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226.12 m 347.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 226.12 m 379.02 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 226.12 m 410.32 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 226.12 m 441.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 226.12 m 473.02 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 226.12 m 504.32 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 226.12 m 535.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.95 m 567.02 201.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 231.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 231.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 208.86 Tm (Vicky Dutton)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 208.86 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 208.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 208.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 208.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 189.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 172.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 155.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 143.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 131.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm (� )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /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 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 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 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 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 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright � \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.csci.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Fernbrook House)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (37-47)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Fernbrook Avenue)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Southend-On-Sea)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (SS1 2QW)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01702460364)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 565.6 523.71 l S 0.001 w 20.58 w 31.2 478.05 m 353.25 478.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 478.05 m 565.9 478.05 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 455.22 m 353.25 455.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 455.22 m 565.9 455.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 567.8 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 567.8 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 534.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 567.8 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 567.8 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.1 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 490.54 m 354.37 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 442.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Fernbrook Care Homes Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Mrs Gilda Glennd Figueroa)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 473.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 473.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 450.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 450.45 Tm (30)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 431.51 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 412.02 m 565.6 412.02 l S 0.001 w 41.16 w 31.2 378.9 m 297.2 378.9 l S 0.001 w 20.58 w 299.45 389.19 m 565.6 389.19 l S 0.001 w 20.58 w 299.45 368.61 m 432.52 368.61 l S 0.001 w 20.58 w 432.52 368.61 m 565.6 368.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 400.6 m 567.8 400.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.43 m 567.8 423.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.6 m 567.8 400.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.19 m 567.8 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 424.51 m 30.07 356.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 401.68 m 298.32 356.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 424.51 m 566.72 356.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 407.25 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.42 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 384.42 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 363.84 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 363.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.4 m 297.3 342.4 l S 0.001 w 20.58 w 299.55 342.4 m 431.45 342.4 l S 0.001 w 20.58 w 433.7 342.4 m 565.6 342.4 l S 0.001 w 35.16 w 31.2 312.28 m 297.3 312.28 l S 0.001 w 35.16 w 299.55 312.28 m 431.45 312.28 l S 0.001 w 35.16 w 433.7 312.28 m 565.6 312.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 282.16 m 565.6 282.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.99 m 567.8 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 567.8 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 567.8 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.82 m 567.8 353.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.99 m 567.8 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 567.8 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 568.1 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.35 m 568.1 181.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 354.89 m 30.07 180.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 354.89 m 298.42 292.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 354.89 m 432.57 292.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 354.89 m 566.72 180.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 337.63 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 337.63 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 337.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 314.8 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 314.8 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 314.8 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.39 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 254.56 Tm (The maximum number of service users who can be accommodated is: 30)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 231.73 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 217.15 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 202.57 Tm (care need on admission to the home are within the following categories: Old age not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 187.99 Tm (falling within any other category - Code OP Dementia - Code DE)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 166.56 m 315.25 166.56 l S 0.001 w 1 1 1 RG 20.58 w 317.5 166.56 m 346.55 166.56 l S 0.001 w 20.58 w 348.8 166.56 m 377.9 166.56 l S 0.001 w 20.58 w 380.15 166.56 m 409.2 166.56 l S 0.001 w 20.58 w 411.45 166.56 m 440.55 166.56 l S 0.001 w 20.58 w 442.8 166.56 m 471.9 166.56 l S 0.001 w 20.58 w 474.15 166.56 m 503.2 166.56 l S 0.001 w 20.58 w 505.45 166.56 m 534.55 166.56 l S 0.001 w 20.58 w 536.8 166.56 m 565.9 166.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 177.97 m 568.1 177.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 155.14 m 568.1 155.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 179.05 m 30.07 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 179.05 m 316.37 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 179.05 m 347.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 179.05 m 379.02 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 179.05 m 410.32 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 179.05 m 441.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 179.05 m 473.02 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 179.05 m 504.32 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 179.05 m 535.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 179.05 m 567.02 154.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 161.79 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 143.27 m 565.9 143.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 133.64 m 568.1 133.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 134.72 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 134.72 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.89 m 568.1 152.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 133.64 m 568.1 133.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 153.97 m 30.07 132.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 153.97 m 567.02 132.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 139.71 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 139.71 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 120.46 Tm (Fernbrook House is a privately owned care home that provides thirty beds for both )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 103.46 Tm (nursing and residential care. The home is also registered to provide care for people )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.46 Tm (who have dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.46 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 52.46 Tm (Fernbrook House is situated in the residential area of Southchurch which is close to )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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 30.07 485.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 485.08 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 28.99 486.15 m 568.1 486.15 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 /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (Southend on Sea. Transport links and local amenities such as shops are close by.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (Accommodation is provided on two floors in three shared rooms with en suite, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (twenty four single rooms, 21 of which have en suite facilities. The first floor can be )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (accessed by a lift. There is communal lounge and dining space on each floor. A garden )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (is available to the rear of the building. There is no parking available at the home but )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (on street parking is generally available close by.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (A Statement of Purpose and Service Users Guide were available, but not generally )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (given out to people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (This is the first inspection of the service since it was registered to a new provider.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (At the time of this site visit the fees charged by the home were stated in the Service )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (Users Guide to be from �369.32 to �630.00 per week. Fees charged depend upon level )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm (of needs and funding arrangements. Additional charges include chiropody, )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (hairdressing, newspapers and other personal items. People are also charged at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (normal care staff rate per hour if a member of staff needs to escort them to hospital )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (for an planned appointment. People would also have to pay the cost of a taxi if other )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 511.47 Tm (transport is not available.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 494.47 Tm (The provider said that the hourly rate would not be charged in an emergency situation. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 474.09 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 457.09 Tm (�)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 535/Matrix [1 0 0 1 0 0]>>stream x���Mo�0���>�e��clA*�8!� q����JYX-*?���W�K�U�}g���:3v���L�a�$�%������=`�9~���#�}�o�D9���:�ϧ��$���-g�,4�1gVH7W���Es$x:z��w�j�O�����ҞP��K���fBkvkjO/�]��J���j����h�(� l���aw�R�T��9���~�J��,��p�"�ʌ���$�B&�hK��Z�f� {EV�E{�� �F��{��;��v^+qV�Q��i�f{���8l�b�YUg� h3����]v��ok�}�Z�Uf꾣+�\�6;�V�t߾$eV�e�Z���ً�J�^ܢn.r:�݆.�n���A�}7o��w���w.3> �~N��x{ws<�Q�u��i.)�M�rn��͏�BwY��6.��������p\���� t�^�(�<���Ь��_�oN���٤�.8u�@.+�4}�������Z�L�v��9�Zy�:�L���՟�i�����P�� endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm (�)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 740.7 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 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 715.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 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 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (This was an unannounced 'key' site visit. This was the first inspection of the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (since it was re-registered. The current provider became registered on 1st September )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (2008. At this visit we \(CSCI\) considered how well the home meets the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (people living there, how staff and management work to provide good outcomes for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (people, and how people are helped to have a lifestyle that is acceptable to them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (The site visit took place over a period of seven and a half hours. A partial tour of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (premises was undertaken. Care records, staff records, medication records and other )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (documentation was selected and various elements of these looked at to see how well )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (these aspects of care and running the home are managed. Time was spent talking to, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (observing and interacting with people living at the home, and talking to staff. We also )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 309.18 w 32.32 657.94 m 566.72 657.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 502.22 m 568.92 502.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 501.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 501.15 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (spoke to three visitors during the site visit.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (The home's Annual Quality Assurance Assessment \(AQAA\) was sent in to us. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (is a self assessment tool that providers are required to complete by Law. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (was received by the due date, was fully completed, and outlined how management feel )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (they are performing against the National Minimum Standards, and how they can )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (evidence this.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (Before the site visit a selection of surveys with addressed return envelopes had been )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (sent to the home for distribution to residents, relatives, involved professionals and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (staff. We received responses from six people living at Fernbrook House, seven )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (relatives, and two staff. The views expressed at the site visit and in survey responses )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (have been incorporated into this report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (We were assisted at the site visit by the manager and other members of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (team. The new provider also visited during the site visit. Feedback on findings was )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (provided throughout the inspection. The opportunity for discussion or clarification was )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (given.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (We would like to thank the staff team, residents, relatives and visiting professionals for )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (their help throughout the inspection process. )Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 180.96 w 32.32 700.34 m 566.72 700.34 l S 0.001 w 20.58 w 32.7 597.32 m 569.35 597.32 l S 0.001 w 78.9 w 33.82 545.33 m 568.22 545.33 l S 0.001 w 20.58 w 33.45 493.34 m 570.1 493.34 l S 0.001 w 239.28 w 34.57 361.16 m 568.97 361.16 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 30.12 608.74 m 568.92 608.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 607.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 608.74 m 569.35 608.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 585.91 m 569.35 585.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 585.91 m 570.42 585.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 504.76 m 570.42 504.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 481.93 m 570.1 481.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 504.76 m 570.1 504.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 481.93 m 571.17 481.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 240.4 m 571.17 240.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 586.99 m 32.7 503.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 483.01 m 33.45 239.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 607.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 586.99 m 569.35 503.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 483.01 m 570.1 239.32 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (Before moving into the home staff from the home will assess people's needs to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (sure that Fernbrook House will be suitable for them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (Visitors are always made welcome and people appreciate the staffs' helpfulness.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (People told us that staff at the home are good and that, "Carers are always cheerful )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (and helpful.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (Staff were positive about their role and felt that teamwork and communication in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (home were good.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (When people need help to manage their medicines this will be done safely.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 698.79 Tm (�)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 595.21 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 592.55 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 595.77 Tm (�)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 543.78 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 569.72 Tm (This is the first inspection since the home was registered to a new provider.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 555.14 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 540.56 Tm (From comments from staff, relatives and people living in the home it was clear that, )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 525.98 Tm (since taking over, the new provider has significantly improved the environment and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 511.4 Tm (level of facilities at the home. )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 543.78 Tm (�)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 491.79 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 488.57 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 359.61 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 465.74 Tm (In order that people can feel confident that staff understand their individual needs, and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 451.16 Tm (meet them in a person centred way, a review care documentation is needed. Whilst )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 436.58 Tm (care plans are generally adequate, the amount of different records and files maintained )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 422 Tm (holding different information about people could compromise the delivery of consistent )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 407.42 Tm (and person centred care.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 392.84 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 378.26 Tm (Management need to demonstrate that they actively try to involve people, or their )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 363.68 Tm (representatives, in the running of the home and in their day to day choices. When )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 349.1 Tm (people express their individual views these need to be acted on.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 334.52 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 319.94 Tm (Much staff training is currently done 'in house' through the use of videos and written )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 305.36 Tm (questionnaires. Staff tend to undertake these in batches, with many subjects covered )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 290.78 Tm (on the same day. Management therefore need to be sure that knowledge gained is )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 276.2 Tm (sufficient. Of particular concern, now that the homes registration has changed, is for )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm (staff to receive good quality training in dementia care. This will assist them in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (understanding and meeting people's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 224.71 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 204.72 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 204.72 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 204.72 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 187.22 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 167.23 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 147.23 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 147.23 Tm (www.csci.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 492.84 147.23 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 129.73 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 129.73 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line �)Tj ET /F2 12 Tf BT 1 0 0 1 513.83 129.73 Tm (0870 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 112.24 Tm (240 7535.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm (�)Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 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 /F2 12 Tf BT 1 0 0 1 28.35 695.96 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 /F2 12 Tf BT 1 0 0 1 28.35 673.96 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 /F2 12 Tf BT 1 0 0 1 28.35 651.96 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 /F2 12 Tf BT 1 0 0 1 28.35 629.96 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 /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment� \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing� \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration� \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 368.74 m 563.65 368.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 97.48 w 32.32 357.5 m 564.78 357.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.63 m 566.98 307.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (A robust assessment process ensures that people wanting to move into the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (know that their needs would be met.)Tj ET 0.99608 0.9451 0.76078 RG 213.54 w 33.45 174.99 m 563.65 174.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.76 m 565.9 272.76 l S 0.001 w 192.16 w 32.32 163.18 m 564.78 163.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 260.39 m 566.98 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 261.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 261.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.39 m 565.9 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 269.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.7 Tm (We saw that a Statement of Purpose and a Service Users Guide were available. Both )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (had been recently updated in December 2008. When people are considering moving )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (into Fernbrook House they are not given a copy of the homes Service Users Guide )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (which would provide them with good information about the service. A copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (home's brochure is given to people. This provides basic information, but may not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (provide people with sufficient or accurate information. For example the brochure does )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (not say how big the home is, who it can cater for such as people who have dementia, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (and does not provide information about cost. All of which information is included in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (Service Users Guide. The manager did not feel that it was practical to give people a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (copy of the service users guide at the point of assessment and said that verbal )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 286.31 w 33.45 668.25 m 563.65 668.25 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 264.94 w 32.32 656.44 m 564.78 656.44 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 31.2 521.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 521.77 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 30.12 522.84 m 566.98 522.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (information is given. On surveys however all six people felt that they had received )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (sufficient information about the home. One person said, "My family checked all the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (information for me.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (To see how well the admission process is managed, and how people's needs are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (assessed to ensure that the home will be suitable for them, we looked at the files of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (two people who had recently moved in. We saw that a detailed assessment identifying )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (nursing and general care needs had been undertaken, with people's needs clearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (identified. This should ensure that people's needs are recognised and met from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (start of their stay.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Intermediate care is not provided at Fernbrook House, but the home does provide care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (to people on a 'Stepdown' basis. This is a service for people leaving hospital who may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (require some additional recuperation or rehabilitation time. The home currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (allocates six beds for this. )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People�s health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. People�s right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 411.49 m 563.65 411.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 79.98 w 32.32 400.24 m 564.78 400.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 358.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 358.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 359.13 m 566.98 359.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People using this service will receive good basic care. )Tj ET 0.99608 0.9451 0.76078 RG 265.03 w 33.45 200.74 m 563.65 200.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 324.26 m 565.9 324.26 l S 0.001 w 243.66 w 32.32 188.93 m 564.78 188.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 311.89 m 566.98 311.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 312.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 312.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.89 m 565.9 311.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 320.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 296.2 Tm (At the site visit people looked comfortable and well cared for. On surveys received )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (feelings about the care received at Fernbrook House were mixed. On six service users )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (surveys returned only two people said that they 'always' received the care and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (they needed. Four people felt that they 'usually' did. Relatives indicated that the care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (provided was acceptable. Five people felt that the home 'always' met people's needs, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (two that they 'sometimes' did. Comments from people about the care provided, both )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (on surveys and at the site visit, were generally positive, for example, "The home keeps )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm ([relative] warm, well fed, clean, clean clothes, well looked after," "We think that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (look after our [relative] very well. They are always washed and dressed well," "I have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (been quite happy with everything so far," and, "I feel Fernbrook does an exceptional )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (job. My [relative] is very well cared for and all her needs are always met." People )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (spoken with said that the care was, "Alright," and "Generally okay." To see how well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (people's care is planned for and arranged so that staff are aware of people's needs and )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (meet them in an individual way we looked at four care files in detail. Care files )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (contained a range of assessments, risk assessments, permissions, and general )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (information as well as care plans. Care plans provided a good level of information and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (would enable staff to provide individual care. There was some confusion as people had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (two care plans in place, held in different areas of the file, relating to the same aspects )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (of care, for example personal care and mobility. One was a typed standardised format )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (that contained the same information for each person. The other reflected more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (individual needs and was handwritten. The manager said that the standardised one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (reflected common standards such as ensuring all equipment needed was available and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (in good order, ensuring privacy and dignity was maintained and so on. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (handwritten one reflected needs specific to the individual. This approach could be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (confusing for people delivering the care. It was advised that at the very least care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (plans relating to the same aspects of care are in the same place in the care file. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (manager has undertaken recent training in person centred care planning which they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (said was very helpful. Another member of staff also undertook this training in 2006. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (We saw that care plans are reviewed monthly. It was however not clear from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (documentation how much people are involved in planning their care, or reviewing their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (needs. Another aspect that needs to be reviewed is the level of documentation on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (individuals which is held separately to the care files. Care files are compiled by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (manager and nursing staff and held in the upstairs office. There is a separate file )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (where everyone's 'Care Records' are held. This file is completed by care staff and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (contains daily care information for example bathing, nutrition records and 'care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (assistant daily statement.' This records a brief comment about the person each day, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (and included many 'safety maintained' type comments which do not reflect the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (individual. Care records were not always well maintained for example a number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (people had no entries for bath/wash, bowels open or nails done from 24/01/09 to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (03/02/09. Some nutrition records were not fully completed. Care staff also keep )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (another file with daily notes. Nursing staff keep a further file with their daily nursing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (notes in. An activities diary and individual activity folders are also maintained. With )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (this approach it is difficult to get a full picture of an individual without looking in many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (different places. Management also risk care staff only using daily records, and not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (referring to people's care plans for a full picture of their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (On surveys there was again a mixed response about the level of healthcare people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (received. On service user surveys three people said that they 'always' received the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (medical support that they needed and three that they 'usually' did. People spoken with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (at the site visit indicated that their health needs were met and said, "The nurses are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (all quite good," "I see a doctor when I need to," and, "They keep saying I am looking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (so much better, but I don't feel it." Records showed that people access different )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (healthcare professionals to meet their needs, such as doctors, district nurses, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (psychiatric support and opticians. We noticed that chiropody visits were not recorded )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (on the 'professional visits' sheets. The manager said that this aspect could be tracked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (through people's finance sheets and would be recorded in their daily records. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (AQAA said that all residents are registered with the same GP, but that people are given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (choice. Care files contained good assessments for the risk of falls' fractures, pressure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (sores, and nutrition. This information was translated into care plans. Training records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (indicated that across the staffing team people have undertaken some external training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (relating to relevant subjects such as continence care, wound assessment, and stoma )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (care. However these training courses were undertaken nearly two years ago so )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (people's skills and knowledge may need updating.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Many people living in Fernbrook House use bedrails. Risk assessments were in place. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (However these did not show a multidisciplinary approach, or show that other options )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (had been considered. According to the training matrix only the manager has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (undertaken training in bed rail assessments and this was in April 2005. During the site )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (visit one person needed urgent assistance as they were climbing over their bedrails. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The manager said that bedrails were appropriate for the person's care and that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (were checked regularly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We looked at medication systems and records to see how this aspect of people's care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (is managed. People can feel confident that their medications are managed safely. All )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (records and systems were well maintained. Where people wish to hold their own )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (medication we saw that this is risk assessed and arranged for them. Some attention )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (may be needed to ensure that creams are always managed appropriately. During the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (morning we saw that the cream for one person was left on the cistern in a communal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (toilet area. In the same place was an unlabelled tub of epaderm cream which had no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (lid on it. Medication is always administered by trained nursing staff. The manager said )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (that both nursing staff and care staff have undertaken medication training in the safe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (handling and administration of medicines in care homes. This was not reflected on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (home's training matrix which indicated that only the manager and one current staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (member undertook training in January 2007.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (During the day staff were observed to be respectful to people and responsive to their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (needs. Privacy was generally maintained when personal care tasks were being carried )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (out. We saw that in one shared room two people were in bed quite close together. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (There was no dividing curtain to provide privacy. The manager said that this was in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (wash. We observed that staff knocked on people's doors before entering. One person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (said, "[Relative] is happy here and is always treated with kindness and respect by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (carers.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Although we did not inspect the standard fully, we saw that end of life issues had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (discussed with people and their wishes recorded. We also saw that staff have )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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 31.2 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 767.79 m 566.98 767.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (undertaken in house video training in death, dying and bereavement. )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (People will have some opportunities to lead a fulfilling lifestyle in line with their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (personal preferences.)Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (On surveys only two people felt that there were 'always' activities available that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (could take part in. A relative felt that the home could do with, "More activities and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (staff having more time just to sit and talk with the patients." In care files we saw that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (staff take time and trouble to try and find out about people's interests, hobbies and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (abilities. Although the findings of assessments and questionnaires are not translated )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (into care plans as such, there was a section that identified 'Recommended Daily )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (Recreational Activities' and 'Recommended Monthly Activities.' We saw that when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (individuals have specific interests or hobbies this is supported. For example one person )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (enjoys drawing all the time, and another person enjoys puzzle books and computer )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (games. Assessments and information about preferences is held in the care files, a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (further individual file and a diary identify what activities have been undertaken, if )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (these have been enjoyed and so on. The diary showed that activities take place each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (day, including weekends. The manager confirmed that activities only take place during )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (the afternoons. During the morning people were observed to be left largely to their )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (own devices in their rooms, or in the homes two lounges. During the afternoon in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (upstairs lounge a member of staff was present but initially not really interacting with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (people. Later they started doing someone's nails for them. The television was on all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (day, but people were often not really watching or engaging with it. When children's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (television came on no one thought to offer to change the station until this was pointed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (out. One person said, "I do get bored but what can you do." A member of staff, who is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (also employed in the home as a housekeeper, works as an activity co-ordinator each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (weekday between 14.00 and 16.00. We saw that there was plenty of activity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (equipment available, and that the activity co-ordinator encouraged people to take part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (in different activities. An aromatherapist visits the home twice a month, and outside )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (entertainers also visit. In the lobby area there were photographs that show people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (enjoying parties and other activities. The home's brochure stated, 'At Fernbrook House )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (pastoral care is provided by regular visits from the clergy of both local churches and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (various religious groups. The object of these visits is to cater for the spiritual needs of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (the residents, and in particular those who are terminally ill. Frequent in house )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (communion services for those who wish to attend.' This is no longer the case. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (manager said that church groups no longer come, or come very infrequently to sing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (with residents. A priest visits one person and this was arranged by the family. In )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (discussion and on surveys a number of people commented that they missed being able )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to go out on the home's minibus as this no longer happened. "I would like the bus trips )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (to start again, I used to enjoy the drives around Southend," and "We don't go out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (anymore on the bus." The brochure currently being given out to people says, 'Mini-bus )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (is also available for day trips.' The new provider said that the bus was in need of repair )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (at the present time, but that they were considering buying a new one. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (said that trips on the minibus could be difficult to accommodate due to staffing cover )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (needed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (People living at Fernbrook House are able to have visitors at any time. During the site )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (visit when visitors came they were made welcome by staff. On surveys relatives felt )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (that they were helped to keep in touch. We noticed that a number of people have their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (own telephones, so are able to keep in contact with friends and family. A pay phone )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (was also available in the entrance area.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Staff were respectful of people's wishes and they were able to go where they wished in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (the home. Information on advocacy services and a Relatives and Residents Association )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (was available, and details of these and other useful organisations noted in the Service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Users Guide. This will help people to know where they can go for independent support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (and advice. A tour of the premises showed that although a number of rooms are quite )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (bare, people are able to bring in their own possessions in order to make their rooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (homely. The manager is aware of the implications of the Mental Capacity Act, and is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (arranging for some people to have appropriate assessments in order that their rights )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 583.74 w 33.45 519.53 m 563.65 519.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 562.37 w 32.32 507.72 m 564.78 507.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 225.41 m 566.98 225.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (are recognised and protected. The manager confirmed that not everyone living at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (home has family that could look out for their interests. The AQAA said under 'what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (they could do better' "The home now need to be looking at the use of independent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (mental capacity advocates, and the use of advocacy services for those lacking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (capacity, and who do not have a relative or friend with whom it is appropriate to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (consult.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (People spoken with during the site visit seemed happy with the food provided, and said )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (that it was, "very tasty," and, "Usually very nice." The cook was seen to go round to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (people during the morning to see what they wanted for lunch, with a choice of pork )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (chops or steak and kidney pie. On surveys however people felt that the food had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (deteriorated since the change of ownership. "The meals are not as nice now, I don't )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (enjoy them so much," "I think the home could improve on the meals they serve. Since )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (they have been taken over the meals have gone downhill and do not look very nice. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (My [relative] says they do not enjoy some of the meals and does not eat them," and, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ("I would like to see a greater choice and variety of meals." On the day of the site visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (the lunchtime meal looked adequate, and there was not much waste. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (attributes the comments to a change in menu, from the old ones that had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (formulated based on people's known choices and preferences and enjoyed, to new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (ones. It was said that people were consulted about the change. It was stated that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (four week menu plan is followed. However on viewing this, Weeks 1 and 3 and weeks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (2 and 4 are the same so it is effectively a two weekly rotating menu which does not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (therefore provide a great variety over time. Suppers consist of soup of the day, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (sandwich made to order and a light hot choice such as fish fingers, chicken nuggets, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (burgers and beans each day. As some people seem unhappy with the current )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (arrangements people need to be consulted and changes made to suit individual needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (as necessary. Another issue raised by one person is that meals are no longer a social )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (occasion, with people as far as possible going down to the dining room to eat. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (that some people now eat in the upstairs lounge at a table and that a number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (people also remain in easy chairs, or in their rooms for lunch. In the upstairs lounge )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (area 'bibs' were put on most people. The manager said that these observations were in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (line with people's personal preferences and choices. )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (People�s legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 496.49 m 563.65 496.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 79.98 w 32.32 485.24 m 564.78 485.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 443.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 443.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 444.13 m 566.98 444.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People are protected through suitable procedures and practice being in place.)Tj ET 0.99608 0.9451 0.76078 RG 350.03 w 33.45 243.24 m 563.65 243.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 409.26 m 565.9 409.26 l S 0.001 w 328.66 w 32.32 231.43 m 564.78 231.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 396.89 m 566.98 396.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 397.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 397.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 396.89 m 565.9 396.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 405.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 381.2 Tm (We saw that there was a complaints process in place that was on display for people to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (refer to. This was the procedure still in place from the previous Company, with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (stated review date of July 2006. We saw that the procedure needed some amendment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (to make our \(CSCI's\) role in the complaints process clearer. On surveys all residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (and relatives said that they knew who to speak to if they were unhappy, and knew )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (how to make a complaint. On surveys out of six responses from relatives, two felt that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (the home 'always' responded appropriately to their concerns, and four that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm ('usually' did. One person said "[The manager] always listens and always acts on any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (concerns." Staff said that they knew what to do if people raised concerns with them. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (When we looked at complaints records we saw that none had been recorded since the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (home was registered to the current provider.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (Records were in place relating to a concern that had referred by a family and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (investigated under safeguarding procedures. We \(CSCI\) were aware of the concern. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (Social Services told us that management at the home had been very open and )Tj ET /F2 12 Tf BT 1 0 0 1 516.09 136.26 Tm (co-)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (operative)Tj ET /F2 12 Tf BT 1 0 0 1 91.99 118.76 Tm ( in managing the situation, and had taken appropriate actions to deal with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (people's concerns. The home's training matrix and discussion with staff showed that in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (house training in safeguarding people had taken place. Although staff understood what )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ('abuse' was, the training matrix showed that most staff had completed this training on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the same day that they completed training in a number of other subject areas such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (infection control, risk assessments, and health and safety, so it may be questionable if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (this training gives staff sufficient understanding and knowledge relating to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (safeguarding and whistleblowing. However the AQAA said, " We have achieved training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (of all staff with regards to the protection of vulnerable adults. Every meeting and most )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (of the time the staff are reminded about whistleblowing policies." Only two staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (identified as having undertaken external training in safeguarding and this was in 2007. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Local guidelines relating to safeguarding practice were available, with a flow chart of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (actions to be taken on display on the office notice board.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Some records viewed and discussion with the manager indicated that a few people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (living at the home could display behaviour that challenged staff. We saw that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (manager and two staff members have undertaken recent training in managing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (challenging behaviour. This will assist them in understanding and assisting staff to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (manage situations. )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 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 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 479.49 m 563.65 479.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 79.98 w 32.32 468.24 m 564.78 468.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 426.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 426.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 427.13 m 566.98 427.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People live in a pleasant home.)Tj ET 0.99608 0.9451 0.76078 RG 333.03 w 33.45 234.74 m 563.65 234.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 392.26 m 565.9 392.26 l S 0.001 w 311.66 w 32.32 222.93 m 564.78 222.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.89 m 566.98 379.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.89 m 565.9 379.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 364.2 Tm (Since the current provider took over, the home has undergone an extensive )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (refurbishment programme. Communal areas and bedrooms have had flooring and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (furnishings replaced. New mattresses, bedding and towels have been purchased. New )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (equipment such as hoists and special beds have been provided. A number of rooms )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (have had en suite areas created in them to provide better facilities for people. People )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (were very happy with the refurbishment and made positive comments such as, "The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (redecoration and refurbishment of the home is excellent, and the improvements made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (very welcome," "The home has been recently refurbished, and to excellent taste, but )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (there are some little jobs that need doing by a handyman," and, "The home has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (refurbished and looks nice now." We saw that the refurbishment had included laying )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (the same non slip hard flooring in every bedroom. People should have some choice in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (this area, with rooms carpeted unless a person's needs or wishes indicates otherwise. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (The manager felt the flooring was good as it could be kept easily clean. The provider )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (said that people liked the flooring, but that if anyone wished for carpet, this would be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (provided. We saw that one shared room had obscured glass fitted to the window, so )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (that the occupants could not see out. The manager did not think that this was an issue )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (for the people using the room, but people should be able to see out of their bedroom )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 513.76 w 33.45 554.53 m 563.65 554.53 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 492.39 w 32.32 542.71 m 564.78 542.71 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 31.2 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 294.32 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 30.12 295.39 m 566.98 295.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (windows. Another person on the ground floor who was sitting in a position to look out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (of the window onto the street, had their view obscured by a large paladin waste bin )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (belonging to the home. Some bedrooms were very homely and been personalised, but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (others were not. For one person cared for in bed there were no homely touches and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (apart from a radio and television, nothing to offer any sensory stimulation. There is a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (garden area at the back of the home for people to use. The manager said that this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (needed improvement and tidying up, as it has been used for storage etc. during the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (refurbishment programme.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Some signage is provided to assist people's orientation, but we saw that name slots on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (doors were small and would not be easily visible to people to help them know which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (was their room. Names on doors were not always correct, referring to previous )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (occupants and often blank.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The home's bathrooms and toilets have not been part of the refurbishment programme )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (and would benefit from de-cluttering and brightening up. some toilets did not have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (toilet roll holders in place which may place people at risk if reaching elsewhere for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (toilet paper. At the moment assisted bathing facilities are only available on the first )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (floor, with a shower area and an unused non assisted bath on the ground floor. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (means that people living downstairs do not have bathing facilities close to their rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (On the day of inspection the home seemed adequately clean and there were no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (unpleasant odours. The home has a laundry area where there was adequate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (equipment to meet the needs of people. Training records showed us that staff have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (undertaken internal training in infection control, which should assist them in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (maintaining good practice. The provider said that the home had been recently visited )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (by someone from the Health Protection Agency, who had been happy with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (environment and procedures in place. )Tj ET endstream endobj 60 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 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People cannot be sure that the staff caring for them are sufficiently trained to meet )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (their needs.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (We received some positive comments about staff working at Fernbrook House. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm ("[Relative] is quite happy with the staff and seems to have a laugh and a joke with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (them all," and, "The carers are extremely kind and never belittle the residents of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (home. They are without exception kind and helpful and show great patience in what )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (what can be difficult circumstances and behaviours." The AQAA indicated that staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (turnover at Fernbrook House is high, with 12 care staff and three nursing staff having )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (left over the last year. The manager said that the home is fully recruited to and that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (agency staff are not used at the home. Staffing levels are maintained at a trained )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (nurse and five carers in the morning, a trained nurse and four carers during the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (afternoon and evening and a trained nurse, a carer and one person sleeping in at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (night. The AQAA indicated quite high levels of dependency, and the manager reported )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (that five people need assistance to eat. The AQAA said, "We have an appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (number of staff to cater for the service users needs twenty four hours a day/seven )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (days a week." At the site visit the manager said that they were happy with current )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (staffing levels, which had been worked out using the Residential Forum guidance. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (is a system for working out what staff are required based on people's level of )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 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (dependency, layout of the building and so on. However on people's care files we saw )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (that two assessments of dependency were in place. In each case people had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (assessed as 'high' dependency on one scale which was used previously, and 'medium' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (on the scale in current use. This could potentially affect the number of staff seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (needed and provided. On surveys and in discussion people felt that staff were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (generally available, "When they are not busy," or "Usually if they are not too busy." At )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the site visit staff seemed fully occupied and, particularly in the morning were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (readily available to people in lounges, and task focused in their dealing with residents. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (A cook is provided each day from 08.00 to 17.00. Rotas showed us that housekeepers )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (are identified, but that four out of five people identified \(with the fifth being absent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (from the home on a long term basis\) also fulfil other roles in the home. One person is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the activities co-ordinator, which was not identified on the rota, and two others are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (also identified on the carers rota. We also saw that care staff are working as many as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (five 'double shifts' each week from 08:00 to 20:00. This is not good practice as staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (practice and competence may become compromised if they are tired. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (works four long days each week. Only one morning each week is identified as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (supernumerary, for the completion of administration and other tasks. At all other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (times they are part of the shift. This may not give them enough time to fulfil their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (management role adequatly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (So that people receive care from a well trained workforce it is recommended that at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (least 50% of a home's care staff achieve a National Vocational Qualification \(NVQ\) in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (care at level two or above. The home's training matrix did not identify NVQ training. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the AQAA said that five carers had completed NVQ level 2 or above. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (confirmed that this was correct. The rota identified that currently eleven care staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (employed at the home, so the 50% basic target has nearly been met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (We looked at the files of two members of staff who had been most recently recruited )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (to ensure that recruitment procedures protect people living in the home. One person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (had a detailed application form in place, the other a more basic form of application )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (that did not give enough detail. For example where references were given there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (no indication of if they were previous employers or personal references. Likewise when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (these references were returned there was nothing to say how the applicant was known )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (to them. The manager said that they no longer have any input into the recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (process so had been unable to clarify these issues. People's identity had been verified )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (and Criminal Records Bureau \(CRB\) checks undertaken.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (A new member of staff spoken with, and staff surveys, said that induction had covered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (what they needed to know. On the two staff files looked at a good initial induction had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (been undertaken. This included video training in important core areas such as fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (safety, moving and handling, infection control, first aid and safeguarding. The )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 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 548.75 w 33.45 537.03 m 563.65 537.03 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 527.38 w 32.32 525.22 m 564.78 525.22 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 31.2 259.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 259.33 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 30.12 260.4 m 566.98 260.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (manager said that staff then went on to complete a programme that is in line with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Skills for Care foundation standards. However an example of this could not be found to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (show us, even though the manager looked through all the staff files. Even though the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (basic induction identified 'shadowing' to gain knowledge and insight in important areas )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (such as personal care, food hygiene and laundry, a relative said, "I would like to see )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (more supervision of new staff. I'm assuming there is an induction programme that has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (to be followed.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Since the home has been re-registered to a new owner there is no restriction placed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (on the number of people who have dementia that can be accommodated. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (said that staff had, "Excellent dementia training." However the training matrix given to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (us did not confirm this. This showed that in 2007 or 2008 all staff completed an in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (house training session on 'Alzheimer's.' In most cases this training had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (completed on the same day as many other training sessions. For example a new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (member of staff completed the 'training' in Alzheimer's on the same day as they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (completed training in eleven other subject areas, including moving and handling, first )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (aid and death, dying and bereavement. The Service Users Guide says, "Two of our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (senior managers have currently undertaken dementia training courses. They have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (achieved an accreditation which enables them to provide intense training to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (understand and provide care for dementia service users." This information may relate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to staff from what is now the sister home to Fernbrook House, as the AQAA said, "We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (have tied up with our sister nursing home in providing training for our staff." One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (member of staff confirmed that they had undertaken some of their training at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (other home. From information available at Fernbrook House, in 2007 the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (completed a course on dementia and care planning. The manager in 2005, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (another trained nurse in 2007 have completed a course in dementia and activities. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (activities person said that she had completed this course, but was not identified on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (training matrix. This will not ensure that people are looked after by staff who are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (skilled and up to date to meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (The manager is keen to develop staff training and plans to ensure that training and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (development plans are in place for all staff.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (People live in a well managed home, but may find that there is a lack of opportunity )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (for them to express their views and influence the running of the service.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (The manager at Fernbrook House has worked there for a number of years. They are a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (qualified nurse, and have relevant experience. For some time now they have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (completing their Registered Managers Award which is a qualification for those )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (managing care homes. They hope to complete this course towards the end of this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (year. The manager has kept up to date with changing legislation and, for example is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (aware of, and has undertaken training in The Mental Capacity Act, and Deprivation of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (Liberties. The manager had a very good awareness of individual residents, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (demonstrated an understanding of the the National Minimum Standards and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (expectations of home management. However with limited supernumerary time each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (week, it may be difficult for them to achieve what the want to achieve, particularly in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (relation to staff development and organisation. The manager knew where everything )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (was, but the office area was cluttered, with some information and files relating to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (previous management. The home has been through an unsettled period as the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (changed ownership. Both the manager and the new owner are keen to move the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (forward.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The new owner verbalised their desire to listen to people's views and choices and act )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (on them. Although it is early days under new management, and the focus has been on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (making much needed improvements to the environment, at the moment it is difficult )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (to evidence that residents have a strong voice in the home. The manager said that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (when they took over, the new owner sent out questionnaires to residents, staff and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (relatives to seek their views, but that none were returned. In spite of it being stated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that people were involved, consulted and offered choice; after the recent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (refurbishment all rooms are decorated in the same neutral colour, with the same )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (flooring. People spoken with could not remember if they were asked about colours. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (was stated that people were consulted about the new menus but no residents' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (meetings have taken place. Some people are saying that the food has deteriorated, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (but nothing has happened to try and address this. The same comments regarding the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (wish for more fresh fruit and vegetables, with more salads on the menu were made on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (our, \(CSCI\), surveys this year, as were made on them last year. This does not show )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (that people's individual choices are being actively sought or addressed. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (stated that the new provider is undertaking the regular monthly visit that is required )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (by Regulation to ensure that the home is being properly run. This would be another )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (opportunity for people to be heard, as the visit must include talking to people about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the service provided. However the manager said that these visits are not recorded. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The last residents meeting recorded was in April 2008, before the home was )Tj ET /F2 12 Tf BT 1 0 0 1 500.2 359.19 Tm (re-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (registered.)Tj ET /F2 12 Tf BT 1 0 0 1 98.51 341.7 Tm ( The AQAA was completed by the manager. It was well completed and gave )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (us the information that we had asked for. However some of the information may not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (have been entirely accurate. For example the AQAA said, "The home have developed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (an audit tool to ensure that the home is compliant with all their undertakings." An )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (audit tool was in place, but on viewing this it was stated to be a monthly audit, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (had last been undertaken in June 2008. The AQAA identified that all policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (procedures had been reviewed on 12/02/08. This was prior to the current provider )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (took over, and did not tally with the information seen on the day. For example the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (complaints procedure with a stated review date of July 2006.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (People can feel confident that if they or their families ask the home to help them look )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (after their personal monies, this will be done in a way that safeguards their interests. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (Monies checked were correct, with receipts in place for all transactions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Although this standard was not fully assessed, the manager explained the process for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (staff supervision using a three tiered approach using one to one sessions, recorded )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 338.8 w 33.45 642.01 m 563.65 642.01 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 317.43 w 32.32 630.19 m 564.78 630.19 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 31.2 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.28 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 30.12 470.36 m 566.98 470.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (observations of practice, and group meetings. This will provide staff with good support. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (On two staff surveys returned both said that they met with the manager regularly and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (felt well supported.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The new provider has addressed issues raised by the fire service, and has carried out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (works to ensure that the home now complies with current standards and Regulations. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (A fire risk assessment is in place, and we saw that staff undertake fire drills twice a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (year. Weekly checks are carried out on all fire equipment by the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The home had an inspection from an Environmental Health officer in June 2008, when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (it was found that "Excellent standards of food hygiene" were maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (A tour of the premises did not reveal any major health and safety issues, but the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (do need to keep in mind that they are registered to provide dementia care, and ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that items such as protective gloves and glass vases are stored safely. Where people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (are using oxygen in their rooms this needs to be clearly indicated to ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (maintain safe practice in these areas.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The training matrix provided showed that staff are up to date in all core areas such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (moving and handling and food hygiene. However as previously indicated staff have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (often completed many topics in one day, so the training provided may not be in depth )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (or provide staff with a detailed knowledge in any given subject area. )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm (� )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm (�)Tj ET 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (People should feel confident )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (that their individual care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (needs are understood and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (met by both care and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (nursing staff through a )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (robust and cohesive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (approach to care planning )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (and ongoing documentation.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm (This will enable people's )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (holistic needs to be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (understood and met )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm (consistently.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (01/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 314.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 314.32 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 314.32 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 314.32 Tm (Staff must receive robust )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 297.32 Tm (training to meet the needs )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 280.32 Tm (of people living at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (This includes the need to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (them to undertake good )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 229.32 Tm (quality training in dementia )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 212.32 Tm (care. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 195.32 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 178.32 Tm (So that people receive care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 161.32 Tm (from skilled staff. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 314.32 Tm (01/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 314.32 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 142.07 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 142.07 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 142.07 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 142.07 Tm (The registered provider )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 125.07 Tm (must undertake monthly )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 108.07 Tm (visits to the service to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 91.07 Tm (ensure that it is being run )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 142.07 Tm (01/04/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 142.07 Tm (�)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 119 w 31.2 753.03 m 91.05 753.03 l S 0.001 w 119 w 93.3 753.03 m 197.4 753.03 l S 0.001 w 119 w 199.65 753.03 m 289.45 753.03 l S 0.001 w 119 w 291.7 753.03 m 473.8 753.03 l S 0.001 w 119 w 476.05 753.03 m 566.1 753.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 692.4 m 568.3 692.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 691.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 691.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 691.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 691.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 691.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 691.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 295.8 802.72 Tm (effectively. 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Copies of the home's Service Users Guide should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 507.38 Tm (made available to people as part of the pre-admission )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 492.8 Tm (process.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 469.97 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 469.97 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 469.97 Tm (So that people are cared for safely assessments for bedrails )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 455.39 Tm (must be robust, consider people's individual needs and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 440.81 Tm (alternative options. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 417.98 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 417.98 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 417.98 Tm (The manager of the home should have involvement in staff )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 403.4 Tm (recruitment in order that potential staff are matched to the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 388.82 Tm (needs of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 365.99 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 365.99 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 365.99 Tm (So that people receive care from staff who have good skills )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 351.41 Tm (from the start of their employment, staff induction should )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 336.83 Tm (be in line with Skills for Care Standards.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 314 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 314 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 314 Tm (The provider should consider allowing the manager )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 299.42 Tm (additional supernumerary time to enable them to more )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 284.84 Tm (effectively manage the home, and make continued )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 270.26 Tm (improvements.)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm (�)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (0845 015 0120 or )Tj ET /F2 12 Tf BT 1 0 0 1 213.36 759.6 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (0845 015 2255 )Tj ET /F2 12 Tf BT 1 0 0 1 198.12 739.6 Tm (or )Tj ET /F2 12 Tf BT 1 0 0 1 214.75 739.6 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.csci.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm (�)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. 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Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec ��oc;�j���t����D[�2^��t�$��cd���r�eYj�RZb@�e F���>�" �F��+�$�l �`�v �.H֢�T)&���wa{�vI���t%Նsw��g,��l�on����rMWWI�Z���7p�6�\�5J���HrtPb ��E~1�C���e��w|;d}�Ty����m��8 �B� �����T�13��҂�u�GFsnA� S1_��� �� z���.H���@sV-�um��Q���/� rg�r��V�Fc��S�ctó��i�n��uk�̾��uA M���[\��b� y�9��_����� )�(�ib]�o7PaZk=JI4wr��� Qe�R-��Ӑ�hX}��Q�t 1�ݫja@K�^ �}= ����j��"����D�3��X�����U:*u��?�|� 6�&�f��]'(����VY���� �� 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Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec ��oc;�j���t����D[�2^��t�$��cd���r�eYj�RZb@�e F���>�" �F��+�$�l �`�v �.H֢�T)&���wa{�vI���t%Նsw��g,��l�on����rMWWI�Z���7p�6�\�5J���HrtPb ��E~1�C���e��w|;d}�Ty����m��8 �B� �����T�c���J6*]h<����i~�( \57Z�~JO-�a�C*��-��o��5���ᮻ��r�LJ->[���zeKq)Ʒ��W0�jl�BI����f14��%�B[��tn�qN��O��ד��e{�fC�;1I^�7^���r���5=��[�y����S�w�F 5ZUͧ���@;J��7{�P��h�x�� ғ*����⿅΅V1�lC�d�3Dk����9+ ~I�i�c*��x ���2�Y��C.�eK��g��t�_"t!�Z��t�b�$~��i�S�[��xd�w 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C <�RG<29Ap@AC6/?o����� /?o����� 7���� 9999P���KKTB�KKSB� 2+K�dRB�����KRX��Y�KTX���Y�KSX���Y++++st+stst�E�Eha�#Ds�E�Eha�#D�E�Eha�#D�Eh�#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++�qEh�q#Dstu++++ endstream endobj 99 0 obj<> endobj 100 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 101 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 102 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec ��oc;�j���t����D[�2^��t�$��cd���r�eYj�RZb@�e F���>�" �F��+�$�l �`�v 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