T* (Staff were observed wearing protective clothing and using hand washing t\ echniques. )Tj T* (Some staff had previously completed infection control training but this \ was a few years )Tj T* (ago and should be updated. People were observed wearing clean and well-i\ roned )Tj T* (clothes, the system for removing soiled laundry was discussed and this s\ ystem was )Tj ET endstream endobj 108 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (16)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Complaints and protection)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w q 1 0 0 1 32.32 652.22 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 618.22 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 627.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 627.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 608.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -91.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -91.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 0 -17 TD (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj T* (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj T* (allegations.)Tj 0 -19.25 TD (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 119.99 w q 1 0 0 1 33.45 486.89 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 537.89 cm 0 0 m 534.7 0 l S Q 97.5 w q 1 0 0 1 32.32 475.64 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 525.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 526.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.9 526.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.2 525.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 425.77 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 534.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People have their concerns listened to and acted upon, with staff been a\ lert to signs of )Tj 0 -17.5 TD (abuse.This helps keep people safe.)Tj ET 0.996 0.945 0.761 RG 237.49 w q 1 0 0 1 33.45 281.15 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 390.9 cm 0 0 m 534.7 0 l S Q 214.99 w q 1 0 0 1 32.32 269.9 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 378.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 379.6 cm 0 0 m 0 -219.39 l S Q q 1 0 0 1 565.9 379.6 cm 0 0 m 0 -219.39 l S Q q 1 0 0 1 31.2 378.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 161.29 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 387.58 Td (Evidence:)Tj 4.27 -24.75 Td (The home have a complaints procedure in place which people and their vis\ itors are )Tj 0 -17.49 TD (aware of. This is discussed at the admission stage and a copy of this is\ displayed in the )Tj 0 -17.5 TD (home. No formal complaints have been made. Staff spoken to were aware of\ the )Tj T* (safeguarding procedures in place. Some staff have completed abuse awaren\ ess )Tj T* (training,and staff knew about the different types of abuse and the actio\ n to take if an )Tj T* (abusive situation occurs.The home have a policy in place and staff are e\ ncouraged to )Tj T* (use the 'Whistle Blowing' policy. The manager was generally aware of the\ action to )Tj T* (take if an allegation of abuse occurs though she needs to familiarise he\ rself with the )Tj T* (involvement of social services and the role they play as the lead agency\ . There have )Tj T* (been no safeguarding referrals made in the past twelve months. People lo\ oked safe in )Tj 0 -17.49 TD (the home and staff have protection of vulnerable adults check prior to s\ tarting work in )Tj 0 -17.5 TD (the home.)Tj ET endstream endobj 109 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (15)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 268.86 w q 1 0 0 1 33.45 676.97 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 247.49 w q 1 0 0 1 32.32 665.16 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -251.89 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -251.89 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 540.29 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (The lunchtime meal was observed. There are two dining areas for people t\ o use. A )Tj 0 -17.5 TD (light and airy conservatory area is used for people who need a small amo\ unt of )Tj T* (assistance and a smaller lounge area for people who may have dementia ca\ re needs )Tj T* (and need more assistance at mealtimes. The food looked appetising, with \ a range of )Tj T* (portion sizes available. One person had oxtail soup, followed by chicken\ and fresh )Tj 0 -17.49 TD (vegetables. "The food is delicious" one person said. The tables were lai\ d with white )Tj 0 -17.5 TD (table cloths and different sizes tables were available. A range of drink\ s were offered )Tj T* (and alternative food was available as required. Staff ask people what th\ ey would like )Tj T* (to eat and drink and this is done in a dignified way. It was evident tha\ t some people )Tj T* (were given assistance with their food whilst the member of staff was sta\ nding up )Tj T* (instead of sitting down next to the person. Two people had different sta\ ff assisting )Tj T* (them at different times. This could have been improved to ensure the din\ ing )Tj T* (experience was positive. The manager was made aware of this and was goin\ g to )Tj T* (address this straight away.)Tj ET endstream endobj 110 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (14)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Daily life and social activities)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 138.25 w q 1 0 0 1 32.32 626.72 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 567.22 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 576.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 576.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 557.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -142.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -142.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 0 -17 TD (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj T* (their local community. The care home supports people to follow personal \ interests and )Tj T* (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj T* (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj T* (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj T* (meals and snacks, at a time and place to suit them.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 137.49 w q 1 0 0 1 33.45 427.14 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 486.89 cm 0 0 m 534.7 0 l S Q 114.99 w q 1 0 0 1 32.32 415.89 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 474.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 475.59 cm 0 0 m 0 -119.39 l S Q q 1 0 0 1 565.9 475.59 cm 0 0 m 0 -119.39 l S Q q 1 0 0 1 31.2 474.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 357.27 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 483.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People participate in a range of activities and visitors are welcomed. S\ taff encourage )Tj 0 -17.5 TD (autonomy and choice, and people enjoy dining in pleasant surrounding wit\ h appealing )Tj T* (food)Tj ET 0.996 0.945 0.761 RG 262.75 w q 1 0 0 1 33.45 200.03 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 322.4 cm 0 0 m 534.7 0 l S Q 241.37 w q 1 0 0 1 32.32 188.21 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 310.02 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 311.1 cm 0 0 m 0 -245.78 l S Q q 1 0 0 1 565.9 311.1 cm 0 0 m 0 -245.78 l S Q q 1 0 0 1 31.2 310.02 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 319.08 Td (Evidence:)Tj 4.27 -24.74 Td (The home encourages social activities by offering; music to movement, ca\ rds, )Tj T* (dominoes, church services; and a selection of seasonal events. All event\ s/activities are )Tj T* (advertised in via a notice board and newsletter displayed in the home. A\ ctivities are )Tj T* (available every day. Manicures and pedicures take place, people visit th\ e hairdresser, )Tj T* (there are DVDs to enjoy, music, television and plenty of newspapers and \ magazines to )Tj T* (read. A mini-bus is available twice a month and trips to local areas are\ arranged. On )Tj T* (external outings staff supervise people on a one to one basis.)Tj T* (\240)Tj T* (Visitors are welcomed into the home and the visitors book confirm people\ arrive at )Tj 0 -17.49 TD (different times of the day. One person said "people come at anytime, sta\ ff always )Tj 0 -17.5 TD (welcome them". People have their religious and cultural needs met and th\ e manager is )Tj T* (aware of equality and diversity issues.)Tj T* (\240)Tj ET endstream endobj 111 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (13)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 338.86 w q 1 0 0 1 33.45 641.98 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 317.48 w q 1 0 0 1 32.32 630.16 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -321.89 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -321.89 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 470.3 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (The home have a designated Doctor who visits twice a week. Health care p\ rofessional )Tj 0 -17.5 TD (surveys confirmed that the medical support is good and people receive th\ e attention )Tj T* (they need. One person said "the home sort out the chiropodist, dentist o\ r optician for )Tj T* (me". All accidents and injuries are dealt with appropriately and these a\ re reported )Tj T* (promptly to The Commission.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The medication system was inspected. The administration of medication is\ effective. )Tj T* (There are clear records in place which show that staff sign in the corre\ ct place on the )Tj T* (medication charts once a person takes their tablets. Regular stock balan\ ces are in )Tj T* (place and an audit of the system identifies any errors or areas for impr\ ovement. Fridge )Tj T* (temperatures are taken daily and the controlled drugs are stored and rec\ orded )Tj T* (correctly. This is a robust system which is routinely monitored.)Tj T* (\240)Tj T* (Staff in the home are respectful and ensure people have the privacy they\ need. People )Tj T* (are able to have personal possessions in their room and telephones can b\ e fitted. One )Tj 0 -17.49 TD (person recently had a telephone installed and this was viewed. Staff wer\ e observed )Tj 0 -17.5 TD (speaking in a dignified manner to all people they came into contact with\ . \(see also )Tj T* (Staffing outcome\))Tj ET endstream endobj 112 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (12)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Health and personal care)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w q 1 0 0 1 32.32 609.72 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 68 w q 1 0 0 1 31.2 558.72 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 593.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 593.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 523.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -176.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -176.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 0 -17 TD (that the person, or someone close to them, has been involved in making. \ If they take )Tj T* (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj T* (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj T* (is respected and the support they get from staff is given in a way that \ maintains their )Tj T* (dignity.)Tj 0 -19.25 TD (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 0 -17 TD (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj T* (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj T* (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 102.5 w q 1 0 0 1 33.45 410.64 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 452.89 cm 0 0 m 534.7 0 l S Q 80 w q 1 0 0 1 32.32 399.39 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 440.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 441.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.9 441.59 cm 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.2 440.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 358.27 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 449.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People have their health and personal care needs met in a dignified mann\ er.)Tj ET 0.996 0.945 0.761 RG 263.74 w q 1 0 0 1 33.45 200.52 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 323.4 cm 0 0 m 534.7 0 l S Q 242.37 w q 1 0 0 1 32.32 188.71 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 311.02 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 312.1 cm 0 0 m 0 -246.78 l S Q q 1 0 0 1 565.9 312.1 cm 0 0 m 0 -246.78 l S Q q 1 0 0 1 31.2 311.02 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 320.08 Td (Evidence:)Tj 4.27 -24.75 Td (Everyone observed during the visit looked clean and well cared for. Thre\ e care plans )Tj 0 -17.5 TD (were looked at during this visit. These describe the care and support pe\ ople need to )Tj 0 -17.49 TD (stay in charge of their own lives as much as possible. The plans looked \ at contained a )Tj 0 -17.5 TD (lot of information, so that an unfamiliar carer could look at them and w\ ould be able to )Tj T* (work out how much support they needed. There were written assessments as\ to )Tj T* (whether people were at risk of developing pressure sores, of losing weig\ ht because of )Tj T* (poor appetite or a health problem or needing help with moving and handli\ ng. Those )Tj T* (identified as 'at risk' had a care plan in place describing how that ris\ k was to be )Tj T* (managed. All nine surveys received from people using the service had pos\ itive )Tj T* (comments regarding the care received. "the staff are wonderful", "I get \ all the care )Tj T* (and attention I want" were two comments. The home is very pro-active in \ promoting )Tj 0 -17.49 TD (people's well being. This was evident when discussing with the manager r\ esearch into )Tj 0 -17.5 TD (cranberry tablets and yogurt flavoured drinks to aid digestion and preve\ nt infections. )Tj ET endstream endobj 113 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (11)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET 0.996 0.945 0.761 RG 198.86 w q 1 0 0 1 33.45 711.97 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 177.49 w q 1 0 0 1 32.32 700.16 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -181.9 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -181.9 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 610.29 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (about the service and what it provides. This means they can make an info\ rmed choice )Tj 0 -17.5 TD (about whether to move there or not.)Tj T* (\240)Tj T* (One person said "I tried it here first before I came permanently", anoth\ er person said )Tj T* ("the manager asked me lots of questions before I arrived". The manager i\ s very aware )Tj 0 -17.49 TD (of the categories of registration and knows the client group well. Inter\ mediate care can )Tj 0 -17.5 TD (be catered for and this involves liaising with the physiotherapist or oc\ cupational )Tj T* (therapist, and specialist health care professionals. This is discussed i\ n the Statement )Tj T* (of Purpose. At the time of the visit the intermediate care facility was \ not being used.)Tj T* (\240)Tj ET endstream endobj 114 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (10)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Choice of home)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 206.25 w q 1 0 0 1 32.32 592.72 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 119 w q 1 0 0 1 31.2 550.22 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.09 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 610.84 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 489.59 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.17 cm 0 0 m 0 -210.65 l S Q q 1 0 0 1 564.78 699.17 cm 0 0 m 0 -210.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People are confident that the care home can support them. This is becaus\ e there is an )Tj 0 -17 TD (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj T* (involved in. This tells the home all about them and the support they nee\ d. People who )Tj T* (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj T* (plan on what they hope for and want to achieve when they return home.)Tj 0 -19.25 TD (People can decide whether the care home can meet their support and accom\ modation )Tj 0 -17 TD (needs. This is because they, or people close to them, have been able to \ visit the home )Tj T* (and have got full, clear, accurate and up to date information about the \ home. If they )Tj T* (decide to stay in the home they know about their rights and responsibili\ ties because )Tj T* (there is an easy to understand contract or statement of terms and condit\ ions between )Tj T* (them and the care home that includes how much they will pay and what the\ home )Tj T* (provides for the money.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET 0.996 0.945 0.761 RG 119.99 w q 1 0 0 1 33.45 367.89 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 418.89 cm 0 0 m 534.7 0 l S Q 97.5 w q 1 0 0 1 32.32 356.64 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 406.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 407.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.9 407.59 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.2 406.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 306.77 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 415.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People are effectively assessed prior to admission, which helps to ensur\ e individual )Tj 0 -17.5 TD (needs can be met)Tj ET 0.996 0.945 0.761 RG 212.25 w q 1 0 0 1 33.45 174.77 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 271.9 cm 0 0 m 534.7 0 l S Q 190.87 w q 1 0 0 1 32.32 162.96 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 259.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 260.6 cm 0 0 m 0 -195.28 l S Q q 1 0 0 1 565.9 260.6 cm 0 0 m 0 -195.28 l S Q q 1 0 0 1 31.2 259.52 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 66.4 cm 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 268.58 Td (Evidence:)Tj 4.27 -24.74 Td (The three pre-admission assessments looked at confirmed that a senior pe\ rson )Tj T* (completes an assessment before an individual moves to the home. This is \ to check )Tj T* (what type of care and support the person needs and whether the staff hav\ e the skills )Tj T* (and knowledge to provide that care if the individual chooses to move the\ re. The )Tj T* (process also reassures the individual and their family that they will re\ ceive the right )Tj T* (support.)Tj T* (\240)Tj T* (Assessments are completed if the person has a care manager or is private\ ly funded. )Tj T* (These detail health, personal, nursing, social and mental health needs. \ All the surveys )Tj T* (completed by people living there report that people are given enough inf\ ormation )Tj ET endstream endobj 115 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 52.46 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (9)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj /TT1 12 Tf -505.94 748.12 Td (\240)Tj /TT0 14 Tf 0 -19.01 TD (Details of our findings)Tj ET 26 w q 1 0 0 1 32.32 746.27 cm 0 0 m 530.21 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 761.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 733.27 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 762.59 cm 0 0 m 0 -30.4 l S Q q 1 0 0 1 564.78 762.59 cm 0 0 m 0 -30.4 l S Q BT /C2_0 12 Tf 34.05 744.39 Td <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w q 1 0 0 1 28.35 700.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 695.95 Td (Choice of home\240 \(standards 1 - 6\))Tj ET q 1 0 0 1 28.35 678.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 673.95 Td (Health and personal care\240 \(standards 7 - 11\))Tj ET q 1 0 0 1 28.35 656.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 651.95 Td (Daily life and social activities\240 \(standards 12 - 15\))Tj ET q 1 0 0 1 28.35 634.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 629.95 Td (Complaints and protection\240 \(standards 16 - 18\))Tj ET q 1 0 0 1 28.35 612.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 607.95 Td (Environment\240 \(standards 19 - 26\))Tj ET q 1 0 0 1 28.35 590.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 585.95 Td (Staffing\240 \(standards 27 - 30\))Tj ET q 1 0 0 1 28.35 568.02 cm 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 563.95 Td (Management and administration\240 \(standards 31 - 38\))Tj 0 -20 TD (Outstanding statutory requirements)Tj 0 -21.87 TD (Requirements and recommendations from this inspection)Tj ET endstream endobj 116 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 57.24 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 52.46 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (8)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj ET 1 1 1 RG q 1 0 0 1 31.2 803.36 cm 0 0 m 536.65 0 l S Q 268.49 w q 1 0 0 1 32.32 656.57 cm 0 0 m 534.4 0 l S Q 20.58 w q 1 0 0 1 32.7 509.79 cm 0 0 m 536.65 0 l S Q 78.92 w q 1 0 0 1 33.82 457.79 cm 0 0 m 534.4 0 l S Q 20.58 w q 1 0 0 1 33.45 405.79 cm 0 0 m 536.65 0 l S Q 93.5 w q 1 0 0 1 34.57 346.5 cm 0 0 m 534.4 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 31.2 791.95 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 30.12 791.95 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 30.12 521.2 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.2 793.02 cm 0 0 m 0 -272.89 l S Q q 1 0 0 1 31.2 521.2 cm 0 0 m 538.15 0 l S Q q 1 0 0 1 32.7 498.37 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 31.62 498.37 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.62 417.2 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 33.45 394.37 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 33.45 417.2 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 32.37 394.37 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 32.37 298.62 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 32.7 499.45 cm 0 0 m 0 -83.32 l S Q q 1 0 0 1 33.45 395.45 cm 0 0 m 0 -97.9 l S Q q 1 0 0 1 567.85 793.02 cm 0 0 m 0 -272.89 l S Q q 1 0 0 1 569.35 499.45 cm 0 0 m 0 -83.32 l S Q q 1 0 0 1 570.1 395.45 cm 0 0 m 0 -97.9 l S Q BT /TT0 12 Tf 31.2 798.59 Td [(What the )-5(care home)-3( does well:)]TJ /TT1 10 Tf 536.65 2.66 Td (\240)Tj /TT1 12 Tf -532.68 -25.49 Td (The staff group in the home ensure that people receive a high standard o\ f care. Staff )Tj 0 -14.59 TD (interact positively with people and deal with issues promptly and effect\ ively.)Tj 0 -14.58 TD (\240)Tj T* (The manager of the home ensures the best interests of people are a prior\ y and daily )Tj 0 -14.59 TD (routines fit in with people using the service and their relatives.)Tj 0 -14.58 TD (\240)Tj T* (The home is extremely clean and well maintained, this makes it pleasant \ for people to )Tj T* (spend time in the communal areas. "My room is lovely and spacious" was o\ ne )Tj 0 -14.59 TD (comment.)Tj 0 -14.58 TD (\240)Tj T* (People enjoy a range of activities which are suitable for this client gr\ oup. One person )Tj 0 -14.59 TD (said "I enjoy playing cards, and doing chair exercises".)Tj 0 -14.58 TD (\240)Tj T* (The food and drink offered is appetising, homecooked and enjoyed by many\ people. )Tj 0 -14.59 TD (One person said "the food is lovely".)Tj 0 -14.58 TD (\240)Tj T* (Staff are very competent safely recruited and alert to signs of abuse. T\ his helps protect )Tj T* (people from harm)Tj /TT1 10 Tf 533.8 127.17 Td (\240)Tj -537.77 -147.35 Td (\240)Tj /TT0 12 Tf 1.5 -2.66 Td (What has improved since the last inspection?)Tj /TT1 10 Tf 536.65 3.22 Td (\240)Tj -538.15 -52 Td (\240)Tj /TT1 12 Tf 5.47 25.95 Td (Some of the communal areas have been decorated and new furntiture has be\ en )Tj T* (obtained.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (Staff continue to complete NVQ training in care and the manager offers s\ pecialised )Tj T* (training in dementia care, nutrtion and palliative care.)Tj /TT1 10 Tf 533.8 32.38 Td (\240)Tj -539.27 -52 Td (\240)Tj /TT0 12 Tf 2.25 -3.21 Td (What they could do better:)Tj /TT1 10 Tf -2.25 -56.08 Td (\240)Tj /TT1 12 Tf 6.22 33.24 Td (The training records could be more comprehensive, this will ensure the m\ anager is )Tj T* (aware what mandatory training is needed for staff. People using hte serv\ ice will benefit )Tj T* (from staff having up to date knowledge of health and safety procedures.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (People could be assisted at lunchtime in a more dignified manner. This w\ ill make the )Tj T* (dining experience more pleasant for people.)Tj -9.07 -22.34 Td (\240)Tj 0 -20 TD [(If you want to know what action the person responsible for this )-40(care home)-6( is taking )]TJ 0 -17.49 TD (following this report, you can contact them using the details set out on\ page 4.)Tj 0 -20 TD (\240)Tj T* [(The report of this inspection is available from our website )-35(www.csci.org.uk.)-714(You can get )]TJ 0 -17.5 TD [(printed copies from )-11(enquiries@csci.gsi.gov.uk or by telephoning our order line \226)-37(0870 )]TJ T* (240 7535.)Tj ET endstream endobj 117 0 obj <>stream 1 1 1 RG 455.07 w q 1 0 0 1 31.2 584.99 cm 0 0 m 534.4 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 813.65 cm 0 0 m 538.81 0 l S Q q 1 0 0 1 28.99 356.33 cm 0 0 m 538.81 0 l S Q q 1 0 0 1 30.07 814.73 cm 0 0 m 0 -459.48 l S Q q 1 0 0 1 566.72 814.73 cm 0 0 m 0 -459.48 l S Q BT 0 0 0 rg /TT0 12 Tf 31.8 802.72 Td (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (The purpose of the visit was to make sure that the home was operating an\ d being )Tj T* (managed in the best interests of people living there. Information has be\ en used from )Tj 0 -14.59 TD (different sources for this report. These sources include- Reviewing info\ rmation that has )Tj 0 -14.58 TD (been received about the home since the last inspection.)Tj T* (\240)Tj 0 -14.59 TD (The annual quality assurance assessment. This is information which detai\ ls what has )Tj 0 -14.58 TD (happened during the past 12 months.)Tj T* (\240)Tj T* (Nine surveys from people using the service, three staff,and one health c\ are )Tj 0 -14.59 TD (professional survey.)Tj 0 -14.58 TD (\240)Tj T* (Notifications \(Regulation 37\) relating to incidents in the home affect\ ing people using )Tj 0 -14.59 TD (the service.)Tj 0 -14.58 TD (\240)Tj T* (Details of complaints and allegations raised by people connected to the \ service.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (At the site visit one inspector spent 5.0 hours at the home. During this\ time )Tj T* (observations of care practices took place. People using the service were\ spoken with )Tj 0 -14.59 TD (along with some relatives. Discussions with the manager regarding meetin\ g needs, )Tj 0 -14.58 TD (mealtimes, protecting people and the environment took place. The lunchti\ me meal was )Tj T* (observed and time was spent inspecting care plans, looking at individual\ rooms and )Tj T* (reviewing a selection of health and safety information. Staffing and man\ agement )Tj 0 -14.59 TD (issues were discussed and feedback was given to the manager at the end o\ f the )Tj 0 -14.58 TD (inspection.)Tj T* (\240)Tj 0 -14.59 TD (The weekly fees range from 350pounds-600pounds. Additional charges are m\ ade for )Tj 0 -14.58 TD (chiropody, hairdressing and newspapers. The home has a copy of the lates\ t inspection )Tj T* (report, the Statement of Purpose and Service Users Guide. These are read\ ily available )Tj T* (and are discussed with people.)Tj ET endstream endobj 118 0 obj <>stream q 1 0 0 1 28.3500061 55.6900024 cm 0.984 0.788 0.086 RG 17.5 w 0 0 m 540 0 l S Q BT 0 0 0 rg /TT0 12 Tf 33.75 52.38 Td (Care Homes for Older People)Tj /TT1 11 Tf 450 1 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (6)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj /TT2 10 Tf -512.01 -15.35 Td (\240)Tj /TT1 12 Tf 0 763.56 TD (\240)Tj /TT1 10 Tf 0 -14.99 TD (\240)Tj /C2_0 14 Tf 0 -24.95 TD <003600580050005000440055005C>Tj /TT1 12 Tf 0 -20.96 TD (This is an overview of what we found during the inspection.)Tj ET q 1 0 0 1 31.1999969 720.2200012 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 349.85 0 l S Q q 1 0 0 1 383.3000031 720.2200012 cm 1 1 1 RG 20.58 w 0 0 m 182.9 0 l S Q q 1 0 0 1 28.9900055 731.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 708.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 30.0700073 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 382.1699982 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 567.3200073 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q BT /TT1 12 Tf 34.05 715.44 Td [(The quality rating for this )-14(care home)-7( is:)]TJ /C2_1 12 Tf 240.668 0 Td <00030003000300030003000300030003000300030003000300030003000300030003000300030003000300030003000300030003000300030057004B0055004800480003005600570044005500030048005B00460048004F004F00480051005700030056004800550059004C00460048>Tj /C2_0 12 Tf -246.368 -32.14 Td <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /TT1 10 Tf 183.96 -76.04 Td (Choice of home)Tj -47.87 -40.25 Td (Health and personal care)Tj -19.25 -40.25 Td (Daily life and social activities)Tj 12.77 -40.25 Td (Complaints and protection)Tj 68.41 -40.25 Td (Environment)Tj 24.81 -40.25 Td (Staffing)Tj -123.67 -40.25 Td (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3099976 cm 0.992 0.898 0.545 RG 0.001 w /Fm0 Do Q q 1 0 0 1 31.1999969 249.0700073 cm 1 1 1 RG 20.58 w 0 0 m 536.65 0 l S Q q 1 0 0 1 32.3200073 151.0500031 cm 1 1 1 RG 170.96 w 0 0 m 534.4 0 l S Q q 1 0 0 1 31.1999969 237.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 30.1199951 237.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 30.1199951 64.4400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 31.1999969 238.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -175.36 l S Q q 1 0 0 1 567.8500061 238.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -175.36 l S Q BT /TT0 12 Tf 34.05 244.3 Td (How we did our inspection:)Tj /TT1 12 Tf 1.12 -22.84 Td (The quality rating for this service is 2 star. This means the people who\ use this service )Tj 0 -14.58 TD (experience good quality outcomes.)Tj T* (\240)Tj T* (We went to the home without telling them that we were going to visit. Th\ is report )Tj 0 -14.59 TD (follows the visit that took place on Thursday 29th January 2009. The vis\ it lasted from )Tj 0 -14.58 TD (9:30 until 14:30.)Tj T* (\240)Tj 0 -14.59 TD (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 0 -14.58 TD (consistency. Some requirements from previous inspection reports may have\ been )Tj T* (deleted or carried forward into this report as recommendations, but only\ when it is )Tj T* (considered that people who use services are not being put at significant\ risk of harm. )Tj ET endstream endobj 119 0 obj <> endobj 120 0 obj [122 0 R] endobj 121 0 obj <>stream H\_k0|{lJڂ[an & b_̕Pq\r1wlCr8OW':aiJKSQXCr+K!8{AMns 6lv Z# T(A/¾Ǵ]B\erv|.!N2rR8[! 3 +*(/aU O[}'ITcJ:)'=Nt&]HuTIyTBAt IG+NY s{չи8رW}v֏ 0N̐ endstream endobj 122 0 obj <> endobj 123 0 obj <> endobj 124 0 obj <> endobj 125 0 obj <>stream Hj0 endstream endobj 126 0 obj <>stream HV p~{uNɒ,ll-c#9EvM#c ơLBq&$iZJiIdb4-h@i i PJەdN;o۷, P:oGvBd-7(frĉ++\+l^ؒvy[W ?؆@4֟zn[γº24fmKO~ѻ@6v{sgp>@>Wnno=[z?ιc]k|X3^&@^1װ:C&,F <ǣ-RA3f49V|.#"@JH&^FgU›˱s~o;Ql|~ObAxk:}݈~=pF:%}#mJFVd E*1{ ZTkJuO?!Mqh=55=U% ןʈV?uDT\ zac(CqEZ͂%JUO$1n/^`VF{ђ]x#Ȭ\lkPtr (5>ʙƀ `~ 3%1-\s$11> Rͮo54vhJ#?F<<+&*aA6>_@=.|'C9Y7Yͼ6xj56MYE2?jrud>ZdL3Je]dY1OƏ~L$S.5pQj̥CNe]>.I znۍN-h% { ; Jc7h".%&ڥ$W9-V:D,|+t2Lm,txɎ3oqy8oY? 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Two decked areas are availabl\ e for residents )Tj T* (to sit outside. Car parking is available to the front of the building. T\ he village itself has )Tj T* (numerous shops, a train station and is adjacent to a motorway. Accommoda\ tion is )Tj T* (provided over 3 floors serviced by a lift. The majority of the bedrooms \ are single, one )Tj T* (with an en-suite and six bedrooms being shared. The home is owned by Pri\ me Life Ltd. )Tj T* (The home may provide residential and nursing care for up to 35 people of\ either sex, )Tj T* (who may also have dementia, a physical disability or terminal illness. S\ ervices )Tj T* (provided include personal care, meals, laundry and health care, with add\ itional health )Tj T* (services being accessed as necessary, for example, the district nursing \ services. The )Tj T* (weekly fees range from \243350-\243600. 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This publication may be reproduced )Tj T* (in whole or in part, free of charge, in any format or )Tj 0 -14.59 TD (medium provided that it is not used for commercial )Tj 0 -14.58 TD (gain. This consent is subject to the material being )Tj T* (reproduced accurately and on proviso that it is not )Tj 0 -14.59 TD (used in a derogatory manner or misleading context. )Tj 0 -14.58 TD (The material should be acknowledged as CSCI )Tj T* (copyright, with the title and date of publication of the )Tj 0 -14.59 TD (document specified.)Tj -197.95 -22.83 Td (Internet address)Tj 197.95 0 Td (www.csci.org.uk)Tj ET endstream endobj 130 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.99 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 454.22 0 Td (Page)Tj /TT0 12 Tf 30.4 0 Td (2)Tj /TT1 11 Tf 8.53 0 Td ( of )Tj /TT0 12 Tf 18.28 0 Td (25)Tj /C2_0 10 Tf -244.99 772.44 Td <0003>Tj /TT1 12 Tf -269.29 -16.63 Td [(This is a report of an inspection where we looked at how well this )-39(care home is meeting )]TJ 0 -17.5 TD [(the needs of people who use it.)-721(There is a summary of what we think this service does )]TJ T* (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj T* (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 0 -17.49 TD [(experience.)-710(National minimum standards are written by the Department of Health for )]TJ 0 -17.5 TD (each type of care service.)Tj 0 -20 TD (After the summary there is more detail about our findings. 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TD (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 0 -14.58 TD (The registered person had to meet these within 48 hours.)Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj ET q 1 0 0 1 31.1999969 616.6600037 cm 0.996 0.945 0.761 RG 66.75 w 0 0 m 535 0 l S Q q 1 0 0 1 31.1999969 565.8800049 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 565.8800049 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 104.15 0 l S Q q 1 0 0 1 199.6499939 565.8800049 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 565.8800049 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 182.15 0 l S Q q 1 0 0 1 476.1499939 565.8800049 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 90.05 0 l S Q q 1 0 0 1 31.1999969 488.9799957 cm 1 1 1 RG 119 w 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3000031 488.9799957 cm 1 1 1 RG 119 w 0 0 m 104.1 0 l S Q q 1 0 0 1 199.6499939 488.9799957 cm 1 1 1 RG 119 w 0 0 m 89.8 0 l S Q q 1 0 0 1 291.6999969 488.9799957 cm 1 1 1 RG 119 w 0 0 m 182.1 0 l S Q q 1 0 0 1 476.0500031 488.9799957 cm 1 1 1 RG 119 w 0 0 m 90.05 0 l S Q q 1 0 0 1 31.1999969 342.2299957 cm 1 1 1 RG 170 w 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3000031 342.2299957 cm 1 1 1 RG 170 w 0 0 m 104.1 0 l S Q q 1 0 0 1 199.6499939 342.2299957 cm 1 1 1 RG 170 w 0 0 m 89.8 0 l S Q q 1 0 0 1 291.6999969 342.2299957 cm 1 1 1 RG 170 w 0 0 m 182.1 0 l S Q q 1 0 0 1 476.0500031 342.2299957 cm 1 1 1 RG 170 w 0 0 m 90.05 0 l S Q q 1 0 0 1 28.9900055 582.1600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 549.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 92.1199951 583.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -155.95 l S Q q 1 0 0 1 290.6199951 583.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -155.95 l S Q q 1 0 0 1 475.0200043 583.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -155.95 l S Q q 1 0 0 1 28.9900055 428.3500061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 28.9900055 651.1600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 582.1600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 549.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 28.9900055 428.3500061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 28.9900055 256.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 30.0700073 652.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -397.2 l S Q q 1 0 0 1 92.1699982 550.6799927 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -295.65 l S Q q 1 0 0 1 198.5200043 583.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -328.2 l S Q q 1 0 0 1 290.5700073 550.6799927 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -295.65 l S Q q 1 0 0 1 474.9199982 550.6799927 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -295.65 l S Q q 1 0 0 1 567.3200073 652.2299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -397.2 l S Q BT /TT0 12 Tf 31.2 637.97 Td (Statutory requirements)Tj /TT1 12 Tf 2.85 -20 Td (These requirements set out what the registered person must do to meet th\ e Care )Tj 0 -14.58 TD [(Standards Act 2000, Care Homes)-369(Regulations 2001 and the National Minimum )]TJ 0 -14.59 TD (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj /TT1 12 Tf -443.5 -19.42 Td [(1)-4682(37)]TJ 166.05 0 Td (17)Tj 96.5 0 Td (Accurate records must be )Tj 0 -17 TD (kept regarding staff training.)Tj 0 -16.99 TD (\240)Tj 0 -17 TD (This will ensure training can )Tj T* (be properly planned for )Tj T* (staff, and they will receive )Tj T* (this in a timely manner.)Tj 184.05 101.99 Td [(28/02/2009)-6(\240)]TJ -446.6 -121.24 Td [(2)-4682(38)]TJ 166.05 0 Td (18)Tj 96.5 0 Td (Staff must be made aware )Tj T* (of the current practice )Tj T* (regarding fire safey, moving )Tj T* (and handling, infection )Tj T* (control and food hygiene )Tj T* (practices.)Tj T* (\240)Tj T* (This will minimise any risk of )Tj T* (harm to people using the )Tj T* (service.)Tj 184.05 153 Td [(30/04/2009)-6(\240)]TJ ET q 1 0 0 1 31.1999969 193.6600037 cm 0.996 0.945 0.761 RG 47.89 w 0 0 m 535 0 l S Q q 1 0 0 1 31.1999969 158.3899994 cm 0.996 0.945 0.761 RG 18.15 w 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 158.3899994 cm 0.996 0.945 0.761 RG 18.15 w 0 0 m 104.15 0 l S Q q 1 0 0 1 199.6499939 158.3899994 cm 0.996 0.945 0.761 RG 18.15 w 0 0 m 366.55 0 l S Q q 1 0 0 1 31.1999969 114.8999939 cm 1 1 1 RG 64.33 w 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3000031 114.8999939 cm 1 1 1 RG 64.33 w 0 0 m 104.1 0 l S Q q 1 0 0 1 199.6499939 114.8999939 cm 1 1 1 RG 64.33 w 0 0 m 366.45 0 l S Q q 1 0 0 1 28.9900055 168.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 148.1900024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 92.1199951 169.6699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -89.14 l S Q q 1 0 0 1 28.9900055 218.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 168.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 148.1900024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 28.9900055 81.6100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.31 0 l S Q q 1 0 0 1 30.0700073 219.8099976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -139.28 l S Q q 1 0 0 1 92.1699982 149.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -68.74 l S Q q 1 0 0 1 198.5200043 169.6699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -89.14 l S Q q 1 0 0 1 567.3200073 219.8099976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -139.28 l S Q BT /TT0 12 Tf 34.05 202.54 Td (Recommendations)Tj /TT1 10 Tf 0 -15.57 TD (These recommendations are taken from the best practice described in the \ National Minimum Standards )Tj 0 -12.15 TD (and the registered person\(s\) should consider them as a way of improvin\ g their service.)Tj -2.85 -17.41 Td (No.)Tj 64.9 -3 Td [(Refer to Standard)-1695(Good Practice Recommendations)]TJ /TT1 12 Tf -62.05 -22.41 Td [(1)-4540(15)]TJ 168.45 0 Td (People should be given assistance at mealtimes by one )Tj 0 -14.58 TD (member of staff at a time. Staff should be at the same )Tj 0 -14.59 TD (level as the person requiring assistance.This will enhance )Tj 0 -14.58 TD (the dining experience.)Tj ET endstream endobj 136 0 obj <>stream q 1 0 0 1 28.3500061 35.9900055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page)Tj /TT0 11 Tf 30.41 0 Td (23)Tj /TT1 11 Tf 15.64 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj ET q 1 0 0 1 29.4700012 793.2799988 cm 0.992 0.945 0.761 RG 36.25 w 0 0 m 535.5 0 l S Q q 1 0 0 1 28.3500061 784.7799988 cm 0.996 0.945 0.761 RG 17 w 0 0 m 393.75 0 l S Q q 1 0 0 1 424.3500061 784.7799988 cm 0.996 0.945 0.761 RG 17 w 0 0 m 42.75 0 l S Q q 1 0 0 1 469.3500061 784.7799988 cm 1 1 1 RG 17 w 0 0 m 24.75 0 l S Q q 1 0 0 1 496.3500061 784.7799988 cm 0.996 0.945 0.761 RG 17 w 0 0 m 42.75 0 l S Q q 1 0 0 1 541.3500061 784.7799988 cm 1 1 1 RG 17 w 0 0 m 24.75 0 l S Q q 1 0 0 1 26.1399994 794.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 542.16 0 l S Q q 1 0 0 1 26.1399994 813.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 542.16 0 l S Q q 1 0 0 1 26.1399994 794.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 542.16 0 l S Q q 1 0 0 1 26.1399994 775.1499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 542.16 0 l S Q q 1 0 0 1 27.2200012 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -40.65 l S Q q 1 0 0 1 423.2200012 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 468.2200012 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 495.2200012 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 540.2200012 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.2200012 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -40.65 l S Q BT /TT1 12 Tf 33.75 800.47 Td (Are there any outstanding requirements from the last inspection?)Tj 396 -19.25 Td (Yes)Tj /C2_0 12 Tf 46.62 1.94 Td <0085>Tj /TT1 12 Tf 25.38 -1.94 Td (No)Tj /C2_0 12 Tf 46.62 1.94 Td <0035>Tj ET q 1 0 0 1 31.1999969 683.9299927 cm 0.996 0.945 0.761 RG 69.19 w 0 0 m 535 0 l S Q q 1 0 0 1 31.1999969 631.9299927 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 631.9299927 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 104.15 0 l S Q q 1 0 0 1 199.6499939 631.9299927 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 631.9299927 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 182.15 0 l S Q q 1 0 0 1 476.1499939 631.9299927 cm 0.996 0.945 0.761 RG 30.3 w 0 0 m 90.05 0 l S Q q 1 0 0 1 28.9900055 648.2100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 719.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 648.2100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 615.6600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 30.0700073 720.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -106.15 l S Q q 1 0 0 1 92.1199951 649.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -34.71 l S Q q 1 0 0 1 198.5200043 649.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -34.71 l S Q q 1 0 0 1 290.6199951 649.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -34.71 l S Q q 1 0 0 1 475.0200043 649.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -34.71 l S Q q 1 0 0 1 567.3200073 720.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -106.15 l S Q BT /TT0 16 Tf 31.2 702.44 Td (Outstanding statutory requirements)Tj /TT1 12 Tf 2.85 -18.42 Td (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 0 -14.58 TD [(been met. )-5(\240)-1(They say what the registered person had to do to meet the Care Standards\ )]TJ 0 -14.59 TD (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ )Tj /TT1 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3885(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj ET endstream endobj 137 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (22)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 598.2299957 cm 0.996 0.945 0.761 RG 426.35 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 586.4199982 cm 1 1 1 RG 404.98 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -409.38 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -409.38 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 382.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (questionnaires and a range of audits which relate to health and safety, \ the )Tj 0 -17.5 TD (environment and care practices. A senior manager also visits monthly and\ speaks to )Tj T* (people using the service and identifies what improvements have been made\ . Records )Tj T* (of these visits were available. Resident and staff meetings take place, \ and care plan )Tj T* (and medication audits help confirm that people are happy with the person\ al and )Tj 0 -17.49 TD (healthcare they receive.)Tj 0 -17.5 TD (\240)Tj T* (People can keep personal money in the home. This may be used for chiropo\ dy, )Tj T* (hairdresing, clothes or toiletries.Well-maintained records are kept of a\ ll transactions )Tj T* (and invoices are available which confirm the money coming in and going o\ ut.)Tj T* (\240)Tj T* (Health and safety was discussed and a selection of policies were inspect\ ed. A fire risk )Tj T* (assessment is in place and staff had a good understanding of the action \ needed in the )Tj T* (event of a fire. Staff receive fire, moving and handling, infection cont\ rol and food )Tj T* (hygiene training. However, this needs updating as some staff have not ha\ d formal )Tj 0 -17.49 TD (training since 2004 or 2005. The training matrix is not up to date and s\ taff training )Tj 0 -17.5 TD (files examined need to be accurate and reflect the training people have \ had. Some of )Tj T* (this is inhouse whilst other aspects are more formal.)Tj T* (\240)Tj T* (Water temperatures are taken and both the electrical wiring certificate \ and gas safety )Tj T* (checks are in place. This helps to keep people safe in their environment\ .)Tj T* (\240)Tj T* (\240)Tj ET endstream endobj 138 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (21)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Management and administration)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 601.2200012 cm 0.996 0.945 0.761 RG 189.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 558.7200012 cm 1 1 1 RG 102 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 506.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -193.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -193.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 0 -17 TD (People control their own money and choose how they spend it. If they or \ someone )Tj T* (close to them cannot manage their money, it is managed by the care home \ in their )Tj T* (best interests. The environment is safe for people and staff because app\ ropriate health )Tj T* (and safety practices are carried out.)Tj 0 -19.25 TD (People get the right support from the care home because the manager runs\ it )Tj 0 -17 TD (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj T* (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj T* (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj T* (the way things should be done. They get the right care because the staff\ are )Tj T* (supervised and supported by their managers.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 393.6399994 cm 0.996 0.945 0.761 RG 102.5 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 435.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 382.3899994 cm 1 1 1 RG 80 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 423.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 424.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.8999939 424.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.1999969 423.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 341.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 432.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /C2_1 12 Tf 1 0 0 1 257.698 407.83 Tm <0048005B00460048004F004F004800510057>Tj /TT1 12 Tf 65.442 0 Td (quality outcomes in this area. We have )Tj -287.67 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (The home is run in the best interests of the people using the service.)Tj ET q 1 0 0 1 33.4499969 192.0200043 cm 0.996 0.945 0.761 RG 246.74 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 306.3999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 180.2100067 cm 1 1 1 RG 225.37 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 294.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 295.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -229.78 l S Q q 1 0 0 1 565.8999939 295.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -229.78 l S Q q 1 0 0 1 31.1999969 294.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 303.08 Td (Evidence:)Tj 4.27 -24.75 Td (The manager is registered with The Commission and has completed an NVQ L\ evel 4 in )Tj 0 -17.5 TD (Care and Management. She is an experienced manager with many years exper\ ience )Tj 0 -17.49 TD (working with older people. At the site visit the manager had to deal wit\ h a range of )Tj 0 -17.5 TD (issues, these related to staffing and maintenance. These issues were all\ dealt with in a )Tj T* (calm, robust and professional manner. This clearly demonstrated the mana\ gers ability )Tj T* (to run the home to a high standard. The atmoshphere in the home is calm \ and )Tj T* (relaxing and visitors feel they can approach the manager and staff if th\ ey have any )Tj T* (concerns.The annual quality assurance assessment was completed comprehen\ sively, )Tj T* (and information regarding the improvements that have taken place in the \ past twelve )Tj T* (months.The evidence relating to what the service does well again was det\ ailed.)Tj T* (\240)Tj 0 -17.49 TD (The home have a quality assurance system in place which includes client \ and visitor )Tj ET endstream endobj 139 0 obj <> endobj 140 0 obj [142 0 R] endobj 141 0 obj <>stream H\j0 ~ Cqҵi!e+?,88!o?.L`sctl1@8KmXeQ($n)ؘ޲I)6ve+ x;;#T(ѫpobDQkuXvZ>rVD/̀(*(/C勤z-Z}(:ˊ*91%Q'zItt:$zJt3ot$[*^2Yhc;Tc }b endstream endobj 142 0 obj <> endobj 143 0 obj <> endobj 144 0 obj <> endobj 145 0 obj <>stream Hj0 endstream endobj 146 0 obj <>stream HVl{>b'ٱ9gNpǦ40;,RUZԦM+ NCLHcgZ emT۲QU&nb~֕?FIM}}{wLu_5<8!ifL] V3r(t +{>{WK$ ֯M`Lc$dwbdl|N#{ǕT33_O? {i_|dn͒L|_q sbMS,x?E0xQwwJ}Q` +No#yKK:/^7]?]Bv7^cu<؅qC~}pA3: F ь2ZЃX:0|l5ôj+܄9H~LëJl6ySy>Q|xͬ0_c <ȬG;~)3!W^q q5#\9Z׮Yo󭪭>R]+\RyYisEqQn+Z|s^ɘ#c5#brYyŃyO\ X0r>!!lYަM Vq )PMu,hBrhH)bU%%/;e2࠱RF&v4 1,jI1jkWa:Trչ>*POSnHrdljPD2(MOR2HhgOdFѮE,MIʖQUT M LhZhr4 KB4`U L^ޘH}x Yc{ ["={Vр\mYW\ p!VakVg['˟̕Rh^|<U5S^rue |.vvޚbkS1j[H I^m;)_q{5Fɳ|Ө<91,<93(䉓Fa Q|\Zo?륨]=l @ux`C w:t& %@8XKp408P3CxMãQP:i3\VxB;љZw>}Gs9wemS?c]i3QV,f E8S0`^(F%c  IeSdŖ _@Rn@rgR"߲qpqj ǗsWD"H$-K_rD@b)$V!!›_c-6 ZC= _^ |eG_ܿ[{{/2EZ$xΊ| KBDѲ'ycZb1'Hi}(ir!ZnDo)WiK/6t*{jZ~lIV^x(faOX;"ݠ5=ZNiJ5PJSTDd?k1vJObcl͑hҋҬfgUit>>ɡM>_J: JT4\a G qH~y|3 m>OiCF_ꤗz)I`M@ױa@Y}pM`Dnܛz`DA"?@Icy9&1uVnSKʖ$ -܋JzR9MBľv* ȇ ?XXՀņ.|h|_>vaÒG , fWDs ^Og8.(`U0*܇31&cK=fنObEY~ 0ph=EֳmmĖ3qFܳ6Fm4Mׁ36.dr`+z!f9ژsg9apY>O=GS8}鱜0o7o'y5$mC;?K ,͓<ԴզKVS80|7^7pM㺢51?Я_=sM_my͹ɹ{p͎?ߞ#buv  ^k5a8_m\t^v,7_G5zqȯ,u1z˹[ms|7=nz=C-މ,ynW+i)][><72Z%8m};eZJ87c?Rqw}wJ6jj2YSu6ͧLsZ R\XCUl+ǽ1DGwѻzw> Jbɾ5y9-$E-?/m~{~WeE|asX)2@3s5 sp/MMCM\23:u r(PR5ѐQ{j|Pt`F;d>Rk8<5ZqG+ƍצ|}{ڨ?m1;-% 3@ BCmZ@u:H 2-"2,IDsҋxoģHts@L6QɆ@.5d3kdů C0ĐEJ C 2dr!H0i3U\n򻴝ڐJow_{[Vފrmbi,6S婜q1ٓ=nWk`1 Y+\qUּ3~sD GI.*k rݐWPpHcb$/U3W{ӿyV) ȳTDſ<`o7(@c(#n] ĨkY%4 7,*ۍ9nǾ7Ng}Ϯ|cp6E8 ||vU6kj}mOou]u,u]]?u-dgPզkjյ* Qamcz0)@E>{{vy#8nkEzu1edssbxuw8E |\Ƚ(l Gp&Rpx9, CBշKpvj?UkVWV+ϫoV˪Vco! J-P+t>NJ? o^P_/ŎK+_gݺff%CMOR%S%5K8Ȟ< OI2䞽HJKԵ[.J;RGɁɁX3893ggg0f AH;m0H{g@tFFƾH`l`#v0J[\ pVd @ @P\R\\lٞ%kF↗._6RvajE6 A`.`X` endstream endobj 147 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (20)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 729.4700012 cm 0.996 0.945 0.761 RG 163.87 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 717.6600037 cm 1 1 1 RG 142.49 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -146.9 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -146.9 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 645.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (along with a police check and a protection of vulnerable adults check pr\ ior to a new )Tj 0 -17.5 TD (staff member starting work. Three files were checked and this informatio\ n was )Tj T* (confirmed. Details of the nurses registration are also kept up to date.)Tj T* (\240)Tj T* (An induction programme equivalent to Skills for Care is in place. This c\ overs an )Tj 0 -17.49 TD (orientation to the home and a range of care practises and health and saf\ ety issues. )Tj 0 -17.5 TD (Extra training regarding Parkinson's disease, dementia care and palliati\ ve care have )Tj T* (been offered to staff and this helps them develop further. )Tj ET endstream endobj 148 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (19)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Staffing)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 643.7200012 cm 0.996 0.945 0.761 RG 104.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 601.2200012 cm 1 1 1 RG 17 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 591.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -108.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 0 -17 TD (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj T* (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj T* (they are cared for by staff who get the relevant training and support fr\ om their )Tj T* (managers.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 469.8899994 cm 0.996 0.945 0.761 RG 119.99 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 520.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 458.6399994 cm 1 1 1 RG 97.5 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 508.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 509.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.8999939 509.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.1999969 508.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 408.7700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 517.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (excellent)Tj /TT1 12 Tf 65.43 0 Td (quality outcomes in this area. We have )Tj -287.94 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People are cared for by sufficient staff who are extremely competent, we\ ll trained and )Tj 0 -17.5 TD (safely recruited. This ensures individual needs can be consistently met.\ )Tj ET q 1 0 0 1 33.4499969 225.7700043 cm 0.996 0.945 0.761 RG 314.25 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 373.8999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 213.9600067 cm 1 1 1 RG 292.87 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 361.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 362.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -297.28 l S Q q 1 0 0 1 565.8999939 362.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -297.28 l S Q q 1 0 0 1 31.1999969 361.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 370.58 Td (Evidence:)Tj 4.27 -24.75 Td (The home has thirty people who have nursing and may have dementia care n\ eeds. )Tj 0 -17.49 TD (Registered nurses are well supported by care and ancillary staff. Staff \ were observed )Tj 0 -17.5 TD (dealing with people promptly and efficiently. One survey said "the servi\ ce is tailored to )Tj T* (individual needs". Positive comments were received through the surveys a\ nd through )Tj T* (verbal discussions with people at the visit. "The staff are absolutely w\ onderful", "I )Tj T* (would not hesitate in asking the staff for anything, they are lovely", a\ nd "the staff )Tj T* (really know how to look after me, its like a hotel". These were some of \ the comments )Tj T* (made. Staff were observed moving and handling people and interacting wit\ h people )Tj T* (with differing needs. The communication observed was extremely professio\ nal, and )Tj T* (friendly. This had a positive impact on people, and many people had a sm\ ile on their )Tj 0 -17.49 TD (face when staff were speaking with them. The different skill mix of staf\ f worked well )Tj 0 -17.5 TD (and the number of staff was appropriate. Many care staff have completed \ an NVQ )Tj T* (Level 2 in care and this is continually offered with some staff undertak\ ing an NVQ level )Tj T* (3.)Tj T* (\240)Tj T* (Staff are safely recruited and the manager usually obtains three written\ references, )Tj ET endstream endobj 149 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (18)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 790.7200012 cm 0.996 0.945 0.761 RG 41.37 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 778.9100037 cm 1 1 1 RG 20 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.41 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.41 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 767.7799988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (robust and effective. )Tj ET endstream endobj 150 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (17)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Environment)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 643.7200012 cm 0.996 0.945 0.761 RG 104.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 626.7200012 cm 1 1 1 RG 68 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 661.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 661.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 591.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -108.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 0 -17 TD (hygienic. )Tj 0 -19.25 TD (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 0 -17 TD (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj T* (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj T* (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 478.6399994 cm 0.996 0.945 0.761 RG 102.5 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 520.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 467.3899994 cm 1 1 1 RG 80 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 508.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 509.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.8999939 509.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.1999969 508.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 426.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 517.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People live in a comfortable and very clean environment.)Tj ET q 1 0 0 1 33.4499969 234.5200043 cm 0.996 0.945 0.761 RG 331.74 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 391.3999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 222.7100067 cm 1 1 1 RG 310.37 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 379.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 380.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -314.78 l S Q q 1 0 0 1 565.8999939 380.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -314.78 l S Q q 1 0 0 1 31.1999969 379.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 388.08 Td (Evidence:)Tj 4.27 -24.75 Td (The home is welcoming, warm with a high standard of cleanliness. There a\ re a range )Tj 0 -17.5 TD (of communal areas for people to use, and the home has friendly and homel\ y feel to it. )Tj 0 -17.49 TD (Three bedrooms were inspected these were all spacious, clean and persona\ lised. One )Tj 0 -17.5 TD (person felt their room waas too hot and they did not know how to adjust \ this. The )Tj T* (manager dealt with this immediately. A maintenance person carries out a \ range of )Tj T* (health and safety checks to ensure the home is safe. There is an accessi\ ble garden )Tj T* (which is suitable for people with or without mobility problems. People c\ learly enjoy )Tj T* (living in this environment, during the site visit the lift was been repa\ ired, this had been )Tj T* (unusable for three days. This meant some people had to stay in their roo\ ms all day. )Tj T* (However, staff were aware of individual needs and made sure they spent m\ ore time )Tj T* (with people upstairs. There were areas of the home which needed redecora\ ting, the )Tj 0 -17.49 TD (manager was aware of this.)Tj 0 -17.5 TD (\240)Tj T* (Staff were observed wearing protective clothing and using hand washing t\ echniques. )Tj T* (Some staff had previously completed infection control training but this \ was a few years )Tj T* (ago and should be updated. People were observed wearing clean and well-i\ roned )Tj T* (clothes, the system for removing soiled laundry was discussed and this s\ ystem was )Tj ET endstream endobj 151 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (16)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Complaints and protection)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 652.2200012 cm 0.996 0.945 0.761 RG 87.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 618.2200012 cm 1 1 1 RG 17 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 627.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 627.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 608.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -91.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -91.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 0 -17 TD (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj T* (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj T* (allegations.)Tj 0 -19.25 TD (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 486.8899994 cm 0.996 0.945 0.761 RG 119.99 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 537.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 475.6399994 cm 1 1 1 RG 97.5 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 525.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 526.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.8999939 526.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.1999969 525.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 425.7700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 534.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People have their concerns listened to and acted upon, with staff been a\ lert to signs of )Tj 0 -17.5 TD (abuse.This helps keep people safe.)Tj ET q 1 0 0 1 33.4499969 281.1499939 cm 0.996 0.945 0.761 RG 237.49 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 390.8999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 269.8999939 cm 1 1 1 RG 214.99 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 378.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 379.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -219.39 l S Q q 1 0 0 1 565.8999939 379.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -219.39 l S Q q 1 0 0 1 31.1999969 378.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 161.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 387.58 Td (Evidence:)Tj 4.27 -24.75 Td (The home have a complaints procedure in place which people and their vis\ itors are )Tj 0 -17.49 TD (aware of. This is discussed at the admission stage and a copy of this is\ displayed in the )Tj 0 -17.5 TD (home. No formal complaints have been made. Staff spoken to were aware of\ the )Tj T* (safeguarding procedures in place. Some staff have completed abuse awaren\ ess )Tj T* (training,and staff knew about the different types of abuse and the actio\ n to take if an )Tj T* (abusive situation occurs.The home have a policy in place and staff are e\ ncouraged to )Tj T* (use the 'Whistle Blowing' policy. The manager was generally aware of the\ action to )Tj T* (take if an allegation of abuse occurs though she needs to familiarise he\ rself with the )Tj T* (involvement of social services and the role they play as the lead agency\ . There have )Tj T* (been no safeguarding referrals made in the past twelve months. People lo\ oked safe in )Tj 0 -17.49 TD (the home and staff have protection of vulnerable adults check prior to s\ tarting work in )Tj 0 -17.5 TD (the home.)Tj ET endstream endobj 152 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (15)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 676.9700012 cm 0.996 0.945 0.761 RG 268.86 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 665.1600037 cm 1 1 1 RG 247.49 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -251.89 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -251.89 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 540.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (The lunchtime meal was observed. There are two dining areas for people t\ o use. A )Tj 0 -17.5 TD (light and airy conservatory area is used for people who need a small amo\ unt of )Tj T* (assistance and a smaller lounge area for people who may have dementia ca\ re needs )Tj T* (and need more assistance at mealtimes. The food looked appetising, with \ a range of )Tj T* (portion sizes available. One person had oxtail soup, followed by chicken\ and fresh )Tj 0 -17.49 TD (vegetables. "The food is delicious" one person said. The tables were lai\ d with white )Tj 0 -17.5 TD (table cloths and different sizes tables were available. A range of drink\ s were offered )Tj T* (and alternative food was available as required. Staff ask people what th\ ey would like )Tj T* (to eat and drink and this is done in a dignified way. It was evident tha\ t some people )Tj T* (were given assistance with their food whilst the member of staff was sta\ nding up )Tj T* (instead of sitting down next to the person. Two people had different sta\ ff assisting )Tj T* (them at different times. This could have been improved to ensure the din\ ing )Tj T* (experience was positive. The manager was made aware of this and was goin\ g to )Tj T* (address this straight away.)Tj ET endstream endobj 153 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (14)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Daily life and social activities)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 626.7200012 cm 0.996 0.945 0.761 RG 138.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 567.2200012 cm 1 1 1 RG 17 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 576.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 576.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 557.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -142.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -142.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 0 -17 TD (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj T* (their local community. The care home supports people to follow personal \ interests and )Tj T* (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj T* (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj T* (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj T* (meals and snacks, at a time and place to suit them.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 427.1399994 cm 0.996 0.945 0.761 RG 137.49 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 486.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 415.8899994 cm 1 1 1 RG 114.99 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 474.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 475.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -119.39 l S Q q 1 0 0 1 565.8999939 475.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -119.39 l S Q q 1 0 0 1 31.1999969 474.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 357.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 483.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People participate in a range of activities and visitors are welcomed. S\ taff encourage )Tj 0 -17.5 TD (autonomy and choice, and people enjoy dining in pleasant surrounding wit\ h appealing )Tj T* (food)Tj ET q 1 0 0 1 33.4499969 200.0299988 cm 0.996 0.945 0.761 RG 262.75 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 322.3999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 188.2100067 cm 1 1 1 RG 241.37 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 310.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 311.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -245.78 l S Q q 1 0 0 1 565.8999939 311.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -245.78 l S Q q 1 0 0 1 31.1999969 310.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 319.08 Td (Evidence:)Tj 4.27 -24.74 Td (The home encourages social activities by offering; music to movement, ca\ rds, )Tj T* (dominoes, church services; and a selection of seasonal events. All event\ s/activities are )Tj T* (advertised in via a notice board and newsletter displayed in the home. A\ ctivities are )Tj T* (available every day. Manicures and pedicures take place, people visit th\ e hairdresser, )Tj T* (there are DVDs to enjoy, music, television and plenty of newspapers and \ magazines to )Tj T* (read. A mini-bus is available twice a month and trips to local areas are\ arranged. On )Tj T* (external outings staff supervise people on a one to one basis.)Tj T* (\240)Tj T* (Visitors are welcomed into the home and the visitors book confirm people\ arrive at )Tj 0 -17.49 TD (different times of the day. One person said "people come at anytime, sta\ ff always )Tj 0 -17.5 TD (welcome them". People have their religious and cultural needs met and th\ e manager is )Tj T* (aware of equality and diversity issues.)Tj T* (\240)Tj ET endstream endobj 154 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (13)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 641.9799957 cm 0.996 0.945 0.761 RG 338.86 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 630.1600037 cm 1 1 1 RG 317.48 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -321.89 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -321.89 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 470.3000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (The home have a designated Doctor who visits twice a week. Health care p\ rofessional )Tj 0 -17.5 TD (surveys confirmed that the medical support is good and people receive th\ e attention )Tj T* (they need. One person said "the home sort out the chiropodist, dentist o\ r optician for )Tj T* (me". All accidents and injuries are dealt with appropriately and these a\ re reported )Tj T* (promptly to The Commission.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The medication system was inspected. The administration of medication is\ effective. )Tj T* (There are clear records in place which show that staff sign in the corre\ ct place on the )Tj T* (medication charts once a person takes their tablets. Regular stock balan\ ces are in )Tj T* (place and an audit of the system identifies any errors or areas for impr\ ovement. Fridge )Tj T* (temperatures are taken daily and the controlled drugs are stored and rec\ orded )Tj T* (correctly. This is a robust system which is routinely monitored.)Tj T* (\240)Tj T* (Staff in the home are respectful and ensure people have the privacy they\ need. People )Tj T* (are able to have personal possessions in their room and telephones can b\ e fitted. One )Tj 0 -17.49 TD (person recently had a telephone installed and this was viewed. Staff wer\ e observed )Tj 0 -17.5 TD (speaking in a dignified manner to all people they came into contact with\ . \(see also )Tj T* (Staffing outcome\))Tj ET endstream endobj 155 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (12)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Health and personal care)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 609.7200012 cm 0.996 0.945 0.761 RG 172.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 558.7200012 cm 1 1 1 RG 68 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 593.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 593.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 523.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -176.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -176.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 0 -17 TD (that the person, or someone close to them, has been involved in making. \ If they take )Tj T* (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj T* (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj T* (is respected and the support they get from staff is given in a way that \ maintains their )Tj T* (dignity.)Tj 0 -19.25 TD (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 0 -17 TD (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj T* (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj T* (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 410.6399994 cm 0.996 0.945 0.761 RG 102.5 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 452.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 399.3899994 cm 1 1 1 RG 80 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 440.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 441.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 565.8999939 441.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -84.4 l S Q q 1 0 0 1 31.1999969 440.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 358.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 449.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People have their health and personal care needs met in a dignified mann\ er.)Tj ET q 1 0 0 1 33.4499969 200.5200043 cm 0.996 0.945 0.761 RG 263.74 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 323.3999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 188.7100067 cm 1 1 1 RG 242.37 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 311.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 312.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -246.78 l S Q q 1 0 0 1 565.8999939 312.1000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -246.78 l S Q q 1 0 0 1 31.1999969 311.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 320.08 Td (Evidence:)Tj 4.27 -24.75 Td (Everyone observed during the visit looked clean and well cared for. Thre\ e care plans )Tj 0 -17.5 TD (were looked at during this visit. These describe the care and support pe\ ople need to )Tj 0 -17.49 TD (stay in charge of their own lives as much as possible. The plans looked \ at contained a )Tj 0 -17.5 TD (lot of information, so that an unfamiliar carer could look at them and w\ ould be able to )Tj T* (work out how much support they needed. There were written assessments as\ to )Tj T* (whether people were at risk of developing pressure sores, of losing weig\ ht because of )Tj T* (poor appetite or a health problem or needing help with moving and handli\ ng. Those )Tj T* (identified as 'at risk' had a care plan in place describing how that ris\ k was to be )Tj T* (managed. All nine surveys received from people using the service had pos\ itive )Tj T* (comments regarding the care received. "the staff are wonderful", "I get \ all the care )Tj T* (and attention I want" were two comments. The home is very pro-active in \ promoting )Tj 0 -17.49 TD (people's well being. This was evident when discussing with the manager r\ esearch into )Tj 0 -17.5 TD (cranberry tablets and yogurt flavoured drinks to aid digestion and preve\ nt infections. )Tj ET endstream endobj 156 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (11)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj ET q 1 0 0 1 33.4499969 711.9700012 cm 0.996 0.945 0.761 RG 198.86 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 802.4100037 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 700.1600037 cm 1 1 1 RG 177.49 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -181.9 l S Q q 1 0 0 1 565.8999939 791.1100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -181.9 l S Q q 1 0 0 1 31.1999969 790.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 610.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 799.09 Td (Evidence:)Tj 2.02 -20 Td (about the service and what it provides. This means they can make an info\ rmed choice )Tj 0 -17.5 TD (about whether to move there or not.)Tj T* (\240)Tj T* (One person said "I tried it here first before I came permanently", anoth\ er person said )Tj T* ("the manager asked me lots of questions before I arrived". The manager i\ s very aware )Tj 0 -17.49 TD (of the categories of registration and knows the client group well. Inter\ mediate care can )Tj 0 -17.5 TD (be catered for and this involves liaising with the physiotherapist or oc\ cupational )Tj T* (therapist, and specialist health care professionals. This is discussed i\ n the Statement )Tj T* (of Purpose. At the time of the visit the intermediate care facility was \ not being used.)Tj T* (\240)Tj ET endstream endobj 157 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 11 Tf 31.2 53.47 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 0 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (10)Tj /TT1 11 Tf 19.4 0 Td (of )Tj /TT0 11 Tf 14.42 0 Td (25)Tj /TT0 16 Tf -513.66 714.66 Td (Choice of home)Tj /TT2 12 Tf 0 -20.23 TD (\240)Tj /TT0 12 Tf 0 -17.5 TD [(These are the outcomes that people )-15(staying in care homes)-10( should experience. )]TJ T* (They reflect the things that people have said are important to them:)Tj /TT2 5 Tf 0 -12.46 TD (\240)Tj ET q 1 0 0 1 32.3200073 592.7200012 cm 0.996 0.945 0.761 RG 206.25 w 0 0 m 530.21 0 l S Q q 1 0 0 1 31.1999969 550.2200012 cm 1 1 1 RG 119 w 0 0 m 532.45 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 698.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 610.8399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 489.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -210.65 l S Q q 1 0 0 1 564.7799988 699.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -210.65 l S Q BT /TT1 12 Tf 35.5 684.9 Td (People are confident that the care home can support them. This is becaus\ e there is an )Tj 0 -17 TD (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj T* (involved in. This tells the home all about them and the support they nee\ d. People who )Tj T* (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj T* (plan on what they hope for and want to achieve when they return home.)Tj 0 -19.25 TD (People can decide whether the care home can meet their support and accom\ modation )Tj 0 -17 TD (needs. This is because they, or people close to them, have been able to \ visit the home )Tj T* (and have got full, clear, accurate and up to date information about the \ home. If they )Tj T* (decide to stay in the home they know about their rights and responsibili\ ties because )Tj T* (there is an easy to understand contract or statement of terms and condit\ ions between )Tj T* (them and the care home that includes how much they will pay and what the\ home )Tj T* (provides for the money.)Tj /C2_0 12 Tf -7.15 -24.31 Td <0003>Tj /TT0 12 Tf 0 -22.06 TD [(This is what people )-11(staying in this care home)-355(experience)]TJ /TT1 12 Tf 382.7 0 Td (:)Tj /TT2 8 Tf -382.7 -17.18 Td (\240)Tj ET q 1 0 0 1 33.4499969 367.8899994 cm 0.996 0.945 0.761 RG 119.99 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 418.8899994 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 356.6399994 cm 1 1 1 RG 97.5 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 406.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 407.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.8999939 407.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.1999969 406.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 306.7700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 415.58 Td (Judgement:)Tj 4.27 -24.75 Td (People using this service experience )Tj /TT0 12 Tf 222.51 0 Td (good)Tj /TT1 12 Tf 37.47 0 Td (quality outcomes in this area. We have )Tj -259.98 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj T* (People are effectively assessed prior to admission, which helps to ensur\ e individual )Tj 0 -17.5 TD (needs can be met)Tj ET q 1 0 0 1 33.4499969 174.7700043 cm 0.996 0.945 0.761 RG 212.25 w 0 0 m 530.2 0 l S Q q 1 0 0 1 31.1999969 271.8999939 cm 1 1 1 RG 22.5 w 0 0 m 534.7 0 l S Q q 1 0 0 1 32.3200073 162.9600067 cm 1 1 1 RG 190.87 w 0 0 m 532.46 0 l S Q q 1 0 0 1 30.1199951 259.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 31.1999969 260.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -195.28 l S Q q 1 0 0 1 565.8999939 260.6000061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -195.28 l S Q q 1 0 0 1 31.1999969 259.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 534.7 0 l S Q q 1 0 0 1 30.1199951 66.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q BT /TT1 12 Tf 31.2 268.58 Td (Evidence:)Tj 4.27 -24.74 Td (The three pre-admission assessments looked at confirmed that a senior pe\ rson )Tj T* (completes an assessment before an individual moves to the home. This is \ to check )Tj T* (what type of care and support the person needs and whether the staff hav\ e the skills )Tj T* (and knowledge to provide that care if the individual chooses to move the\ re. The )Tj T* (process also reassures the individual and their family that they will re\ ceive the right )Tj T* (support.)Tj T* (\240)Tj T* (Assessments are completed if the person has a care manager or is private\ ly funded. )Tj T* (These detail health, personal, nursing, social and mental health needs. \ All the surveys )Tj T* (completed by people living there report that people are given enough inf\ ormation )Tj ET endstream endobj 158 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 52.46 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (9)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj /TT1 12 Tf -505.94 748.12 Td (\240)Tj /TT0 14 Tf 0 -19.01 TD (Details of our findings)Tj ET q 1 0 0 1 32.3200073 746.2700043 cm 0.984 0.788 0.086 RG 26 w 0 0 m 530.21 0 l S Q q 1 0 0 1 28.9900055 761.5200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 733.2700043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 762.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -30.4 l S Q q 1 0 0 1 564.7799988 762.5899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -30.4 l S Q BT /C2_0 12 Tf 34.05 744.39 Td <00260052005100570048005100570056>Tj ET q 1 0 0 1 28.3500061 700.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 695.95 Td (Choice of home\240 \(standards 1 - 6\))Tj ET q 1 0 0 1 28.3500061 678.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 673.95 Td (Health and personal care\240 \(standards 7 - 11\))Tj ET q 1 0 0 1 28.3500061 656.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 651.95 Td (Daily life and social activities\240 \(standards 12 - 15\))Tj ET q 1 0 0 1 28.3500061 634.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 629.95 Td (Complaints and protection\240 \(standards 16 - 18\))Tj ET q 1 0 0 1 28.3500061 612.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 607.95 Td (Environment\240 \(standards 19 - 26\))Tj ET q 1 0 0 1 28.3500061 590.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 585.95 Td (Staffing\240 \(standards 27 - 30\))Tj ET q 1 0 0 1 28.3500061 568.0200043 cm 1 1 1 RG 16 w 0 0 m 538.58 0 l S Q BT /TT1 12 Tf 28.35 563.95 Td (Management and administration\240 \(standards 31 - 38\))Tj 0 -20 TD (Outstanding statutory requirements)Tj 0 -21.87 TD (Requirements and recommendations from this inspection)Tj ET endstream endobj 159 0 obj <>stream q 1 0 0 1 28.3500061 57.2400055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 52.46 Td (Care Homes for Older People)Tj /TT1 11 Tf 446.48 1.01 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (8)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj ET q 1 0 0 1 31.1999969 803.3600006 cm 1 1 1 RG 20.58 w 0 0 m 536.65 0 l S Q q 1 0 0 1 32.3200073 656.5700073 cm 1 1 1 RG 268.49 w 0 0 m 534.4 0 l S Q q 1 0 0 1 32.6999969 509.7899933 cm 1 1 1 RG 20.58 w 0 0 m 536.65 0 l S Q q 1 0 0 1 33.8200073 457.7899933 cm 1 1 1 RG 78.92 w 0 0 m 534.4 0 l S Q q 1 0 0 1 33.4499969 405.7899933 cm 1 1 1 RG 20.58 w 0 0 m 536.65 0 l S Q q 1 0 0 1 34.5700073 346.5 cm 1 1 1 RG 93.5 w 0 0 m 534.4 0 l S Q q 1 0 0 1 31.1999969 791.9499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 30.1199951 791.9499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 30.1199951 521.1999969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 31.1999969 793.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -272.89 l S Q q 1 0 0 1 31.1999969 521.1999969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.15 0 l S Q q 1 0 0 1 32.6999969 498.3699951 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 31.6199951 498.3699951 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 31.6199951 417.1999969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 33.4499969 394.3699951 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 33.4499969 417.1999969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 32.3699951 394.3699951 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 32.3699951 298.6199951 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 32.6999969 499.4499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -83.32 l S Q q 1 0 0 1 33.4499969 395.4499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -97.9 l S Q q 1 0 0 1 567.8500061 793.0200043 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -272.89 l S Q q 1 0 0 1 569.3500061 499.4499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -83.32 l S Q q 1 0 0 1 570.1000061 395.4499969 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -97.9 l S Q BT /TT0 12 Tf 31.2 798.59 Td [(What the )-5(care home)-3( does well:)]TJ /TT1 10 Tf 536.65 2.66 Td (\240)Tj /TT1 12 Tf -532.68 -25.49 Td (The staff group in the home ensure that people receive a high standard o\ f care. Staff )Tj 0 -14.59 TD (interact positively with people and deal with issues promptly and effect\ ively.)Tj 0 -14.58 TD (\240)Tj T* (The manager of the home ensures the best interests of people are a prior\ y and daily )Tj 0 -14.59 TD (routines fit in with people using the service and their relatives.)Tj 0 -14.58 TD (\240)Tj T* (The home is extremely clean and well maintained, this makes it pleasant \ for people to )Tj T* (spend time in the communal areas. "My room is lovely and spacious" was o\ ne )Tj 0 -14.59 TD (comment.)Tj 0 -14.58 TD (\240)Tj T* (People enjoy a range of activities which are suitable for this client gr\ oup. One person )Tj 0 -14.59 TD (said "I enjoy playing cards, and doing chair exercises".)Tj 0 -14.58 TD (\240)Tj T* (The food and drink offered is appetising, homecooked and enjoyed by many\ people. )Tj 0 -14.59 TD (One person said "the food is lovely".)Tj 0 -14.58 TD (\240)Tj T* (Staff are very competent safely recruited and alert to signs of abuse. T\ his helps protect )Tj T* (people from harm)Tj /TT1 10 Tf 533.8 127.17 Td (\240)Tj -537.77 -147.35 Td (\240)Tj /TT0 12 Tf 1.5 -2.66 Td (What has improved since the last inspection?)Tj /TT1 10 Tf 536.65 3.22 Td (\240)Tj -538.15 -52 Td (\240)Tj /TT1 12 Tf 5.47 25.95 Td (Some of the communal areas have been decorated and new furntiture has be\ en )Tj T* (obtained.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (Staff continue to complete NVQ training in care and the manager offers s\ pecialised )Tj T* (training in dementia care, nutrtion and palliative care.)Tj /TT1 10 Tf 533.8 32.38 Td (\240)Tj -539.27 -52 Td (\240)Tj /TT0 12 Tf 2.25 -3.21 Td (What they could do better:)Tj /TT1 10 Tf -2.25 -56.08 Td (\240)Tj /TT1 12 Tf 6.22 33.24 Td (The training records could be more comprehensive, this will ensure the m\ anager is )Tj T* (aware what mandatory training is needed for staff. People using hte serv\ ice will benefit )Tj T* (from staff having up to date knowledge of health and safety procedures.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (People could be assisted at lunchtime in a more dignified manner. This w\ ill make the )Tj T* (dining experience more pleasant for people.)Tj -9.07 -22.34 Td (\240)Tj 0 -20 TD [(If you want to know what action the person responsible for this )-40(care home)-6( is taking )]TJ 0 -17.49 TD (following this report, you can contact them using the details set out on\ page 4.)Tj 0 -20 TD (\240)Tj T* [(The report of this inspection is available from our website )-35(www.csci.org.uk.)-714(You can get )]TJ 0 -17.5 TD [(printed copies from )-11(enquiries@csci.gsi.gov.uk or by telephoning our order line \226)-37(0870 )]TJ T* (240 7535.)Tj ET endstream endobj 160 0 obj <>stream q 1 0 0 1 31.1999969 584.9900055 cm 1 1 1 RG 455.07 w 0 0 m 534.4 0 l S Q q 1 0 0 1 28.9900055 813.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 356.3300018 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 30.0700073 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -459.48 l S Q q 1 0 0 1 566.7200012 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -459.48 l S Q BT 0 0 0 rg /TT0 12 Tf 31.8 802.72 Td (In future, if a requirement is repeated, it is likely that enforcement a\ ction will be taken.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (The purpose of the visit was to make sure that the home was operating an\ d being )Tj T* (managed in the best interests of people living there. Information has be\ en used from )Tj 0 -14.59 TD (different sources for this report. These sources include- Reviewing info\ rmation that has )Tj 0 -14.58 TD (been received about the home since the last inspection.)Tj T* (\240)Tj 0 -14.59 TD (The annual quality assurance assessment. This is information which detai\ ls what has )Tj 0 -14.58 TD (happened during the past 12 months.)Tj T* (\240)Tj T* (Nine surveys from people using the service, three staff,)Tj /C2_0 12 Tf 1 0 0 1 367.92 656.89 Tm <0003>Tj /TT0 12 Tf 1 0 0 1 372.144 656.89 Tm (and one health care )Tj -340.344 -14.59 Td (professional survey.)Tj T* (\240)Tj T* (Notifications \(Regulation 37\) relating to incidents in the home affect\ ing people using )Tj 0 -14.59 TD (the service.)Tj 0 -14.58 TD (\240)Tj T* (Details of complaints and allegations raised by people connected to the \ service.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (At the site visit one inspector spent 5.0 hours at the home. During this\ time )Tj T* (observations of care practices took place. People using the service were\ spoken with )Tj 0 -14.59 TD (along with some relatives. Discussions with the manager regarding meetin\ g needs, )Tj 0 -14.58 TD (mealtimes, protecting people and the environment took place. The lunchti\ me meal was )Tj T* (observed and time was spent inspecting care plans, looking at individual\ rooms and )Tj T* (reviewing a selection of health and safety information. Staffing and man\ agement )Tj 0 -14.59 TD (issues were discussed and feedback was given to the manager at the end o\ f the )Tj 0 -14.58 TD (inspection.)Tj T* (\240)Tj 0 -14.59 TD (The weekly fees range from 350pounds-600pounds. Additional charges are m\ ade for )Tj 0 -14.58 TD (chiropody, hairdressing and newspapers. The home has a copy of the lates\ t inspection )Tj T* (report, the Statement of Purpose and Service Users Guide. These are read\ ily available )Tj T* (and are discussed with people.)Tj ET endstream endobj 161 0 obj <> endobj 162 0 obj [164 0 R] endobj 163 0 obj <>stream H\j }ܽXa6ۅ\@>I*lThB>fq͵Q蠗JXl9BT$@H6 7!ԋer86פ,~';nZ}h;s +3olDAvhKk1Y4õ0I*/_DUfCu$Ks<ttިttT:^"]]#au2@x泵qr aZ`t endstream endobj 164 0 obj <> endobj 165 0 obj <> endobj 166 0 obj <> endobj 167 0 obj <>stream Hj0 endstream endobj 168 0 obj <>stream Hl PTǿsݻ]vuWa/W@\`!٫,<_X %,iV%tbnjZ't !aR8G'Lg$tb:R34i9"˞9.*cXֶ= v,7nUr<;MO8rp cC럽K_ЁB|}n[S[ێ$sx]G]m[uOq==ֵუǶn۰ub8eDCН17 FD>ԭ@W>1W"yWMwƅdhwt}?IE8px1#{af18#c8Wa1ex^7-Q nV-/̛d*x ]?c\WH-jQ[6#g1脧a{i Q]Q}?_Yxڃ2s)#qqGgaf%:>w; sPY$%N2||JZu *:|j8̨YX*JSfoD|;;à?ȥT9AC +-_.4VǚF$-ߠ2m`1oտbZT}X:'C55[+"AX8HP`A9Aqg4U!bYjV5+}yESKTҿrH#G1}k9•G6 ǶQTT:PC0a{G5>*0#fpS+P[Ο ŅBD|E@ ' 4 E,*jn!.ӡ7jrjZ~ 祦j>vޠs] Sc.`..n]\ídde33+_J+kKyĖ3UկniPey:zazF)X8ejɂ'zFVc9o @ ZmZr~l].&bW{97%&`L6XxYv,xB)NdkP5 Sɤg%IhTMӶH3YDkɄ1IG&O[5-qK|(?x:Ӵ '_i}j hyr@z\oG,*H/W?Lt;6-!"+ZZ4\jN)-IҤ86&(Bq&EgH&1iT0#tPS'F4kwSFvNcg,gX~n|RF&(4A :l9B{eyncnB?"9߰pM/dg?qcA$N$4cnjz?] óZGWGtGBc #K ]Bfhb\Z?%Ȑt0)Œ~afIZjP('(-Hva( x.N'/KƥUG$#gp YSM*D㑖@-e1݌-.7);qsȨl"c#26G'J 1 DEoqB 5I QaY²ML$~!M'B=ɚ֍5_xۗ0;BKU@e;ܤ$xaX[jyt~/ʆ2I46㬰QdBf',3l4h\h׈0(vZh|(\@ 7$P;! ?Ť AqSJ oi[Ц8 7lΫýchZ2kܪdI'|cADss'pSo; ^Sf( yfl:ɨ0l[$$3wxsܻ2R_f :*;UT} ō4Ѕ!6jbɊH9R4`dGdZiLp% >+*%c8JsOGGS:xpE$;.tߩ|K~kbBu:krw;׸{RgMʰˋ yO&7ۣ=$dO*/>qNGdԎh#.i;VIk%S~;4% ̅>F퀲>7 7]Jk:'jכ tRKF5jזN'?Nu?>wsVCuie7mW'N_̄ ^$~C+jcX-^*%u=T/+ti[;qLUriUr| ;sYYTEa#4Nu`ݼfkM!_Y6¾ZToonz u`Dܣ~.nQf?^b;>GsxclO$ևkl?>ـU籎T5=d;]տI!?{$'9nZo{kIv$ 6#k#w( qUƸ[ƭL8%b贸J q~v (E1 ?l.̛"; n1g(9 y̩8GlAp+wXaKvkgoq1\C$. ?D cOc3g\}\ߍF++?v>F%`P96%lo):i` D g||#5اQσKP4S>x29WM%4]3s6 O6}P̑gX|sD>oC>kfsc}uOBBe(WEY_g0|bO!|v _M2늕Aȕ!BZ-rz=FcɈ|:F⒪ť8Z =jK|s}z(*;hrRG{{_gu{x/y; |W[R;=kԣl+}W\!HDdUJ)4qpԠI"?%j[LX} -]),]~4KP?n@j6ZmW2,P0Ls+:37Á`8szuYXbe]YX^[^W^6#E ).j{5f]8PV:^e+>{6* r-*At2ͥJ Sj!c·AԄU ơe:n.Bԭhor^e4!Z}CcR&- Ⱦ+h-@z~ٶLXZ+`Z^OWWFEѳ!Q^_JČ##HKX#r%p6r#DK}ڸH9Þ_H9W+fbv5ռ迨RB)?P+c]L15EvQ"te7|nW @T@B.s!CIPI:_I8[q@W <*(/x asܙ(]a$fv2lTR$U c(u:RK;nu%x~83K;v˶fefۛJD m\nc]Tbw|Q*6tӢy(%ILʁMBbC C @#05$fB?\`2 *=_؊m~E/:ՖtΟ (G endstream endobj 169 0 obj <>stream q 1 0 0 1 28.3500061 55.6900024 cm 0.984 0.788 0.086 RG 17.5 w 0 0 m 540 0 l S Q BT 0 0 0 rg /TT0 12 Tf 33.75 52.38 Td (Care Homes for Older People)Tj /TT1 11 Tf 450 1 Td (Page )Tj /TT0 11 Tf 30.51 0 Td (6)Tj /TT1 11 Tf 7.82 0 Td ( of )Tj /TT0 11 Tf 18.28 0 Td (25)Tj /TT2 10 Tf -512.01 -15.35 Td (\240)Tj /TT1 12 Tf 0 763.56 TD (\240)Tj /TT1 10 Tf 0 -14.99 TD (\240)Tj /C2_0 14 Tf 0 -24.95 TD <003600580050005000440055005C>Tj /TT1 12 Tf 0 -20.96 TD (This is an overview of what we found during the inspection.)Tj ET q 1 0 0 1 31.1999969 720.2200012 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 349.85 0 l S Q q 1 0 0 1 383.3000031 720.2200012 cm 1 1 1 RG 20.58 w 0 0 m 182.9 0 l S Q q 1 0 0 1 28.9900055 731.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 28.9900055 708.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.41 0 l S Q q 1 0 0 1 30.0700073 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 382.1699982 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 567.3200073 732.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q BT /TT1 12 Tf 34.05 715.44 Td [(The quality rating for this )-14(care home)-7( is:)]TJ /C2_1 12 Tf 240.668 0 Td <00030003000300030003000300030003000300030003000300030003000300030003000300030003000300030003000300030003000300030057004B0055004800480003005600570044005500030048005B00460048004F004F00480051005700030056004800550059004C00460048>Tj /C2_0 12 Tf -246.368 -32.14 Td <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /TT1 10 Tf 183.96 -76.04 Td (Choice of home)Tj -47.87 -40.25 Td (Health and personal care)Tj -19.25 -40.25 Td (Daily life and social activities)Tj 12.77 -40.25 Td (Complaints and protection)Tj 68.41 -40.25 Td (Environment)Tj 24.81 -40.25 Td (Staffing)Tj -123.67 -40.25 Td (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3099976 cm 0.992 0.898 0.545 RG 0.001 w /Fm0 Do Q q 1 0 0 1 31.1999969 249.0700073 cm 1 1 1 RG 20.58 w 0 0 m 536.65 0 l S Q q 1 0 0 1 32.3200073 151.0500031 cm 1 1 1 RG 170.96 w 0 0 m 534.4 0 l S Q q 1 0 0 1 31.1999969 237.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.65 0 l S Q q 1 0 0 1 30.1199951 237.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 30.1199951 64.4400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.8 0 l S Q q 1 0 0 1 31.1999969 238.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -175.36 l S Q q 1 0 0 1 567.8500061 238.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -175.36 l S Q BT /TT0 12 Tf 34.05 244.3 Td (How we did our inspection:)Tj /TT1 12 Tf 1.12 -22.84 Td (The quality rating for this service is )Tj /C2_2 12 Tf <0016>Tj /TT1 12 Tf ( star. This means the people who use this service )Tj 0 -14.58 TD (experience )Tj /C2_2 12 Tf <0048005B00460048004F004F004800510057>Tj /TT1 12 Tf 1 0 0 1 158.446 206.88 Tm ( quality outcomes.)Tj -123.276 -14.58 Td (\240)Tj T* (We went to the home without telling them that we were going to visit. Th\ is report )Tj 0 -14.59 TD (follows the visit that took place on Thursday 29th January 2009. The vis\ it lasted from )Tj 0 -14.58 TD (9:30 until 14:30.)Tj T* (\240)Tj 0 -14.59 TD (We have reviewed our practice when making requirements, to improve natio\ nal )Tj 0 -14.58 TD (consistency. Some requirements from previous inspection reports may have\ been )Tj T* (deleted or carried forward into this report as recommendations, but only\ when it is )Tj T* (considered that people who use services are not being put at significant\ risk of harm. )Tj ET endstream endobj 170 0 obj <>stream q 1 0 0 1 28.3500061 35.9900055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 454.22 0 Td (Page)Tj /TT0 12 Tf 30.4 0 Td (5)Tj /TT1 11 Tf 8.53 0 Td ( of )Tj /TT0 12 Tf 18.28 0 Td (25)Tj ET q 1 0 0 1 31.1999969 804.0299988 cm 0.996 0.945 0.761 RG 17 w 0 0 m 534.7 0 l S Q q 1 0 0 1 28.9900055 794.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -38.4 l S Q q 1 0 0 1 567.0200043 795.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -38.4 l S Q q 1 0 0 1 28.9900055 813.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 794.3999939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 758.1499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.0200043 814.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q BT /TT1 12 Tf 35.5 800.47 Td [(Brief description of the )-14(care home)]TJ -2.25 -17 Td (chiropody or toiletries. 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0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 785.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 762.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 687.2200012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 664.3800049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 641.5500031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 618.7200012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 28.9900055 595.8899994 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.86 0 l S Q q 1 0 0 1 30.0700073 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -191.9 l S Q q 1 0 0 1 269.0700073 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -191.9 l S Q q 1 0 0 1 566.7700043 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -191.9 l S Q BT /TT1 12 Tf 34.05 769.44 Td (Name of care home:)Tj 239 0 Td (Westerlands Care Centre)Tj -239 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0.898 0.545 RG 2.25 w 0 0 m 0 -108.07 l S Q q 1 0 0 1 432.5700073 418.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -108.07 l S Q q 1 0 0 1 566.7200012 418.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -130.9 l S Q BT /TT1 12 Tf 34.05 400.82 Td (dementia)Tj 268.35 0 Td (0)Tj 134.15 0 Td (35)Tj -402.5 -22.83 Td (old age, not falling within any other )Tj 0 -14.58 TD (category)Tj 268.35 14.58 Td (0)Tj 134.15 0 Td (35)Tj -402.5 -37.42 Td (physical disability)Tj 268.35 0 Td (0)Tj 134.15 0 Td (35)Tj -402.5 -22.83 Td (terminally ill)Tj 268.35 0 Td (0)Tj 134.15 0 Td (35)Tj -402.5 -22.83 Td (Additional conditions: )Tj ET q 1 0 0 1 31.1999969 273.4700012 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 284.05 0 l S Q q 1 0 0 1 317.5 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 348.8000031 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 380.1499939 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 411.4499969 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 442.8000031 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 474.1499939 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 505.4499969 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 536.8000031 273.4700012 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 28.9900055 284.8899994 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 262.0599976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 316.3699951 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 347.6699982 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 379.0200043 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 410.3200073 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 441.6699982 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 473.0200043 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 504.3200073 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 535.6699982 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 567.0200043 285.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q BT /TT1 12 Tf 34.05 268.7 Td (\240Date of last inspection)Tj ET q 1 0 0 1 31.1999969 250.1799927 cm 0.996 0.945 0.761 RG 17 w 0 0 m 534.7 0 l S Q q 1 0 0 1 28.9900055 240.5599976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 241.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -202.05 l S Q q 1 0 0 1 567.0200043 241.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -202.05 l S Q q 1 0 0 1 28.9900055 259.8099976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 240.5599976 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 40.6499939 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 260.8800049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.0200043 260.8800049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q BT /TT1 12 Tf 35.5 246.62 Td [(Brief description of the )-14(care home)]TJ 0 -19.25 TD (Westerlands Care Centre is a large house situated in its own spacious gr\ ounds in a )Tj 0 -17 TD (residential area of the village of Brough. Two decked areas are availabl\ e for residents )Tj T* (to sit outside. Car parking is available to the front of the building. T\ he village itself has )Tj T* (numerous shops, a train station and is adjacent to a motorway. Accommoda\ tion is )Tj T* (provided over 3 floors serviced by a lift. The majority of the bedrooms \ are single, one )Tj T* (with an en-suite and six bedrooms being shared. The home is owned by Pri\ me Life Ltd. )Tj T* (The home may provide residential and nursing care for up to 35 people of\ either sex, )Tj T* (who may also have dementia, a physical disability or terminal illness. S\ ervices )Tj T* (provided include personal care, meals, laundry and health care, with add\ itional health )Tj T* (services being accessed as necessary, for example, the district nursing \ services. The )Tj T* (weekly fees range from \243350-\243600. Additional charges are made for \ hairdressing, )Tj ET endstream endobj 172 0 obj <>stream q 1 0 0 1 28.3500061 35.9900055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 454.22 0 Td (Page)Tj /TT0 12 Tf 30.4 0 Td (3)Tj /TT1 11 Tf 8.53 0 Td ( of )Tj /TT0 12 Tf 18.28 0 Td (25)Tj /C2_0 14 Tf -514.28 764.44 Td <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET q 1 0 0 1 28.3500061 774.2200012 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 774.2200012 cm 1 1 1 RG 20.58 w 0 0 m 340.7 0 l S Q q 1 0 0 1 28.3500061 751.3800049 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 751.3800049 cm 1 1 1 RG 20.58 w 0 0 m 340.7 0 l S Q q 1 0 0 1 28.3500061 728.5500031 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 728.5500031 cm 1 1 1 RG 20.58 w 0 0 m 340.7 0 l S Q q 1 0 0 1 28.3500061 705.7200012 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 705.7200012 cm 1 1 1 RG 20.58 w 0 0 m 340.7 0 l S Q q 1 0 0 1 28.3500061 617.2599945 cm 0.996 0.945 0.761 RG 151.83 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 617.2599945 cm 1 1 1 RG 151.83 w 0 0 m 340.7 0 l S Q q 1 0 0 1 28.3500061 528.8000031 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 195.7 0 l S Q q 1 0 0 1 226.3000031 528.8000031 cm 1 1 1 RG 20.58 w 0 0 m 340.7 0 l S Q q 1 0 0 1 26.1399994 762.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 739.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 717.1300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 694.3000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 540.2200012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 785.6300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 762.8000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 739.9700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 717.1300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 694.3000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 540.2200012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 26.1399994 517.3899994 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 543.06 0 l S Q q 1 0 0 1 27.2200012 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -270.4 l S Q q 1 0 0 1 225.1699982 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -270.4 l S Q q 1 0 0 1 568.1199951 786.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -270.4 l S Q BT /TT1 12 Tf 31.2 769.44 Td (Document Purpose)Tj 197.95 0 Td (Inspection report)Tj -197.95 -22.83 Td (Author)Tj 197.95 0 Td (CSCI)Tj -197.95 -22.83 Td (Audience)Tj 197.95 0 Td (General public)Tj -197.95 -22.84 Td (Further copies from)Tj 197.95 0 Td (0870 240 7535 \(telephone order line\))Tj -197.95 -22.83 Td (Copyright)Tj 197.95 0 Td [(Copyright \251 \()-5(2009)-2(\) Commission for Social Care )]TJ 0 -14.58 TD (Inspection \(CSCI\). This publication may be reproduced )Tj T* (in whole or in part, free of charge, in any format or )Tj 0 -14.59 TD (medium provided that it is not used for commercial )Tj 0 -14.58 TD (gain. This consent is subject to the material being )Tj T* (reproduced accurately and on proviso that it is not )Tj 0 -14.59 TD (used in a derogatory manner or misleading context. )Tj 0 -14.58 TD (The material should be acknowledged as CSCI )Tj T* (copyright, with the title and date of publication of the )Tj 0 -14.59 TD (document specified.)Tj -197.95 -22.83 Td (Internet address)Tj 197.95 0 Td (www.csci.org.uk)Tj ET endstream endobj 173 0 obj <>stream q 1 0 0 1 28.3500061 35.9900055 cm 0.984 0.788 0.086 RG 20.58 w 0 0 m 538.58 0 l S Q BT 0 0 0 rg /TT0 12 Tf 31.2 31.21 Td (Care Homes for Older People)Tj /TT1 11 Tf 454.22 0 Td (Page)Tj /TT0 12 Tf 30.4 0 Td (2)Tj /TT1 11 Tf 8.53 0 Td ( of )Tj /TT0 12 Tf 18.28 0 Td (25)Tj /C2_0 10 Tf -244.99 772.44 Td <0003>Tj /TT1 12 Tf -269.29 -16.63 Td [(This is a report of an inspection where we looked at how well this )-39(care home is meeting )]TJ 0 -17.5 TD [(the needs of people who use it.)-721(There is a summary of what we think this service does )]TJ T* (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj T* (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 0 -17.49 TD [(experience.)-710(National minimum standards are written by the Department of Health for )]TJ 0 -17.5 TD (each type of care service.)Tj 0 -20 TD (After the summary there is more detail about our findings. The following\ table explains )Tj 0 -17.5 TD (what you will see under each outcome area.)Tj ET q 1 0 0 1 22.6900024 653.8399963 cm 0 0 0 RG 0.5 w 0 0 m 549.46 0 l S Q q 1 0 0 1 22.6900024 320.1600037 cm 0 0 0 RG 0.5 w 0 0 m 549.46 0 l S Q q 1 0 0 1 22.6999969 653.8500061 cm 0 0 0 RG 0.5 w 0 0 m 0 -333.69 l S Q q 1 0 0 1 572.1499939 653.8500061 cm 0 0 0 RG 0.5 w 0 0 m 0 -333.69 l S Q BT /TT0 10 Tf 31.2 640.54 Td [(Outcome area \(for example )-12(Choice of home\))]TJ 0 -30.3 TD [(These are the outcomes that people )-15(staying in care homes should experience.)-1044(They reflect )]TJ 0 -12.16 TD (the things that people have said are important to them:)Tj ET q 1 0 0 1 30.6000061 533.3399963 cm 1 0.945 0.761 RG 82.25 w 0 0 m 531.85 0 l S Q q 1 0 0 1 29.4700012 513.3399963 cm 1 1 1 RG 40 w 0 0 m 534.1 0 l S Q q 1 0 0 1 27.2700043 534.4600067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 27.2700043 576.7100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 27.2700043 534.4600067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 27.2700043 492.2100067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 28.3500061 577.7799988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -86.64 l S Q q 1 0 0 1 564.6999969 577.7799988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -86.64 l S Q BT /TT1 12 Tf 34.87 561.02 Td (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 0 -17.5 TD (inspection)Tj /TT1 10 Tf 60.92 0 Td (.)Tj /TT1 12 Tf -60.92 -24.75 Td (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj T* (key inspection.)Tj /TT0 10 Tf -3.67 -39.51 Td [(This is what people )-10(staying in this care home experience:)]TJ /TT1 12 Tf -2.85 -37.16 Td (Judgement:)Tj ET q 1 0 0 1 30.6000061 393.2899933 cm 1 0.945 0.761 RG 40 w 0 0 m 531.85 0 l S Q q 1 0 0 1 29.4700012 394.4100037 cm 1 1 1 RG 40 w 0 0 m 534.1 0 l S Q q 1 0 0 1 27.2700043 415.5399933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 27.2700043 373.2899933 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 28.3500061 416.6100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -44.4 l S Q q 1 0 0 1 564.6999969 416.6100006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -44.4 l S Q BT /TT1 12 Tf 34.87 399.85 Td [(This box tells you our opinion of what we have looked at in this outcome\ area.)-752(We )]TJ T* (will say whether it is excellent, good, adequate or poor.)Tj -6.52 -25.88 Td (Evidence:)Tj ET q 1 0 0 1 30.6000061 333.9100037 cm 1 0.945 0.761 RG 22.5 w 0 0 m 531.85 0 l S Q q 1 0 0 1 29.4700012 335.0399933 cm 1 1 1 RG 22.5 w 0 0 m 534.1 0 l S Q q 1 0 0 1 27.2700043 347.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 27.2700043 322.6600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.5 0 l S Q q 1 0 0 1 28.3500061 348.4900055 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -26.9 l S Q q 1 0 0 1 564.6999969 348.4900055 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -26.9 l S Q BT /TT1 12 Tf 34.87 331.72 Td (This box describes the information we used to come to our judgement.)Tj -6.52 -46.62 Td [(Copies of the)-359(National Minimum Standards )-14(\226 )-1(Care Homes for Older People)-16( can be found )]TJ T* (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj T* (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj T* (Stationery Office is also available: )Tj 0 0 1 rg 210.33 0 Td (www.tso.co.uk/bookshop)Tj ET q 1 0 0 1 238.6799927 231.5500031 cm 0 0 1 RG 0.708 w 0 0 m 152.25 0 l S Q BT 0 0 0 rg /TT1 12 Tf 28.35 192.61 Td (The Commission for Social Care Inspection aims to:)Tj /C2_1 12 Tf 18 -20 Td <0078>Tj /TT1 12 Tf 18 0 Td (Put the people who use social care first)Tj /C2_1 12 Tf -18 -17.64 Td <0078>Tj /TT1 12 Tf 18 0 Td (Improve services and stamp out bad practice)Tj /C2_1 12 Tf -18 -17.64 Td <0078>Tj /TT1 12 Tf 18 0 Td (Be an expert voice on social care)Tj /C2_1 12 Tf -18 -17.64 Td <0078>Tj /TT1 12 Tf 18 0 Td (Practise what we preach in our own organisation)Tj -36 -40.14 Td (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 174 0 obj <>stream q 538.5 0 0 61.5 28.3500061 14.1999969 cm /Im0 Do Q q 1 0 0 1 24.0700073 742.3999939 cm 0.984 0.788 0.086 RG 135.75 w 0 0 m 534.08 0 l S Q q 1 0 0 1 20.7400055 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20.58 w 0 0 m 401.02 0 l S Q q 1 0 0 1 31.1999969 422.7100067 cm 0.996 0.945 0.761 RG 73.33 w 0 0 m 129.18 0 l S Q q 1 0 0 1 162.6300049 422.7100067 cm 1 1 1 RG 73.33 w 0 0 m 401.02 0 l S Q q 1 0 0 1 28.9900055 460.5 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 483.3300018 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 460.5 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 28.9900055 384.9199982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 536.86 0 l S Q q 1 0 0 1 30.0700073 484.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -100.57 l S Q q 1 0 0 1 161.5 484.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -100.57 l S Q q 1 0 0 1 564.7799988 484.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -100.57 l S Q BT /TT0 12 Tf 34.05 467.14 Td (Name:)Tj /TT1 12 Tf 131.43 0 Td (Westerlands Care Centre)Tj /TT0 12 Tf -131.43 -22.83 Td (Address:)Tj /TT1 12 Tf 131.43 0 Td (Elloughton Road )Tj 0 -17.58 TD (Brough)Tj T* (East Yorkshire)Tj 0 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331.36 Tm ( service)Tj /C2_1 10 Tf -470.448 -18.9 Td <0003>Tj /TT1 12 Tf 0 -19.06 TD (A quality rating is our assessment of how well a care home, agency or sc\ heme is )Tj 0 -17 TD [(meeting the needs of the people who use it.)-25(\240 We give a quality rating following a full )]TJ T* [(assessment of the service.)-18(\240 )-1(We call this a \221key\222 inspection.)]TJ T* (\240)Tj ET q 1 0 0 1 31.1999969 224.9199982 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 284.05 0 l S Q q 1 0 0 1 317.5 224.9199982 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 248.4 0 l S Q q 1 0 0 1 317.5 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 348.8000031 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 380.1499939 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 411.4499969 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 442.8000031 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 474.1499939 202.0899963 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 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